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HR 8967
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Rural Community Hospital Demonstration Program Reauthorization

To provide for an extension of the rural community hospital demonstration program.

Introduced May 21, 2026

Latest action (May 21, 2026) Referred to the House Committee on Ways and Means.

Policy area
Issues
Healthcare

Summary

This bill would extend the Rural Community Hospital Demonstration Program, a Medicare program for rural hospitals, from a 15-year extension period to a 20-year extension period. The extension would apply to all participating rural community hospitals that were part of the program during the designated timeframe. Additionally, rural hospitals that joined the demonstration program between December 30, 2024, and January 1, 2027, would be eligible to receive certain Medicare payment benefits during the final five years of the 20-year extension period. The bill makes conforming changes throughout the Medicare law to reflect the extended timeline.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Money behind the sponsor

Top reported contributors to Randy Feenstra’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • NULL $38,384
  • MARQUIS MANAGEMENT INC. $21,800
  • BGR GROUP $15,800
  • DOLL DISTRIBUTING $13,700
  • FRONTIER BANK $13,450

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Randy Feenstra → · Outside spending →

Actions (2)

  1. May 21, 2026 Referred to the House Committee on Ways and Means. · house
  2. May 21, 2026 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Full text

IN THE HOUSE OF REPRESENTATIVES

May 21, 2026

Mr. Feenstra (for himself, Mr. Golden of Maine, Mr. Flood, Ms. Bynum, Mrs. Miller-Meeks, Mrs. Hinson, Mr. Nunn of Iowa, Mr. Smith of Nebraska, Mr. Thompson of Mississippi, Mr. Mann, Ms. Leger Fernandez, Ms. Balint, Mr. Schmidt, Ms. Stansbury, Ms. Pingree, and Mr. Guest) introduced the following bill; which was referred to the Committee on Ways and Means

A BILL

To provide for an extension of the rural community hospital demonstration program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Rural Community Hospital Demonstration Program Reauthorization”.

SEC. 2. FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL DEMONSTRATION PROGRAM.

(a) In General.—Subsection (a)(5) of section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173; 42 U.S.C. 1395ww note), is amended by striking “15-year extension period” and inserting “20-year extension period”.

(b) Conforming Amendments for Extension.—

(1) Extension of demonstration period.—Subsection (g) of such section 410A is amended—

(A) in the subsection heading, by striking “Fifteen-Year” and inserting “Twenty-Year”;

(B) in paragraph (1)—

(i) by striking “additional 15-year” and inserting “additional 20-year”; and

(ii) by striking “15-year extension period” and inserting “20-year extension period”;

(C) in paragraph (2), by striking “15-year extension period” and inserting “20-year extension period”;

(D) in paragraph (3), by striking “15-year extension period” and inserting “20-year extension period”;

(E) in paragraph (4), by striking “15-year extension period” each place it appears and inserting “20-year extension period”;

(F) in paragraph (5), by striking “15-year extension period” each place it appears and inserting “20-year extension period”; and

(G) in subparagraph (A) of paragraph (6), by striking “15-year extension period” and inserting “20-year extension period”.

(2) Rule for hospitals that are not original participants in the demonstration.—Paragraph (5) of subsection (g) of such section 410A is amended—

(A) in subparagraph (B), by striking “Additional extension” and inserting “CAA, 2021 extension”; and

(B) by adding at the end the following new subparagraph:

“(C) Additional extension.—During the fourth 5 years of the 20-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph

(4) but are participating in the demonstration program under this section at any time during the period beginning on December 30, 2024, and ending on January 1, 2027, in a similar manner as such provisions apply to rural community hospitals described in paragraph

(4).”. <all>

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