Rural Community Hospital Demonstration Program Reauthorization

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8967 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 8967

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

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                              May 21, 2026

 Mr. Feenstra (for himself, Mr. Golden of Maine, Mr. Flood, Ms. Bynum,
    Mrs. Miller-Meeks, Mrs. Hinson, Mr. Nunn of Iowa, Mr. Smith of
 Nebraska, Mr. Thompson of Mississippi, Mr. Mann, Ms. Leger Fernandez,
  Ms. Balint, Mr. Schmidt, Ms. Stansbury, Ms. Pingree, and Mr. Guest)
 introduced the following bill; which was referred to the Committee on
                             Ways and Means

_______________________________________________________________________

                                 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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