H.R. 8967

119 HR 8967 IH: Rural Community Hospital Demonstration Program Reauthorization
 U.S. House of Representatives
 2026-05-21
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 I  119th CONGRESS  2d Session  H. R. 8967  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.
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).
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