# 119-s-4460: Rural Community Hospital Demonstration Program Reauthorization

119-s-4460, Rural Community Hospital Demonstration Program Reauthorization, is a 119th Congress bill sponsored by Sen. Grassley, Chuck [R-IA] (R-IA); status passed_senate (as of 2026-07-25).

- Canonical: https://policyrisk.com/legislation/119-s-4460
- As of: 2026-07-25
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4460
- Congress: 119
- Title: Rural Community Hospital Demonstration Program Reauthorization
- Status: passed_senate
- Introduced: 2026-04-30
- Sponsor: Sen. Grassley, Chuck [R-IA] (R-IA)
- Cosponsors: 16
- Policy area: Health
- Touches household money: no
- Last recorded action: 2026-07-25

## 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. - 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.

## Cosponsors (16)

- Sen. Bennet, Michael F. [D-CO] (D-CO), 2026-04-30T00:00:00.000Z
- Sen. Crapo, Mike [R-ID] (R-ID), 2026-04-30T00:00:00.000Z
- Sen. Wyden, Ron [D-OR] (D-OR), 2026-04-30T00:00:00.000Z
- Sen. Sullivan, Dan [R-AK] (R-AK), 2026-04-30T00:00:00.000Z
- Sen. Luján, Ben Ray [D-NM] (D-NM), 2026-04-30T00:00:00.000Z
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS), 2026-04-30T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2026-04-30T00:00:00.000Z
- Sen. Moran, Jerry [R-KS] (R-KS), 2026-04-30T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2026-04-30T00:00:00.000Z
- Sen. Murkowski, Lisa [R-AK] (R-AK), 2026-04-30T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2026-04-30T00:00:00.000Z
- Sen. Ricketts, Pete [R-NE] (R-NE), 2026-04-30T00:00:00.000Z
- Sen. Heinrich, Martin [D-NM] (D-NM), 2026-04-30T00:00:00.000Z
- Sen. Lankford, James [R-OK] (R-OK), 2026-04-30T00:00:00.000Z
- Sen. Hickenlooper, John W. [D-CO] (D-CO), 2026-04-30T00:00:00.000Z
- Sen. Fischer, Deb [R-NE] (R-NE), 2026-05-11T00:00:00.000Z

## Related bills

- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.
- 119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewellyn Kyl, former Senator for the State of Arizona.
- 119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham, a Senator from the State of South Carolina.
- 119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former Senator for the State of Michigan.
- 119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for the State of California.
- 119-sres-723: A resolution honoring the life of Dirk Arthur Kempthorne, former United States Senator for the State of Idaho.

## Sources
- [119-s-4460 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4460)

## Related
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewel…](https://policyrisk.com/legislation/119-sres-897)
- [119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham,…](https://policyrisk.com/legislation/119-sres-801)
- [119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former S…](https://policyrisk.com/legislation/119-sres-755)
- [119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for…](https://policyrisk.com/legislation/119-sres-739)
- [119-sres-723: A resolution honoring the life of Dirk Arthur Kempthorne, former United States…](https://policyrisk.com/legislation/119-sres-723)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4460 (as of 2026-07-25).