Rural Community Hospital Demonstration Program Reauthorization
119-S-4460119th CongressIntroduced Apr 30, 2026Health
Market Probability
No market
Status
Introduced
Committee
Floor Vote
Other Chamber
Signed
Held at the desk.
Sponsor
Sen. Grassley, Chuck [R-IA](R-IA)16 cosponsors
Summary
Rural Community Hospital Demonstration Program Reauthorization
This bill extends the Rural Community Hospital Demonstration Program for an additional five years. The 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.
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.
Subjects
Health care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHospital careMedicareRural conditions and development
Related State Legislation
CaliforniaSB 862Health.
Oct 1, 2025CaliforniaAB 144Health.
Sep 17, 2025CaliforniaSB 144Health.
Sep 12, 2025Actions (9)
Held at the desk.
May 21, 2026House floor actions
Message on Senate action sent to the House.
May 21, 2026Senate
Received in the House.
May 21, 2026House floor actions
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
May 20, 2026Senate
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
May 20, 2026Library of Congress
Senate Committee on Finance discharged by Unanimous Consent.
May 20, 2026Senate
Senate Committee on Finance discharged by Unanimous Consent.
May 20, 2026Library of Congress
Read twice and referred to the Committee on Finance.
Apr 30, 2026Senate
Introduced in Senate
Apr 30, 2026Library of Congress