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.

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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 June 10, 2026 · internal signal score 91/100.