S. 4460

108 S4460 ES: Rural Community Hospital Demonstration Program Reauthorization
 U.S. Senate
 text/xml
 EN
 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.
 119th CONGRESS  2d Session  S. 4460  IN THE SENATE OF THE UNITED STATES  AN ACT
To provide for an extension of the rural community hospital demonstration program.
1.
Short title
This Act may be cited as the   Rural Community Hospital Demonstration Program Reauthorization  .
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).
 .
    Passed the Senate May 20, 2026.    Secretary