The bill s4460-119 extends a Medicare demonstration program allowing small rural Health Services providers to receive cost-based reimbursement for five additional years. Senator Chuck Grassley (R-IA) introduced this legislation. Health Services comprises 9.1% of Grassley's identifiable donor base ($0.79M), ranking 45th among donor industries for Republicans in Congress.

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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 26, 2026 · internal signal score 76/100.