<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>4460</number>
    <updateDate>2026-06-24T15:53:31Z</updateDate>
    <updateDateIncludingText>2026-07-18T21:55:34Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <originChamberCode>S</originChamberCode>
    <type>S</type>
    <introducedDate>2026-04-30</introducedDate>
    <congress>119</congress>
    <legislationUrl>https://www.congress.gov/bill/119th-congress/senate-bill/4460</legislationUrl>
    <committees>
      <item>
        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Discharged From</name>
            <date>2026-05-20T22:04:53Z</date>
          </item>
          <item>
            <name>Referred To</name>
            <date>2026-04-30T17:54:32Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <relatedBills>
      <item>
        <title>Rural Community Hospital Demonstration Program Reauthorization</title>
        <congress>119</congress>
        <number>8967</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2026-05-21</actionDate>
          <text>Referred to the House Committee on Ways and Means.</text>
        </latestAction>
        <relationshipDetails>
          <item>
            <type>Identical bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
      </item>
    </relatedBills>
    <actions>
      <item>
        <actionDate>2026-05-21</actionDate>
        <actionTime>15:30:43</actionTime>
        <text>Held at the desk.</text>
        <type>Floor</type>
        <actionCode>H15000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2026-05-21</actionDate>
        <actionTime>15:18:43</actionTime>
        <text>Received in the House.</text>
        <type>Floor</type>
        <actionCode>H14000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2026-05-21</actionDate>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Message on Senate action sent to the House.</text>
        <type>Floor</type>
      </item>
      <item>
        <actionDate>2026-05-20</actionDate>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)</text>
        <type>Floor</type>
      </item>
      <item>
        <actionDate>2026-05-20</actionDate>
        <text>Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.</text>
        <type>Floor</type>
        <actionCode>17000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2026-05-20</actionDate>
        <committees>
          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Senate Committee on Finance discharged by Unanimous Consent.</text>
        <type>Discharge</type>
      </item>
      <item>
        <actionDate>2026-05-20</actionDate>
        <text>Senate Committee on Finance discharged by Unanimous Consent.</text>
        <type>Committee</type>
        <actionCode>14500</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2026-04-30</actionDate>
        <committees>
          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Finance.</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2026-04-30</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>G000386</bioguideId>
        <fullName>Sen. Grassley, Chuck [R-IA]</fullName>
        <firstName>Chuck</firstName>
        <lastName>Grassley</lastName>
        <party>R</party>
        <state>IA</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>B001267</bioguideId>
        <fullName>Sen. Bennet, Michael F. [D-CO]</fullName>
        <firstName>Michael</firstName>
        <lastName>Bennet</lastName>
        <party>D</party>
        <state>CO</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C000880</bioguideId>
        <fullName>Sen. Crapo, Mike [R-ID]</fullName>
        <firstName>Mike</firstName>
        <lastName>Crapo</lastName>
        <party>R</party>
        <state>ID</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000779</bioguideId>
        <fullName>Sen. Wyden, Ron [D-OR]</fullName>
        <firstName>Ron</firstName>
        <lastName>Wyden</lastName>
        <party>D</party>
        <state>OR</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001198</bioguideId>
        <fullName>Sen. Sullivan, Dan [R-AK]</fullName>
        <firstName>Dan</firstName>
        <lastName>Sullivan</lastName>
        <party>R</party>
        <state>AK</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000570</bioguideId>
        <fullName>Sen. Luján, Ben Ray [D-NM]</fullName>
        <firstName>Ben</firstName>
        <lastName>Luján</lastName>
        <party>D</party>
        <state>NM</state>
        <middleName>R.</middleName>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001079</bioguideId>
        <fullName>Sen. Hyde-Smith, Cindy [R-MS]</fullName>
        <firstName>Cindy</firstName>
        <lastName>Hyde-Smith</lastName>
        <party>R</party>
        <state>MS</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000800</bioguideId>
        <fullName>Sen. Welch, Peter [D-VT]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000934</bioguideId>
        <fullName>Sen. Moran, Jerry [R-KS]</fullName>
        <firstName>Jerry</firstName>
        <lastName>Moran</lastName>
        <party>R</party>
        <state>KS</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000383</bioguideId>
        <fullName>Sen. King, Angus S., Jr. [I-ME]</fullName>
        <firstName>Angus</firstName>
        <lastName>King</lastName>
        <party>I</party>
        <state>ME</state>
        <middleName>S.</middleName>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001153</bioguideId>
        <fullName>Sen. Murkowski, Lisa [R-AK]</fullName>
        <firstName>Lisa</firstName>
        <lastName>Murkowski</lastName>
        <party>R</party>
        <state>AK</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001176</bioguideId>
        <fullName>Sen. Merkley, Jeff [D-OR]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Merkley</lastName>
        <party>D</party>
        <state>OR</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000618</bioguideId>
        <fullName>Sen. Ricketts, Pete [R-NE]</fullName>
        <firstName>Pete</firstName>
        <lastName>Ricketts</lastName>
        <party>R</party>
        <state>NE</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001046</bioguideId>
        <fullName>Sen. Heinrich, Martin [D-NM]</fullName>
        <firstName>Martin</firstName>
        <lastName>Heinrich</lastName>
        <party>D</party>
        <state>NM</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000575</bioguideId>
        <fullName>Sen. Lankford, James [R-OK]</fullName>
        <firstName>James</firstName>
        <lastName>Lankford</lastName>
        <party>R</party>
        <state>OK</state>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000273</bioguideId>
        <fullName>Sen. Hickenlooper, John W. [D-CO]</fullName>
        <firstName>John</firstName>
        <lastName>Hickenlooper</lastName>
        <party>D</party>
        <state>CO</state>
        <middleName>W.</middleName>
        <sponsorshipDate>2026-04-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000463</bioguideId>
        <fullName>Sen. Fischer, Deb [R-NE]</fullName>
        <firstName>Deb</firstName>
        <lastName>Fischer</lastName>
        <party>R</party>
        <state>NE</state>
        <sponsorshipDate>2026-05-11</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health care costs and insurance</name>
          <updateDate>2026-05-22T19:15:26Z</updateDate>
        </item>
        <item>
          <name>Health care coverage and access</name>
          <updateDate>2026-05-22T19:15:31Z</updateDate>
        </item>
        <item>
          <name>Health programs administration and funding</name>
          <updateDate>2026-05-22T19:15:14Z</updateDate>
        </item>
        <item>
          <name>Hospital care</name>
          <updateDate>2026-05-22T19:15:36Z</updateDate>
        </item>
        <item>
          <name>Medicare</name>
          <updateDate>2026-05-22T19:15:22Z</updateDate>
        </item>
        <item>
          <name>Rural conditions and development</name>
          <updateDate>2026-05-22T19:15:02Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
        <updateDate>2026-05-21T15:06:16Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2026-04-30</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2026-05-21T20:01:52Z</updateDate>
        <text><![CDATA[<p><strong>Rural Community Hospital Demonstration Program Reauthorization</strong></p><p>This bill extends the Rural Community Hospital Demonstration Program for an additional five years. The&nbsp;program tests the feasibility of cost-based reimbursement under Medicare for small rural hospitals that are too large to qualify for special payment as critical access hospitals.</p><p>The bill specifies that hospitals that participate in the program between December 30, 2024, and January 1, 2027, may continue to participate during the five-year extension period.</p>]]></text>
      </summary>
    </summaries>
    <title>Rural Community Hospital Demonstration Program Reauthorization</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>Rural Community Hospital Demonstration Program Reauthorization</title>
        <updateDate>2026-05-22T19:48:25Z</updateDate>
      </item>
      <item>
        <titleType>Short Title(s) as Passed Senate</titleType>
        <titleTypeCode>105</titleTypeCode>
        <title>Rural Community Hospital Demonstration Program Reauthorization</title>
        <updateDate>2026-05-22T02:38:26Z</updateDate>
        <chamberCode>S</chamberCode>
        <chamberName>Senate</chamberName>
        <billTextVersionName>Engrossed in Senate</billTextVersionName>
        <billTextVersionCode>ES</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>Rural Community Hospital Demonstration Program Reauthorization</title>
        <updateDate>2026-05-09T05:23:44Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <title>A bill to provide for an extension of the rural community hospital demonstration program.</title>
        <updateDate>2026-05-09T05:18:38Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Engrossed in Senate</type>
        <date>2026-05-20T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-119s4460es/xml/BILLS-119s4460es.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Introduced in Senate</type>
        <date>2026-04-30T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-119s4460is/xml/BILLS-119s4460is.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2026-05-21</actionDate>
      <text>Held at the desk.</text>
      <actionTime>15:30:43</actionTime>
    </latestAction>
  </bill>
  <dublinCore xmlns:dc="http://purl.org/dc/elements/1.1/">
    <dc:format>text/xml</dc:format>
    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
  </dublinCore>
</billStatus>
