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119-s-4460119th Congress

Rural Community Hospital Demonstration Program Reauthorization

Sponsored By: Senator Grassley, Chuck [R-IA]

Passed Senate

Summary

This bill would replace the program's prior 15-year extension with a 20-year extension to the Rural Community Hospital Demonstration Program. It also creates a time-limited "Additional extension" so hospitals that join between December 30, 2024 and January 1, 2027 receive parallel protections during the fourth five-year segment.

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  • Rural community hospitals: Keeps the demonstration active for 20 years, preserving and expanding participating hospitals' access to the program's demonstration benefits for a longer period.
  • Hospitals that join in the Dec. 30, 2024 to Jan. 1, 2027 window: The new "Additional extension" requires the Secretary to treat these non-original participants like original participants during the fourth five-year segment, giving them comparable program rules.
  • Statutory alignments and naming: Replaces 15-year references with 20-year references, changes the subsection heading from "Fifteen-Year" to "Twenty-Year", and adds conforming amendments including a named CAA, 2021 extension and the new Additional extension provision.

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & CoSponsors

Sponsor

Grassley, Chuck [R-IA]

IA • R

Cosponsors

  • Sen. Bennet, Michael F. [D-CO]

    CO • D

    Sponsored 4/30/2026

  • Sen. Crapo, Mike [R-ID]

    ID • R

    Sponsored 4/30/2026

  • Sen. Wyden, Ron [D-OR]

    OR • D

    Sponsored 4/30/2026

  • Sen. Sullivan, Dan [R-AK]

    AK • R

    Sponsored 4/30/2026

  • Sen. Luján, Ben Ray [D-NM]

    NM • D

    Sponsored 4/30/2026

  • Sen. Hyde-Smith, Cindy [R-MS]

    MS • R

    Sponsored 4/30/2026

  • Sen. Welch, Peter [D-VT]

    VT • D

    Sponsored 4/30/2026

  • Sen. Moran, Jerry [R-KS]

    KS • R

    Sponsored 4/30/2026

  • Sen. King, Angus S., Jr. [I-ME]

    ME • I

    Sponsored 4/30/2026

  • Sen. Murkowski, Lisa [R-AK]

    AK • R

    Sponsored 4/30/2026

  • Sen. Merkley, Jeff [D-OR]

    OR • D

    Sponsored 4/30/2026

  • Sen. Ricketts, Pete [R-NE]

    NE • R

    Sponsored 4/30/2026

  • Sen. Heinrich, Martin [D-NM]

    NM • D

    Sponsored 4/30/2026

  • Sen. Lankford, James [R-OK]

    OK • R

    Sponsored 4/30/2026

  • Sen. Hickenlooper, John W. [D-CO]

    CO • D

    Sponsored 4/30/2026

  • Sen. Fischer, Deb [R-NE]

    NE • R

    Sponsored 5/11/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
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