S 4460
Passed a chamber
Extends the Medicare rural community hospital demonstration program by five years, changing its extension period from 15 years to 20 years.
Official title: Rural Community Hospital Demonstration Program Reauthorization
Timeline each lane is a chamber; dates pull from congress.gov actions
House
Received
21-MAY-2026
Senate
Introduced
30-APR-2026
Referred
30-APR-2026
Passed
20-MAY-2026
- Changes the program's extension period from 15 years to 20 years in section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
- Updates the related time references in subsection (g) of that section to match the 20-year period.
- Directs the Secretary to apply the program's provisions, during the fourth five years of the extension period, to hospitals that participated at any time from December 30, 2024, through January 1, 2027, but were not original participants.
Covers an older version. The newest CRS summary describes the bill as of "Introduced in Senate" (30-APR-2026); the text has changed since (Engrossed in Senate, 20-MAY-2026).
CRS is the Library of Congress's nonpartisan research office. Read it on congress.gov- Finance Committee (Senate)
Health
■ 8 R■ 7 D■ 1 I
8 Republicans
7 Democrats
1 Independent