Politiparty
Politiparty

119th Congress Health

S. 4460: Rural Community Hospital Demonstration Program Reauthorization

Passed SenateMay 20, 2026

  1. Passed Senate (completed)May 20, 2026
  2. Passed House (not reached)
  3. To the President (not reached)
  4. Became law (not reached)

Summary

Introduced in Senate, Apr 30, 2026

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.

Written by the Congressional Research Service, Library of Congress.

Roll calls

0 votes on this bill

No roll call votes have been held on this bill.

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

16

Bipartisan support.

Who scored on this bill

124 points earned
  1. 1Charles Grassley R-IA SponsorDrew cross-party cosponsors, introduced, discharged, passed Senate4 events+60
  2. 2Michael Bennet D-COCosponsored; cosponsored bill passed2 events+4
  3. 2Michael Crapo R-IDCosponsored; cosponsored bill passed2 events+4
  4. 2Deb Fischer R-NECosponsored; cosponsored bill passed2 events+4
  5. 2Martin Heinrich D-NMCosponsored; cosponsored bill passed2 events+4
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Charles Grassley

History

  1. May 20, 2026Passed the Senate by unanimous consent.
  2. Apr 30, 2026Introduced in the Senate by Charles Grassley.
Show the full action history (8 actions)
  1. May 21, 2026Message on Senate action sent to the House.
  2. May 21, 2026Received in the House.
  3. May 21, 2026Held at the desk.
  4. May 20, 2026Senate Committee on Finance discharged by Unanimous Consent.
  5. May 20, 2026Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
  6. May 20, 2026Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
  7. Apr 30, 2026Introduced in Senate
  8. Apr 30, 2026Read twice and referred to the Committee on Finance.