
S. 4460 · 119th Congress · pending
Rural Community Hospital Demonstration Program Reauthorization
Held at the desk.
Latest official action 2026-05-21 · Unknown
The bill, briefly
Rural 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.
Congressional Research Service · 2026-04-30
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Sponsor
Chuck Grassley
Senate · IA · Republican
$57,500PAC receipts · 2025–2026
Cosponsor
Michael F. Bennet
Senate · CO · Democratic
$31,000PAC receipts · 2025–2026
Cosponsor
Mike Crapo
Senate · ID · Republican
$556,775PAC receipts · 2025–2026
Cosponsor
Ron Wyden
Senate · OR · Democratic
$382,070PAC receipts · 2025–2026
Cosponsor
Dan Sullivan
Senate · AK · Republican
$2,134,194PAC receipts · 2025–2026
Cosponsor
Ben Ray Luján
Senate · NM · Democratic
$1,879,794PAC receipts · 2025–2026
Cosponsor
Cindy Hyde-Smith
Senate · MS · Republican
$1,272,314PAC receipts · 2025–2026
Cosponsor
Peter Welch
Senate · VT · Democratic
$44,000PAC receipts · 2025–2026
Cosponsor
Jerry Moran
Senate · KS · Republican
$399,050PAC receipts · 2025–2026
Cosponsor
Angus S. King, Jr.
Senate · ME · Independent
$33,500PAC receipts · 2025–2026
Cosponsor
Lisa Murkowski
Senate · AK · Republican
$364,300PAC receipts · 2025–2026
Cosponsor
Jeff Merkley
Senate · OR · Democratic
$519,875PAC receipts · 2025–2026
Cosponsor
Pete Ricketts
Senate · NE · Republican
$1,927,397PAC receipts · 2025–2026
Cosponsor
Martin Heinrich
Senate · NM · Democratic
$454,670PAC receipts · 2025–2026
Cosponsor
James Lankford
Senate · OK · Republican
$375,000PAC receipts · 2025–2026
Cosponsor
John W. Hickenlooper
Senate · CO · Democratic
$887,596PAC receipts · 2025–2026
Cosponsor
Deb Fischer
Senate · NE · Republican
$357,755PAC receipts · 2025–2026
16 of 16 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
NATIONAL ASSOCIATION OF BROADCASTERS POLITICAL ACTION COMMITTEE (NABPAC)$48,350
Ron Wyden · Cosponsor · $1,000
Dan Sullivan · Cosponsor · $10,500
Ben Ray Luján · Cosponsor · $7,000
Cindy Hyde-Smith · Cosponsor · $5,000
Jerry Moran · Cosponsor · $11,850
Jeff Merkley · Cosponsor · $1,000
Pete Ricketts · Cosponsor · $6,500
James Lankford · Cosponsor · $500
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordAMERICAN BANKERS ASSOCIATION PAC (BANKPAC)$46,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $7,500
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $9,000
Official PAC recordAMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$45,000
Dan Sullivan · Cosponsor · $7,500
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $7,500
Official PAC recordENGINEERS POLITICAL EDUCATION COMMITTEE (EPEC)/INTERNATIONAL UNION OF OPERATING ENGINEERS$45,000
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $10,000
Jeff Merkley · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordMORTGAGE BANKERS ASSOCIATION POLITICAL ACTION COMMITTEE (MORPAC)$45,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $10,000
Jerry Moran · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $10,000
Official PAC recordNATIONAL ASSOCIATION OF CONVENIENCE STORES POLITICAL ACTION COMMITTEE$45,000
Mike Crapo · Cosponsor · $5,000
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $2,500
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $2,500
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordNATIONAL STONE, SAND & GRAVEL ASSOCIATION ROCKPAC$42,000
Ron Wyden · Cosponsor · $2,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $5,000
Cindy Hyde-Smith · Cosponsor · $10,000
Lisa Murkowski · Cosponsor · $3,500
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $1,000
Official PAC recordHOLLAND & KNIGHT COMMITTEE FOR EFFECTIVE GOVERNMENT$41,000
Mike Crapo · Cosponsor · $2,000
Ron Wyden · Cosponsor · $5,000
Dan Sullivan · Cosponsor · $7,500
Ben Ray Luján · Cosponsor · $1,000
Cindy Hyde-Smith · Cosponsor · $1,500
Jerry Moran · Cosponsor · $1,500
Pete Ricketts · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $6,500
James Lankford · Cosponsor · $1,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordINTERNATIONAL ASSOCIATION OF FIREFIGHTERS INTERESTED IN REGISTRATION AND EDUCATION PAC$40,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $9,000
Peter Welch · Cosponsor · $2,500
Jerry Moran · Cosponsor · $2,500
Pete Ricketts · Cosponsor · $2,500
John W. Hickenlooper · Cosponsor · $10,000
Deb Fischer · Cosponsor · $4,000
Official PAC recordNATIONAL MULTIFAMILY HOUSING COUNCIL AND REAL ESTATE TECHNOLOGY AND TRANSFORMATION CENTER POLITICAL ACTION COMMITTEE (NMHC PAC)$40,000
Dan Sullivan · Cosponsor · $5,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordNCTA - THE INTERNET & TELEVISION ASSOCIATION POLITICAL ACTION COMMITTEE (NCTAPAC)$40,000
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $10,000
Official PAC recordPRICEWATERHOUSECOOPERS POLITICAL ACTION COMMITTEE I$38,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $8,500
Pete Ricketts · Cosponsor · $7,500
James Lankford · Cosponsor · $2,500
Official PAC recordAMERICA'S CREDIT UNIONS PAC$37,500
Mike Crapo · Cosponsor · $2,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $5,000
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordERNST & YOUNG POLITICAL ACTION COMMITTEE$37,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $5,000
Lisa Murkowski · Cosponsor · $2,500
Pete Ricketts · Cosponsor · $10,000
Official PAC recordMOLINA HEALTHCARE, INC. PAC$37,500
Mike Crapo · Cosponsor · $1,500
Ron Wyden · Cosponsor · $7,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $2,500
Cindy Hyde-Smith · Cosponsor · $5,000
Lisa Murkowski · Cosponsor · $1,000
Pete Ricketts · Cosponsor · $10,000
Official PAC recordNATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION AMERICA'S ELECTRIC COOPERATIVES PAC$36,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $3,500
Pete Ricketts · Cosponsor · $7,000
John W. Hickenlooper · Cosponsor · $6,000
Official PAC recordBUILD POLITICAL ACTION COMMITTEE OF THE NATIONAL ASSOCIATION OF HOME BUILDERS (BUILDPAC)$36,000
Dan Sullivan · Cosponsor · $8,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $8,000
Official PAC recordNATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEE$36,000
Dan Sullivan · Cosponsor · $5,000
Ben Ray Luján · Cosponsor · $5,000
Cindy Hyde-Smith · Cosponsor · $10,000
Jeff Merkley · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $5,000
Deb Fischer · Cosponsor · $1,000
Official PAC recordTHE BOEING COMPANY PAC$36,000
Ron Wyden · Cosponsor · $1,000
Dan Sullivan · Cosponsor · $6,500
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $8,000
Jerry Moran · Cosponsor · $3,000
Pete Ricketts · Cosponsor · $5,000
Deb Fischer · Cosponsor · $2,500
Official PAC recordTHE FARM CREDIT COUNCIL POLITICAL ACTION COMMITTEE$35,500
Dan Sullivan · Cosponsor · $5,000
Ben Ray Luján · Cosponsor · $5,000
Cindy Hyde-Smith · Cosponsor · $8,000
Jerry Moran · Cosponsor · $1,000
Pete Ricketts · Cosponsor · $5,000
James Lankford · Cosponsor · $1,500
John W. Hickenlooper · Cosponsor · $5,000
Deb Fischer · Cosponsor · $5,000
Official PAC recordAMERICAN ASSOCIATION OF ORTHODONTISTS POLITICAL ACTION COMMITTEE$35,000
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $5,000
Cindy Hyde-Smith · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordBLUE HEN FEDERAL PAC$35,000
Ben Ray Luján · Cosponsor · $10,000
Jeff Merkley · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $10,000
Official PAC recordFORWARD TOGETHER PAC$35,000
Ben Ray Luján · Cosponsor · $10,000
Jeff Merkley · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $10,000
Official PAC recordGENERAL DYNAMICS CORPORATION POLITICAL ACTION COMMITTEE (GENERAL DYNAMICS EMPLOYEE PAC)$35,000
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $5,000
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
Official PAC recordHEALTH JOBS JUSTICE$35,000
Ben Ray Luján · Cosponsor · $10,000
Jeff Merkley · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $10,000
Official PAC recordNATIONAL PORK PRODUCERS COUNCIL PORK PAC$35,000
Jerry Moran · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $10,000
Deb Fischer · Cosponsor · $10,000
Official PAC recordPURPOSE PAC$35,000
Ben Ray Luján · Cosponsor · $10,000
Jeff Merkley · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $10,000
Official PAC recordWINE AND SPIRITS WHOLESALERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE$34,999
Dan Sullivan · Cosponsor · $5,000
Ben Ray Luján · Cosponsor · $9,999
Cindy Hyde-Smith · Cosponsor · $5,000
Peter Welch · Cosponsor · $0
Jerry Moran · Cosponsor · $0
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordNATIONAL ASSOCIATION OF INSURANCE AND FINANCIAL ADVISORS POLITICAL ACTION COMM$34,000
Dan Sullivan · Cosponsor · $5,000
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $7,500
Pete Ricketts · Cosponsor · $6,500
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordNATIONAL SHOOTING SPORTS FOUNDATION, INC. POLITICAL ACTION COMMITTEE (NSSF PAC)$33,755
Dan Sullivan · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
Deb Fischer · Cosponsor · $3,755
Official PAC recordNOVO NORDISK INC. PAC (NOVO NORDISK PAC)$33,500
Ron Wyden · Cosponsor · $2,500
Ben Ray Luján · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $3,500
Martin Heinrich · Cosponsor · $10,000
James Lankford · Cosponsor · $7,500
John W. Hickenlooper · Cosponsor · $0
Official PAC recordTHE GOLDMAN SACHS GROUP, INC. POLITICAL ACTION COMMITTEE$33,500
Dan Sullivan · Cosponsor · $7,500
Ben Ray Luján · Cosponsor · $10,000
Cindy Hyde-Smith · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $8,500
James Lankford · Cosponsor · $2,500
Official PAC recordAMERICAN OPTOMETRIC ASSOCIATION POLITICAL ACTION COMMITTEE$32,500
Mike Crapo · Cosponsor · $2,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $5,000
John W. Hickenlooper · Cosponsor · $5,000
Official PAC recordCHEVRON EMPLOYEES POLITICAL ACTION COMMITTEE - CHEVRON CORPORATION$32,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $2,500
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
Official PAC recordDELOITTE POLITICAL ACTION COMMITTEE$31,500
Ron Wyden · Cosponsor · $5,000
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $9,000
James Lankford · Cosponsor · $2,500
Official PAC recordINVESTMENT COMPANY INSTITUTE POLITICAL ACTION COMMITTEE (ICI PAC)$31,500
Michael F. Bennet · Cosponsor · $5,000
Mike Crapo · Cosponsor · $2,500
Ron Wyden · Cosponsor · $2,000
Dan Sullivan · Cosponsor · $5,000
Ben Ray Luján · Cosponsor · $3,500
Cindy Hyde-Smith · Cosponsor · $1,000
Jerry Moran · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $7,500
Official PAC recordABBVIE POLITICAL ACTION COMMITTEE$31,000
Mike Crapo · Cosponsor · $7,500
Dan Sullivan · Cosponsor · $10,000
Ben Ray Luján · Cosponsor · $7,500
Cindy Hyde-Smith · Cosponsor · $2,500
Pete Ricketts · Cosponsor · $2,500
Martin Heinrich · Cosponsor · $6,000
Deb Fischer · Cosponsor · -$5,000
Official PAC recordALLIED PILOTS ASSOCIATION POLITICAL ACTION COMMITTEE$31,000
Dan Sullivan · Cosponsor · $2,500
Ben Ray Luján · Cosponsor · $3,500
Jerry Moran · Cosponsor · $6,000
Pete Ricketts · Cosponsor · $10,000
John W. Hickenlooper · Cosponsor · $7,500
Deb Fischer · Cosponsor · $1,500
Official PAC recordNATIONAL ASSOCIATION OF MUTUAL INSURANCE COMPANIES PAC$30,500
Ron Wyden · Cosponsor · $2,000
Dan Sullivan · Cosponsor · $4,000
Ben Ray Luján · Cosponsor · $6,000
Cindy Hyde-Smith · Cosponsor · $5,000
Pete Ricketts · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $2,000
John W. Hickenlooper · Cosponsor · $1,500
Official PAC recordTHE COUNCIL OF INSURANCE AGENTS & BROKERS POLITICAL ACTION COMMITTEE$30,500
Ben Ray Luján · Cosponsor · $6,500
Cindy Hyde-Smith · Cosponsor · $10,000
Pete Ricketts · Cosponsor · $10,000
Martin Heinrich · Cosponsor · $1,500
James Lankford · Cosponsor · $2,500
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
This bill is not enacted. Post-enactment results do not apply yet.