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Rural Community Hospital Demonstration Program Reauthorization
To provide for an extension of the rural community hospital demonstration program.
Summary
This bill extends the Rural Community Hospital Demonstration Program for an additional five years by changing the authorization period from a 15-year extension to a 20-year extension. The bill also includes provisions to allow rural community hospitals that participated in the demonstration program between December 30, 2024, and January 1, 2027, to receive similar benefits during the fourth five-year period of the extended program. The bill makes conforming amendments throughout the relevant Medicare statute to implement these changes.
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)
- Sen. Grassley, Chuck [R-IA] (R-IA)
16 cosponsors
- Sen. Bennet, Michael F. [D-CO] (D-CO)
- Sen. Crapo, Mike [R-ID] (R-ID)
- Sen. Fischer, Deb [R-NE] (R-NE)
- Sen. Heinrich, Martin [D-NM] (D-NM)
- Sen. Hickenlooper, John W. [D-CO] (D-CO)
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS)
- Sen. King, Angus S., Jr. [I-ME] (I-ME)
- Sen. Lankford, James [R-OK] (R-OK)
- Sen. Luján, Ben Ray [D-NM] (D-NM)
- Sen. Merkley, Jeff [D-OR] (D-OR)
- Sen. Moran, Jerry [R-KS] (R-KS)
- Sen. Murkowski, Lisa [R-AK] (R-AK)
- Sen. Ricketts, Pete [R-NE] (R-NE)
- Sen. Sullivan, Dan [R-AK] (R-AK)
- Sen. Welch, Peter [D-VT] (D-VT)
- Sen. Wyden, Ron [D-OR] (D-OR)
Actions (8)
- May 21, 2026 Held at the desk. · house
- May 21, 2026 Received in the House. · house
- May 21, 2026 Message on Senate action sent to the House. · senate
- May 20, 2026 Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428) · senate
- May 20, 2026 Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
- May 20, 2026 Senate Committee on Finance discharged by Unanimous Consent. · senate
- Apr 30, 2026 Read twice and referred to the Committee on Finance. · senate
- Apr 30, 2026 Introduced in Senate
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 SENATE OF THE UNITED STATES
April 30, 2026
Mr. Grassley (for himself, Mr. Bennet, Mr. Crapo, Mr. Wyden, Mr. Sullivan, Mr. Lujan, Mrs. Hyde-Smith, Mr. Welch, Mr. Moran, Mr. King, Ms. Murkowski, Mr. Merkley, Mr. Ricketts, Mr. Heinrich, Mr. Lankford, and Mr. Hickenlooper) introduced the following bill; which was read twice and referred to the Committee on Finance
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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