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Congressional Daily Record
This section captures a floor statement or debate entry. It mentions legislation such as Rural Community Hospital Demonstration Program Reauthorization, committees such as Committee on Finance, members such as John A. Barrasso.
Issued
May 20, 2026
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Download official Senate Record PDFReturn to issue contextMr. BARRASSO. Mr. President, I ask unanimous consent that the Committee on Finance be discharged from further consideration of S. 4460 and the Senate proceed to its immediate consideration.
The PRESIDING OFFICER. The clerk will report the bill by title.
The senior assistant executive clerk read as follows:
A bill (S. 4460) to provide for an extension of the rural
community hospital demonstration program.
Mr. BARRASSO. I ask unanimous consent that the bill be considered read a third time and passed and that the motion to reconsider be considered made and laid upon the table.
The PRESIDING OFFICER. Without objection, it is so ordered.
The bill (S. 4460) was ordered to be engrossed for a third reading, was read the third time, and passed, as follows:
S. 4460
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).”.