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
Role
Legislator
Party
State
District
P
Chuck Grassley
RRepublican
Co
Angus S. King, Jr.
IIndependent
Co
Ben Ray Luján
DDemocratic
Co
Cindy Hyde-Smith
RRepublican
Co
Dan Sullivan
RRepublican
Co
Deb Fischer
RRepublican
Co
James Lankford
RRepublican
Co
Jeff Merkley
DDemocratic
Co
Jerry Moran
RRepublican
Co
John W. Hickenlooper
DDemocratic
Co
Lisa Murkowski
RRepublican
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