The record

LegislationLegislation· May 2026
S 4460 Passed Senate — in House

Sponsored by Chuck Grassley (R)

Rural Community Hospital Demonstration Program Reauthorization

Extends cost-based payment test for small rural hospitals through 2046.

Tradeoff

Allows rural hospitals to keep receiving payments based on actual costs instead of standard rates. No new federal spending or offsets are mentioned in the bill.

What's in it

See official bill text

Passed the Senate by on May 20, 2026 — sitting in the House.

  1. Senate

    Introduced

    (Apr 30, 2026)

  2. Senate

    Committee on Finance(Apr 30, 2026)

  3. Senate

    Passage of the bill

    Passed by (May 20, 2026)

    No individual votes were recorded.

  4. Senate

    Taken away from the Committee on Finance

    Discharged(May 20, 2026)

  5. House

    Received from the Senate

    Received(May 21, 2026)