1. Short title This Act may be cited as the Rural Community Hospital Demonstration Extension Act of 2020 . 2. Five-year extension of the rural community hospital demonstration program (a) Extension (1) In general Subsection (a)(5) of section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), is amended by striking 10-year extension period and inserting 15-year extension period . (2) Conforming amendments for extension (A) Extension of demonstration period Subsection (g) of such section 410A is amended— (i) in the subsection heading, by striking Ten-Year and inserting Fifteen-Year ; (ii) in paragraph (1)— (I) by striking additional 10-year and inserting additional 15-year ; and (II) by striking 10-year extension period and inserting 15-year extension period ; (iii) in paragraph (2), by striking 10-year extension period and inserting 15-year extension period ; (iv) in paragraph (3), by striking 10-year extension period and inserting 15-year extension period ; (v) in paragraph (4), by striking 10-year extension period each place it appears and inserting 15-year extension period ; (vi) in paragraph (5), by striking 10-year extension period and inserting 15-year extension period ; and (vii) in subparagraph (A) of paragraph (6), by striking 10-year extension period and inserting 15-year extension period . (B) Rule for hospitals that are not original participants in the demonstration Paragraph (5) of subsection (g) of such section 410A is amended— (i) by striking program.— During and inserting program.— (A) CURES Act extension During