H.R. 8967

[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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