[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 4460 Introduced in Senate (IS)]

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119th CONGRESS
  2d Session
                                S. 4460

      To provide for an extension of the rural community hospital 
                         demonstration program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             April 30, 2026

   Mr. Grassley (for himself, Mr. Bennet, Mr. Crapo, Mr. Wyden, Mr. 
 Sullivan, Mr. Lujan, Mrs. Hyde-Smith, Mr. Welch, Mr. Moran, Mr. King, 
 Ms. Murkowski, Mr. Merkley, Mr. Ricketts, Mr. Heinrich, Mr. Lankford, 
  and Mr. Hickenlooper) introduced the following bill; which was read 
             twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
      To provide for an extension of the rural community hospital 
                         demonstration program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Community Hospital 
Demonstration Program Reauthorization''.

SEC. 2. FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL 
              DEMONSTRATION PROGRAM.

    (a) In General.--Subsection (a)(5) of section 410A of the Medicare 
Prescription Drug, Improvement, and Modernization Act of 2003 (Public 
Law 108-173; 42 U.S.C. 1395ww note), is amended by striking ``15-year 
extension period'' and inserting ``20-year extension period''.
    (b) Conforming Amendments for Extension.--
            (1) Extension of demonstration period.--Subsection (g) of 
        such section 410A is amended--
                    (A) in the subsection heading, by striking 
                ``Fifteen-Year'' and inserting ``Twenty-Year'';
                    (B) in paragraph (1)--
                            (i) by striking ``additional 15-year'' and 
                        inserting ``additional 20-year''; and
                            (ii) by striking ``15-year extension 
                        period'' and inserting ``20-year extension 
                        period'';
                    (C) in paragraph (2), by striking ``15-year 
                extension period'' and inserting ``20-year extension 
                period'';
                    (D) in paragraph (3), by striking ``15-year 
                extension period'' and inserting ``20-year extension 
                period'';
                    (E) in paragraph (4), by striking ``15-year 
                extension period'' each place it appears and inserting 
                ``20-year extension period'';
                    (F) in paragraph (5), by striking ``15-year 
                extension period'' each place it appears and inserting 
                ``20-year extension period''; and
                    (G) in subparagraph (A) of paragraph (6), by 
                striking ``15-year extension period'' and inserting 
                ``20-year extension period''.
            (2) Rule for hospitals that are not original participants 
        in the demonstration.--Paragraph (5) of subsection (g) of such 
        section 410A is amended--
                    (A) in subparagraph (B), by striking ``Additional 
                extension'' and inserting ``CAA, 2021 extension''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(C) Additional extension.--During the fourth 5 
                years of the 20-year extension period, the Secretary 
                shall apply the provisions of paragraph (4) to rural 
                community hospitals that are not described in paragraph 
                (4) but are participating in the demonstration program 
                under this section at any time during the period 
                beginning on December 30, 2024, and ending on January 
                1, 2027, in a similar manner as such provisions apply 
                to rural community hospitals described in paragraph 
                (4).''.
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