Rural Community Hospital Demonstration Program Reauthorization
Sponsored By: Representative Feenstra, Randy [R-IA-4]
Introduced
Summary
Would extend the Rural Community Hospital Demonstration Program to a 20-year extension period. The bill replaces 15-year extension language with 20-year language across the statute and adds a rule that, during the fourth five-year segment, hospitals that join the demonstration between December 30, 2024 and January 1, 2027 are treated like existing participants for certain program provisions.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Extend rural Medicare hospital program
This bill would extend the rural community hospital demonstration from 15 years to 20 years. If enacted, the Secretary of Health and Human Services would update statute language and cross-references from "15-year" to "20-year." During the fourth five-year segment of the new 20-year extension, the Secretary would apply the paragraph (4) rules to rural community hospitals that are not already covered by paragraph (4) but that participated in the demonstration at any time between December 30, 2024 and January 1, 2027. This change would likely help some rural hospitals and the Medicare patients they serve stay in the demonstration longer.
Sponsors & CoSponsors
Sponsor
Feenstra, Randy [R-IA-4]
IA • R
Cosponsors
Rep. Golden, Jared F. [D-ME-2]
ME • D
Sponsored 5/21/2026
Rep. Flood, Mike [R-NE-1]
NE • R
Sponsored 5/21/2026
Rep. Bynum, Janelle S. [D-OR-5]
OR • D
Sponsored 5/21/2026
Rep. Miller-Meeks, Mariannette [R-IA-1]
IA • R
Sponsored 5/21/2026
Rep. Hinson, Ashley [R-IA-2]
IA • R
Sponsored 5/21/2026
Rep. Nunn, Zachary [R-IA-3]
IA • R
Sponsored 5/21/2026
Rep. Smith, Adrian [R-NE-3]
NE • R
Sponsored 5/21/2026
Rep. Thompson, Bennie G. [D-MS-2]
MS • D
Sponsored 5/21/2026
Rep. Mann, Tracey [R-KS-1]
KS • R
Sponsored 5/21/2026
Rep. Leger Fernandez, Teresa [D-NM-3]
NM • D
Sponsored 5/21/2026
Rep. Balint, Becca [D-VT-At Large]
VT • D
Sponsored 5/21/2026
Rep. Schmidt, Derek [R-KS-2]
KS • R
Sponsored 5/21/2026
Rep. Stansbury, Melanie A. [D-NM-1]
NM • D
Sponsored 5/21/2026
Rep. Pingree, Chellie [D-ME-1]
ME • D
Sponsored 5/21/2026
Rep. Guest, Michael [R-MS-3]
MS • R
Sponsored 5/21/2026
Rep. Vasquez, Gabe [D-NM-2]
NM • D
Sponsored 5/29/2026
Rep. Begich, Nicholas J. [R-AK-At Large]
AK • R
Sponsored 6/2/2026
Rep. Hurd, Jeff [R-CO-3]
CO • R
Sponsored 6/9/2026
Rep. Case, Ed [D-HI-1]
HI • D
Sponsored 6/23/2026
Roll Call Votes
No roll call votes available for this bill.
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