What This Bill Does · Plain English
Summary · Congress.gov
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.
Action Timeline
2026-05-21
Held at the desk.
2026-05-21
Received in the House.
2026-05-21
Message on Senate action sent to the House.
2026-05-20
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
2026-05-20
Senate Committee on Finance discharged by Unanimous Consent.
2026-05-20
Senate Committee on Finance discharged by Unanimous Consent.
2026-05-20
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
2026-04-30
Introduced in Senate
2026-04-30
Read twice and referred to the Committee on Finance.
Frequently Asked Questions
Did S.4460 pass?
S.4460 is still alive. Current stage: PASSED_ONE. Pass likelihood: pending.
What does S.4460 do?
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.
Who sponsored S.4460?
S.4460 was sponsored by Chuck Grassley (R-Iowa).
Full Bill Text
Full text not yet indexed for this bill. Check Congress.gov for the official text.
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