Bill s4460-119 would extend Medicare cost-based reimbursement testing for small rural hospitals in the Health Services industry for five additional years. Senator Chuck Grassley (R-IA) introduced this bill. Health Services represents 9.0% of Grassley's identifiable donor base ($0.77M), ranking 70th among donor industries within the Republican Party.

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◈ Ask the Analyst about Chuck Grassley →How we built this: a statistical pattern surfaced from public records — FEC campaign finance, Senate/House Lobbying Disclosure Act filings, and Congress.gov. The donor concentration and the legislative action are concurrent facts; this does not imply contributions caused the action, that the member acted improperly, or that the bill specifically benefits the named sector. Generated July 26, 2026 · internal signal score 72/100.