S 4460 United States Senate · 119th Congress

Rural Community Hospital Demonstration Program Reauthorization

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.
Bill status passed 3 of 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
President
Introduced Apr 30, 2026 Last action May 21, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
8
Key actions
3
Committee
2
May 20, 2026
Upper · Passed
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
upper
May 20, 2026
Upper · Passed
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
upper
May 20, 2026
Upper · Passed
Senate Committee on Finance discharged by Unanimous Consent.
upper
Apr 30, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Apr 30, 2026
Introduced
Introduced in Senate
upper
1 primary · 16 co-sponsors

Sponsors