Bill Sponsor
Senate Bill 4460
119th Congress(2025-2026)
Rural Community Hospital Demonstration Program Reauthorization
Active
Active
Passed Senate on May 20, 2026
Overview
Text
Bill Intelligence

The "Rural Community Hospital Demonstration Program Reauthorization" bill seeks to extend the program for an additional five years, changing the 15-year extension period to a 20-year extension period. This amendment includes conforming adjustments to account for the extension, particularly for hospitals not originally participating in the program. The reauthorization aims to provide flexibility and additional time for rural community hospitals participating in the demonstration program.

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AI-generated from the bill text (Introduced in Senate)
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Introduced
Apr 30, 2026
Latest Action
May 21, 2026
Origin Chamber
Senate
Type
Bill
Bill
The primary form of legislative measure used to propose law. Depending on the chamber of origin, bills begin with a designation of either H.R. or S. Joint resolution is another form of legislative measure used to propose law.
Bill Number
4460
Congress
119
Policy Area
Health
Health
Primary focus of measure is science or practice of the diagnosis, treatment, and prevention of disease; health services administration and funding, including such programs as Medicare and Medicaid; health personnel and medical education; drug use and safety; health care coverage and insurance; health facilities. Measures concerning controlled substances and drug trafficking may fall under Crime and Law Enforcement policy area.
Sponsorship by Party
Senate Votes (1)
House Votes (0)
checkPassed on May 20, 2026
Status
Passed
Type
Unanimous Consent
Unanimous Consent
A senator may request unanimous consent on the floor to set aside a specified rule of procedure so as to expedite proceedings. If no Senator objects, the Senate permits the action, but if any one senator objects, the request is rejected. Unanimous consent requests with only immediate effects are routinely granted, but ones affecting the floor schedule, the conditions of considering a bill or other business, or the rights of other senators, are normally not offered, or a floor leader will object to it, until all senators concerned have had an opportunity to inform the leaders that they find it acceptable.
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
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.

Text (2)
April 30, 2026
Actions (8)
05/21/2026
Held at the desk.
05/21/2026
Received in the House.
05/21/2026
Message on Senate action sent to the House.
05/20/2026
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
05/20/2026
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
05/20/2026
Senate Committee on Finance discharged by Unanimous Consent.
04/30/2026
Read twice and referred to the Committee on Finance.
04/30/2026
Introduced in Senate
Public Record
Record Updated
May 27, 2026 11:21:00 AM