Senator Chuck Grassley's bill s4460-119 would extend a Medicare reimbursement demonstration program for small rural hospitals in the Health Services industry for five additional years. Grassley is the primary sponsor of this legislation. Health Services ranks among Grassley's top donor industries at 8.1% of identifiable contributions ($0.95M), and Health Services companies filed 19,813 lobbying reports since 2022 related to issues addressed in this bill.