What does SHORT TITLE. of Rural Community Hospital Demonstration Program Reauthorization do?

This bill is formally titled the 'Rural Community Hospital Demonstration Program Reauthorization'.

What does FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL of Rural Community Hospital Demonstration Program Reauthorization do?

This section amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program. The extension period is increased from 15 years to 20 years. Several subsections within section 410A are modified to reflect this change, including the subsection heading and various paragraphs. The rules for hospitals that are not original participants in the demonstration are also amended, referencing a 'CAA, 2021 extension'. During the fourth 5-year period of the 20-year extension, the Secretary will apply certain provisions to rural community hospitals not initially described in paragraph (4) but participating in the program between December 30, 2024, and January 1, 2027.

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Rural Community Hospital Demonstration Program Reauthorization

Q: What does Preamble of Rural Community Hospital Demonstration Program Reauthorization do?

This bill aims to extend the rural community hospital demonstration program.

Last updated: 5/21/2026 · Introduced: 5/21/2026

Author: Randy Feenstra (R-IA)

TL;DR (AI)

This bill extends the Rural Community Hospital Demonstration Program, which allows certain rural hospitals to receive Medicare payments based on cost rather than prospective payment systems.
The program's extension period is increased from 15 to 20 years.
The bill modifies program rules to include rural community hospitals that participate between December 30, 2024, and January 1, 2027.

119th Congressin committeeS. 4460(Passed Senate)Official page

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Other Sections

Includes provisions on preamble, short title., and 1 more.

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