119th Congress · SENATE BILLBILL

S. 4460 — Rural Community Hospital Demonstration Program Reauthorization

Introduced Apr 30, 2026
Last action May 21, 2026
Pipeline · Bill → Law
Step 1
Introduced
Apr 30, 2026
Step 2
Referred
Apr 30, 2026
Finance
Step 3
Committee
May 20, 2026
Step 4
Senate
May 20, 2026
Passed Senate
Step 5
House floor
Moves to House
Step 6
Resolve Changes
Step 7
Signed
SummaryCRS Summary

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.

Provisions · 2 sectionsEngrossed in Senate
2 versions
Engrossed in Senate · 2 provisions
AmendmentAI
Timeline · 9 actions
May 21, 2026
Held at the desk.
May 21, 2026
Received in the House.
May 21, 2026
Message on Senate action sent to the House.
May 20, 2026
Passed Senate without amendment by Unanimous Consent.
May 20, 2026
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
May 20, 2026
Senate Committee on Finance discharged by Unanimous Consent.
May 20, 2026
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
Apr 30, 2026
Read twice and referred to the Committee on Finance.
Apr 30, 2026
Introduced in Senate