Recently enacted laws

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.

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 record
AMERICAN 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 record
AMERICAN 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 record
ENGINEERS 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 record
MORTGAGE 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 record
NATIONAL 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 record
NATIONAL 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 record
HOLLAND & 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 record
INTERNATIONAL 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 record
NATIONAL 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 record
NCTA - 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 record
PRICEWATERHOUSECOOPERS 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 record
AMERICA'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 record
ERNST & 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 record
MOLINA 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 record
NATIONAL 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 record
BUILD 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 record
NATIONAL 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 record
THE 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 record
THE 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 record
AMERICAN 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 record
BLUE 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 record
FORWARD 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 record
GENERAL 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 record
HEALTH 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 record
NATIONAL 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 record
PURPOSE 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 record
WINE 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 record
NATIONAL 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 record
NATIONAL 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 record
NOVO 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 record
THE 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 record
AMERICAN 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 record
CHEVRON 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 record
DELOITTE 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 record
INVESTMENT 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 record
ABBVIE 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 record
ALLIED 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 record
NATIONAL 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 record
THE 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 record

The 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.