{"bill":{"id":"119-s-4460","congress":119,"type":"S","number":4460,"title":"Rural Community Hospital Demonstration Program Reauthorization","originChamber":"Senate","introducedDate":"2026-04-30","sponsors":[{"bioguideId":"G000386","fullName":"Sen. Grassley, Chuck [R-IA]","party":"R","state":"IA","district":null}],"cosponsorsCount":16,"latestAction":{"actionDate":"2026-05-21","actionTime":"15:30:43","text":"Held at the desk."},"policyArea":"Health","subjects":["Health care costs and insurance","Health care coverage and access","Health programs administration and funding","Hospital care","Medicare","Rural conditions and development"],"actions":[{"date":"2026-05-21","text":"Held at the desk.","type":"Floor","chamber":"House floor actions","hasVote":false},{"date":"2026-05-21","text":"Received in the House.","type":"Floor","chamber":"House floor actions","hasVote":false},{"date":"2026-05-21","text":"Message on Senate action sent to the House.","type":"Floor","chamber":"Senate","hasVote":false},{"date":"2026-05-20","text":"Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)","type":"Floor","chamber":"Senate","hasVote":false},{"date":"2026-05-20","text":"Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.","type":"Floor","chamber":"Library of Congress","hasVote":false},{"date":"2026-05-20","text":"Senate Committee on Finance discharged by Unanimous Consent.","type":"Discharge","chamber":"Senate","hasVote":false},{"date":"2026-05-20","text":"Senate Committee on Finance discharged by Unanimous Consent.","type":"Committee","chamber":"Library of Congress","hasVote":false},{"date":"2026-04-30","text":"Read twice and referred to the Committee on Finance.","type":"IntroReferral","chamber":"Senate","hasVote":false},{"date":"2026-04-30","text":"Introduced in Senate","type":"IntroReferral","chamber":"Library of Congress","hasVote":false}],"summary":"<p><strong>Rural Community Hospital Demonstration Program Reauthorization</strong></p><p>This bill extends the Rural Community Hospital Demonstration Program for an additional five years. The&nbsp;program tests the feasibility of cost-based reimbursement under Medicare for small rural hospitals that are too large to qualify for special payment as critical access hospitals.</p><p>The bill specifies that hospitals that participate in the program between December 30, 2024, and January 1, 2027, may continue to participate during the five-year extension period.</p>","updateDate":"2026-05-27T11:21:00Z"},"markets":[],"stateBills":[],"meta":{"sources":["congress.gov"],"latencyMs":238,"ts":"2026-05-29T23:37:39.540Z"},"nextActions":{"inspect":[],"related":[{"description":"Search related legislation","method":"GET","url":"https://simplefunctions.dev/api/public/query-gov?q=Rural%20Community%20Hospital%20Demonstration%20Program%20Reauthorizati"}]}}