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Senate bill · S. 4460 (119th Congress)

Rural Community Hospital Demonstration Program Reauthorization

U.S. Senate

Latest action May 21, 2026

Sponsor: Chuck Grassley (U.S. Senator for Iowa, Republican)

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From Congress.gov and official rosters. This record was last updated Aug 3, 2026. About our data

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.

Summary from the Congressional Research Service. How we handle summaries

Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

Senate Committee on Finance · U.S. Senate

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Cosponsors

16

Cosponsors listed on Congress.gov, shown A to Z.

  • Republican8
  • Democratic7
  • Other1

This bill has cosponsors from more than one party.

Shown in neutral colors by design; Agora is non-partisan.

Show the full list (16 names)

Related bills

As identified by Congress.gov.

Full history

  1. May 21, 2026

    Introduced

    Held at the desk.

    U.S. Senate

  2. May 21, 2026

    Held at the desk.

  3. May 21, 2026

    Held at the desk.

  4. May 21, 2026

    Held at the desk.

  5. May 21, 2026

    Message on Senate Action Sent to the House.

    Message on Senate action sent to the House.

    U.S. Senate

Show full history (8 earlier events)
  1. May 21, 2026

    Sent to the executive

    Received in the House.

    U.S. House of Representatives

  2. May 20, 2026

    Passed a chamber

    Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)

    U.S. Senate

  3. May 20, 2026

    In committee

    Senate Committee on Finance discharged by Unanimous Consent.

    U.S. Senate

  4. May 20, 2026

    Senate Committee on Finance Discharged by Unanimous Consent.

    Senate Committee on Finance discharged by Unanimous Consent.

    U.S. Senate

  5. Apr 30, 2026

    Introduced

    Introduced in U.S. Senate

    U.S. Senate

  6. Apr 30, 2026

    Referred to committee

    Read twice and referred to the Committee on Finance.

  7. Apr 30, 2026

    Referred to committee

    Read twice and referred to the Committee on Finance.

  8. Apr 30, 2026

    Referred to committee

    Read twice and referred to the Committee on Finance.

Read the record