United States · Bill · S
S. 4460 (119th)
Rural Community Hospital Demonstration Program Reauthorization
Introduced
30 April 2026
Last action
21 May 2026 · Floor
Status
Held at the desk.
Sponsors
Sen. Grassley, Chuck [R-IA], Sen. Bennet, Michael F. [D-CO], Sen. Crapo, Mike [R-ID], Sen. Wyden, Ron [D-OR], Sen. Sullivan, Dan [R-AK], Sen. Luján, Ben Ray [D-NM], Sen. Hyde-Smith, Cindy [R-MS], Sen. Welch, Peter [D-VT], Sen. Moran, Jerry [R-KS], Sen. King, Angus S., Jr. [I-ME], Sen. Murkowski, Lisa [R-AK], Sen. Merkley, Jeff [D-OR], Sen. Ricketts, Pete [R-NE], Sen. Heinrich, Martin [D-NM], Sen. Lankford, James [R-OK], Sen. Hickenlooper, John W. [D-CO], Sen. Fischer, Deb [R-NE]
Subjects
Healthcare
Source updated
24 June 2026
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.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
30 April 2026
Introduced
Read twice and referred to the Committee on Finance.
Source: IntroReferral
30 April 2026
Introduced
Introduced in Senate
Source: IntroReferral
20 May 2026
Passed
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
Source: Floor
20 May 2026
Passed
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
Source: Floor
20 May 2026
Discharge
Senate Committee on Finance discharged by Unanimous Consent.
Source: Discharge
20 May 2026
Committee
Senate Committee on Finance discharged by Unanimous Consent.
Source: Committee
21 May 2026
Floor
Held at the desk.
Source: Floor
21 May 2026
Floor
Received in the House.
Source: Floor
21 May 2026
Floor
Message on Senate action sent to the House.
Source: Floor
Votes
No vote records are attached yet.
Versions
No version snapshots stored. Document URLs remain at the source.
Documents
3 official files
Engrossed in Senate
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Engrossed in Senate
Engrossed in Senate · EN · 20 May 2026
Introduced in Senate
Introduced in Senate · EN · 30 April 2026
ViewDownloadOpen at official source
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Introduced in Senate
summary · EN · 30 April 2026
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Sponsors
- Sen. Grassley, Chuck [R-IA] · R · Sponsor
- Sen. Bennet, Michael F. [D-CO] · D · Sponsor
- Sen. Crapo, Mike [R-ID] · R · Sponsor
- Sen. Wyden, Ron [D-OR] · D · Sponsor
- Sen. Sullivan, Dan [R-AK] · R · Sponsor
- Sen. Luján, Ben Ray [D-NM] · D · Sponsor
- Sen. Hyde-Smith, Cindy [R-MS] · R · Sponsor
- Sen. Welch, Peter [D-VT] · D · Sponsor
- Sen. Moran, Jerry [R-KS] · R · Sponsor
- Sen. King, Angus S., Jr. [I-ME] · I · Sponsor
- Sen. Murkowski, Lisa [R-AK] · R · Sponsor
- Sen. Merkley, Jeff [D-OR] · D · Sponsor
- Sen. Ricketts, Pete [R-NE] · R · Sponsor
- Sen. Heinrich, Martin [D-NM] · D · Sponsor
- Sen. Lankford, James [R-OK] · R · Sponsor
- Sen. Hickenlooper, John W. [D-CO] · D · Sponsor
- Sen. Fischer, Deb [R-NE] · R · Cosponsor
- · ssfi00 · Standing
Related records
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/119th-congress/senate-bill/4460
- Open data entity: https://api.congress.gov/v3/bill/119/s/4460
- us · 119-s-4460 · source updated 24 June 2026