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S. 4460119th CongressHealth
Rural Community Hospital Demonstration Program Reauthorization
Sponsored by Sen. Chuck Grassley (R-IA) · 16 active : 8 Republicans, 7 Democrats, 1 Independent
Latest action: Held at the desk.
Where it standsBefore the Senate7 senators score as swing votes
Passed Senate
- Senate: passedMay 20, 2026
- House: next
- President: not yet
Summary
, via Congress.govRural Community Hospital Demonstration Program Reauthorization
This bill extends the Rural Community Hospital Demonstration Program for an additional five years. The program tests the feasibility of cost-based reimbursement under Medicare for small rural hospitals that are too large to qualify for special payment as critical access hospitals.
The bill specifies that hospitals that participate in the program between December 30, 2024, and January 1, 2027, may continue to participate during the five-year extension period.
How the projections held up
Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.
Senate
Passed by voice vote or unanimous consent: no individual votes recorded.
Committees and subjects
Committees
- Senate Committee on Finance · SenateDischarged from · Referred to
Subjects
- Health care costs and insurance
- Health care coverage and access
- Health programs administration and funding
- Hospital care
- Medicare
- Rural conditions and development
Model
Directional: count only breaks toward the other partyWhy do scores change?v3default (selected)v2 model swing-v2
How the Senate breaks down
- 7Swing 70–100
- 56Middle 30–70
- 37Entrenched 0–30
Members fall into . All 100 senators have enough data to score.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v3Bars show each input from 0 to 100: ideology gap, scorecard gap, , and the . is the seat’s partisan lean, and shows how much of the input data a score has.
Similar past votes, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
16 activeShow all 16 cosponsors
- Angus S. King Jr. (I-ME)
- Ben Ray Luján (D-NM)
- Cindy Hyde-Smith (R-MS)
- Dan Sullivan (R-AK)
- James Lankford (R-OK)
- Jeff Merkley (D-OR)
- Jerry Moran (R-KS)
- John W. Hickenlooper (D-CO)
- Lisa Murkowski (R-AK)
- Martin Heinrich (D-NM)
- Michael F. Bennet (D-CO)
- Mike Crapo (R-ID)
- Pete Ricketts (R-NE)
- Peter Welch (D-VT)
- Ron Wyden (D-OR)
- Deb Fischer (R-NE)
How the swing score works
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
