Hospital Inpatient Services Modernization Act

119 HR 4313 EH: Hospital Inpatient Services Modernization Act U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 4313

IN THE HOUSE OF REPRESENTATIVES AN ACT To amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities, and to require an additional study and report on such flexibilities.

1.Short titleThis Act may be cited as the Hospital Inpatient Services Modernization Act.

2.Extending acute hospital care at home waiver flexibilitiesSection 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking January 30, 2026 and inserting September 30, 2030.

3.Requiring additional study and report on acute hospital care at home waiver flexibilitiesSection 1866G of the Social Security Act (42 U.S.C. 1395cc–7), as amended by section 2, is further amended— (1)in subsection (a)(3)(E)— (A)in clause (ii), by striking the study described in subsection (b) and inserting the studies described in subsections (b) and (c); and (B)by adding at the end the following new flush sentence: The Secretary may require that such data and information be submitted through a hospital’s cost report, through such survey instruments as the Secretary may develop, through medical record information, or through such other means as the Secretary determines appropriate.; (2)in subsection (b)— (A)in the subsection heading, by striking Study and inserting Initial study; and (B)in paragraph (3), by inserting or subsection (c) before the period at the end; (3)by redesignating subsections (c) and (d) as subsections (d) and (e), respectively; and (4)by inserting after subsection (b) the following new subsection: (c)Subsequent study and report (1)In generalNot later than September 30, 2028, the Secretary shall conduct a study to— (A)analyze, to the extent practicable, the criteria established by hospitals under the Acute Hospital Care at Home initiative to determine which individuals may be furnished services under such initiative; and (B)analyze and compare (both within and between hospitals participating in the initiative, and relative to comparable hospitals that do not participate in the initiative, for relevant parameters such as diagnosis-related groups)— (i)quality of care furnished to individuals with similar conditions and characteristics in the inpatient setting and through the Acute Hospital Care at Home initiative, including health outcomes, hospital readmission rates (including readmissions both within and beyond 30 days post-discharge), hospital mortality rates, length of stay, infection rates, composition of care team (including the types of labor used, such as contracted labor), the ratio of nursing staff, transfers from the hospital to the home, transfers from the home to the hospital (including the timing, frequency, and causes of such transfers), transfers and discharges to post-acute care settings (including the timing, frequency, and causes of such transfers and discharges), and patient and caregiver experience of care; (ii)clinical conditions treated and diagnosis-related groups of discharges from inpatient settings relative to discharges from the Acute Hospital Care at Home initiative; (iii)costs incurred by the hospital for furnishing care in inpatient settings relative to costs incurred by the hospital for furnishing care through the Acute Hospital Care at Home initiative, including costs relating to staffing, equipment, food, prescriptions, and other services, as determined by the Secretary; (iv)the quantity, mix, and intensity of services (such as in-person visits and virtual contacts with patients and the intensity of such services) furnished in inpatient settings relative to the Acute Hospital Care at Home initiative, and, to the extent practicable, the nature and extent of family or caregiver involvement; (v)socioeconomic information on individuals treated in comparable inpatient settings relative to the initiative, including racial and ethnic data, income, housing, geographic proximity to the brick-and-mortar facility and whether such individuals are dually eligible for benefits under this title and title XIX; and (vi)the quality of care, outcomes, costs, quantity and intensity of services, and other relevant metrics between individuals who entered into the Acute Hospital Care at Home initiative directly from an emergency department compared with individuals who entered into the Acute Hospital Care at Home initiative directly from an existing inpatient stay in a hospital. (2)Selection biasIn conducting the study under paragraph (1), the Secretary shall, to the extent practicable, analyze and compare individuals who participate and do not participate in the initiative controlling for selection bias or other factors that may impact the reliability of data. (3)ReportNot later than September 30, 2028, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report on the study conducted under paragraph (1). (4)FundingIn addition to amounts otherwise available, there is appropriated to the Centers for Medicare & Medicaid Services Program Management Account for fiscal year 2026, out of any amounts in the Treasury not otherwise appropriated, $2,500,000, to remain available until expended, for purposes of carrying out this subsection. .

4.Medicare Improvement FundSection 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking $1,403,000,000 and inserting $1,400,500,000. Passed the House of Representatives December 1, 2025.Kevin F. McCumber,Clerk.

119 HR 4313 IH: Hospital Inpatient Services Modernization Act U.S. House of Representatives 2025-07-10 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I119th CONGRESS1st SessionH. R. 4313IN THE HOUSE OF REPRESENTATIVESJuly 10, 2025Mr. Buchanan (for himself, Mr. Smucker, and Mr. Evans of Pennsylvania) introduced the following bill; which was referred to the Committee on Ways and MeansA BILLTo amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities, and to require an additional study and report on such flexibilities.

1.Short titleThis Act may be cited as the Hospital Inpatient Services Modernization Act.

2.Extending acute hospital care at home waiver flexibilitiesSection 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking 2025 and inserting 2030.

3.Requiring additional study and report on acute hospital care at home waiver flexibilitiesSection 1866G of the Social Security Act (42 U.S.C. 1395cc–7), as amended by section 2, is further amended— (3)in subsection (b), in the subsection heading, by striking Study and inserting Initial study; (4)by redesignating subsections (c) and (d) as subsections (d) and (e), respectively; and (5)by inserting after subsection (b) the following new subsection: (c)Subsequent study and report (1)In generalNot later than September 30, 2028, the Secretary shall conduct a study to— (A)analyze, to the extent practicable, the criteria established by hospitals under the Acute Hospital Care at Home initiative to determine which individuals may be furnished services under such initiative; and (B)analyze and compare (both within and between hospitals participating in the initiative, and relative to comparable hospitals that do not participate in the initiative, for relevant parameters such as diagnosis-related groups)— (i)quality of care furnished to individuals with similar conditions and characteristics in the inpatient setting and through the Acute Hospital Care at Home initiative, including health outcomes, hospital readmission rates (including readmissions both within and beyond 30 days post-discharge), hospital mortality rates, length of stay, infection rates, composition of care team (including the types of labor used, such as contracted labor), the ratio of nursing staff, transfers from the hospital to the home, transfers from the home to the hospital (including the timing, frequency, and causes of such transfers), transfers and discharges to post-acute care settings (including the timing, frequency, and causes of such transfers and discharges), and patient and caregiver experience of care; (ii)clinical conditions treated and diagnosis-related groups of discharges from inpatient settings relative to discharges from the Acute Hospital Care at Home initiative; (iii)costs incurred by the hospital for furnishing care in inpatient settings relative to costs incurred by the hospital for furnishing care through the Acute Hospital Care at Home initiative, including costs relating to staffing, equipment, food, prescriptions, and other services, as determined by the Secretary; (iv)the quantity, mix, and intensity of services (such as in-person visits and virtual contacts with patients and the intensity of such services) furnished in inpatient settings relative to the Acute Hospital Care at Home initiative, and, to the extent practicable, the nature and extent of family or caregiver involvement; (v)socioeconomic information on individuals treated in comparable inpatient settings relative to the initiative, including racial and ethnic data, income, housing, geographic proximity to the brick-and-mortar facility and whether such individuals are dually eligible for benefits under this title and title XIX; and (vi)the quality of care, outcomes, costs, quantity and intensity of services, and other relevant metrics between individuals who entered into the Acute Hospital Care at Home initiative directly from an emergency department compared with individuals who entered into the Acute Hospital Care at Home initiative directly from an existing inpatient stay in a hospital. (2)Selection biasIn conducting the study under paragraph (1), the Secretary shall, to the extent practicable, analyze and compare individuals who participate and do not participate in the initiative controlling for selection bias or other factors that may impact the reliability of data. (3)ReportNot later than September 30, 2028, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report on the study conducted under paragraph (1). .

119 HR 4313 : Hospital Inpatient Services Modernization Act U.S. House of Representatives 2025-12-02 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IIB119th CONGRESS1st SessionH. R. 4313IN THE SENATE OF THE UNITED STATESDecember 2, 2025Received; read twice and referred to the Committee on FinanceAN ACTTo amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities, and to require an additional study and report on such flexibilities.1.Short titleThis Act may be cited as the Hospital Inpatient Services Modernization Act.2.Extending acute hospital care at home waiver flexibilitiesSection 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking January 30, 2026 and inserting September 30, 2030.3.Requiring additional study and report on acute hospital care at home waiver flexibilitiesSection 1866G of the Social Security Act (42 U.S.C. 1395cc–7), as amended by section 2, is further amended—(1)in subsection (a)(3)(E)—(A)in clause (ii), by striking the study described in subsection (b) and inserting the studies described in subsections (b) and (c); and(B)by adding at the end the following new flush sentence:The Secretary may require that such data and information be submitted through a hospital’s cost report, through such survey instruments as the Secretary may develop, through medical record information, or through such other means as the Secretary determines appropriate.;(2)in subsection (b)—(A)in the subsection heading, by striking Study and inserting Initial study; and(B)in paragraph (3), by inserting or subsection (c) before the period at the end; (3)by redesignating subsections (c) and (d) as subsections (d) and (e), respectively; and(4)by inserting after subsection (b) the following new subsection:(c)Subsequent study and report(1)In generalNot later than September 30, 2028, the Secretary shall conduct a study to—(A)analyze, to the extent practicable, the criteria established by hospitals under the Acute Hospital Care at Home initiative to determine which individuals may be furnished services under such initiative; and(B)analyze and compare (both within and between hospitals participating in the initiative, and relative to comparable hospitals that do not participate in the initiative, for relevant parameters such as diagnosis-related groups)—(i)quality of care furnished to individuals with similar conditions and characteristics in the inpatient setting and through the Acute Hospital Care at Home initiative, including health outcomes, hospital readmission rates (including readmissions both within and beyond 30 days post-discharge), hospital mortality rates, length of stay, infection rates, composition of care team (including the types of labor used, such as contracted labor), the ratio of nursing staff, transfers from the hospital to the home, transfers from the home to the hospital (including the timing, frequency, and causes of such transfers), transfers and discharges to post-acute care settings (including the timing, frequency, and causes of such transfers and discharges), and patient and caregiver experience of care;(ii)clinical conditions treated and diagnosis-related groups of discharges from inpatient settings relative to discharges from the Acute Hospital Care at Home initiative;(iii)costs incurred by the hospital for furnishing care in inpatient settings relative to costs incurred by the hospital for furnishing care through the Acute Hospital Care at Home initiative, including costs relating to staffing, equipment, food, prescriptions, and other services, as determined by the Secretary;(iv)the quantity, mix, and intensity of services (such as in-person visits and virtual contacts with patients and the intensity of such services) furnished in inpatient settings relative to the Acute Hospital Care at Home initiative, and, to the extent practicable, the nature and extent of family or caregiver involvement; (v)socioeconomic information on individuals treated in comparable inpatient settings relative to the initiative, including racial and ethnic data, income, housing, geographic proximity to the brick-and-mortar facility and whether such individuals are dually eligible for benefits under this title and title XIX; and(vi)the quality of care, outcomes, costs, quantity and intensity of services, and other relevant metrics between individuals who entered into the Acute Hospital Care at Home initiative directly from an emergency department compared with individuals who entered into the Acute Hospital Care at Home initiative directly from an existing inpatient stay in a hospital.(2)Selection biasIn conducting the study under paragraph (1), the Secretary shall, to the extent practicable, analyze and compare individuals who participate and do not participate in the initiative controlling for selection bias or other factors that may impact the reliability of data. (3)ReportNot later than September 30, 2028, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report on the study conducted under paragraph (1).(4)FundingIn addition to amounts otherwise available, there is appropriated to the Centers for Medicare & Medicaid Services Program Management Account for fiscal year 2026, out of any amounts in the Treasury not otherwise appropriated, $2,500,000, to remain available until expended, for purposes of carrying out this subsection..4.Medicare Improvement FundSection 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking $1,403,000,000 and inserting $1,400,500,000.Passed the House of Representatives December 1, 2025.Kevin F. McCumber,Clerk.

119 HR 4313 RH: Hospital Inpatient Services Modernization Act U.S. House of Representatives 2025-10-31 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IBUnion Calendar No. 311119th CONGRESS1st SessionH. R. 4313[Report No. 119–359]IN THE HOUSE OF REPRESENTATIVESJuly 10, 2025Mr. Buchanan (for himself, Mr. Smucker, and Mr. Evans of Pennsylvania) introduced the following bill; which was referred to the Committee on Ways and MeansOctober 31, 2025Additional sponsors: Ms. Tenney, Mr. Carey, Mr. Simpson, Mr. Smith of Nebraska, Mrs. Fischbach, and Mr. Moore of UtahOctober 31, 2025Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printedStrike out all after the enacting clause and insert the part printed in italicFor text of introduced bill, see copy of bill as introduced on July 10, 2025A BILLTo amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities, and to require an additional study and report on such flexibilities.1.Short titleThis Act may be cited as the Hospital Inpatient Services Modernization Act.2.Extending acute hospital care at home waiver flexibilitiesSection 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking 2025 and inserting 2030.3.Requiring additional study and report on acute hospital care at home waiver flexibilitiesSection 1866G of the Social Security Act (42 U.S.C. 1395cc–7), as amended by section 2, is further amended—(1)in subsection (a)(3)(E)—(A)in clause (ii), by striking the study described in subsection (b) and inserting the studies described in subsections (b) and (c); and(B)by adding at the end the following new flush sentence:The Secretary may require that such data and information be submitted through a hospital’s cost report, through such survey instruments as the Secretary may develop, through medical record information, or through such other means as the Secretary determines appropriate.;(2)in subsection (b), in the subsection heading, by striking Study and inserting Initial study;(3)by redesignating subsections (c) and (d) as subsections (d) and (e), respectively; and(4)by inserting after subsection (b) the following new subsection:(c)Subsequent study and report(1)In generalNot later than September 30, 2028, the Secretary shall conduct a study to—(A)analyze, to the extent practicable, the criteria established by hospitals under the Acute Hospital Care at Home initiative to determine which individuals may be furnished services under such initiative; and(B)analyze and compare (both within and between hospitals participating in the initiative, and relative to comparable hospitals that do not participate in the initiative, for relevant parameters such as diagnosis-related groups)—(i)quality of care furnished to individuals with similar conditions and characteristics in the inpatient setting and through the Acute Hospital Care at Home initiative, including health outcomes, hospital readmission rates (including readmissions both within and beyond 30 days post-discharge), hospital mortality rates, length of stay, infection rates, composition of care team (including the types of labor used, such as contracted labor), the ratio of nursing staff, transfers from the hospital to the home, transfers from the home to the hospital (including the timing, frequency, and causes of such transfers), transfers and discharges to post-acute care settings (including the timing, frequency, and causes of such transfers and discharges), and patient and caregiver experience of care;(ii)clinical conditions treated and diagnosis-related groups of discharges from inpatient settings relative to discharges from the Acute Hospital Care at Home initiative;(iii)costs incurred by the hospital for furnishing care in inpatient settings relative to costs incurred by the hospital for furnishing care through the Acute Hospital Care at Home initiative, including costs relating to staffing, equipment, food, prescriptions, and other services, as determined by the Secretary;(iv)the quantity, mix, and intensity of services (such as in-person visits and virtual contacts with patients and the intensity of such services) furnished in inpatient settings relative to the Acute Hospital Care at Home initiative, and, to the extent practicable, the nature and extent of family or caregiver involvement; (v)socioeconomic information on individuals treated in comparable inpatient settings relative to the initiative, including racial and ethnic data, income, housing, geographic proximity to the brick-and-mortar facility and whether such individuals are dually eligible for benefits under this title and title XIX; and(vi)the quality of care, outcomes, costs, quantity and intensity of services, and other relevant metrics between individuals who entered into the Acute Hospital Care at Home initiative directly from an emergency department compared with individuals who entered into the Acute Hospital Care at Home initiative directly from an existing inpatient stay in a hospital.(2)Selection biasIn conducting the study under paragraph (1), the Secretary shall, to the extent practicable, analyze and compare individuals who participate and do not participate in the initiative controlling for selection bias or other factors that may impact the reliability of data. (3)ReportNot later than September 30, 2028, the Secretary of Health and Human Services shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report on the study conducted under paragraph (1)..October 31, 2025Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed