Legis Daily

Hospital Inpatient Services Modernization Act

USA119th CongressHR-4313| House 
| Updated: 12/2/2025
Vern Buchanan

Vern Buchanan

Republican Representative

Florida

Cosponsors (8)
Dwight Evans (Democratic)Adrian Smith (Republican)Mike Carey (Republican)Claudia Tenney (Republican)Lloyd Smucker (Republican)Blake D. Moore (Republican)Michael K. Simpson (Republican)Michelle Fischbach (Republican)

Ways and Means Committee, Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill extends the existing waiver flexibilities that permit acute hospital care to be provided in a patient's home, pushing the expiration date from 2025 to September 30, 2030 . This extension aims to continue supporting innovative models of care delivery under Medicare, allowing more time for the program's evaluation and implementation. The legislation also mandates a comprehensive subsequent study and report , due by September 30, 2028, to thoroughly evaluate the Acute Hospital Care at Home initiative. This study will analyze patient selection criteria, compare care quality, health outcomes, and costs between home-based and traditional inpatient settings, examining metrics like readmission rates, mortality, and length of stay. It will also investigate the quantity and intensity of services, socioeconomic data of participants, and outcomes for patients admitted from emergency departments versus those transferred from inpatient stays, with a focus on controlling for selection bias. The Secretary of Health and Human Services must submit this report to Congress.

Bill Text Versions

View Text
4 versions available

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 117-7053
Hospital Inpatient Services Modernization Act

Bill from Previous Congress

HR 118-8260
Hospital Inpatient Services Modernization Act
Jul 10, 2025

Latest Companion Bill Action

S 119-2237
Introduced in Senate
Jul 10, 2025
Introduced in House
Jul 10, 2025
Referred to the House Committee on Ways and Means.
Sep 17, 2025
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 44 - 0.
Sep 17, 2025
Committee Consideration and Mark-up Session Held
Oct 31, 2025
Placed on the Union Calendar, Calendar No. 311.
Oct 31, 2025
Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-359.
Dec 1, 2025
Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
Dec 1, 2025
Considered under suspension of the rules. (consideration: CR H4935-4937)
Dec 1, 2025
DEBATE - The House proceeded with forty minutes of debate on H.R. 4313.
Dec 1, 2025
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
Dec 1, 2025
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
Dec 1, 2025
Motion to reconsider laid on the table Agreed to without objection.
Dec 2, 2025
Received in the Senate and Read twice and referred to the Committee on Finance.
  • Bill from Previous Congress

    HR 117-7053
    Hospital Inpatient Services Modernization Act


  • Bill from Previous Congress

    HR 118-8260
    Hospital Inpatient Services Modernization Act


  • July 10, 2025

    Latest Companion Bill Action

    S 119-2237
    Introduced in Senate


  • July 10, 2025
    Introduced in House


  • July 10, 2025
    Referred to the House Committee on Ways and Means.


  • September 17, 2025
    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 44 - 0.


  • September 17, 2025
    Committee Consideration and Mark-up Session Held


  • October 31, 2025
    Placed on the Union Calendar, Calendar No. 311.


  • October 31, 2025
    Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-359.


  • December 1, 2025
    Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.


  • December 1, 2025
    Considered under suspension of the rules. (consideration: CR H4935-4937)


  • December 1, 2025
    DEBATE - The House proceeded with forty minutes of debate on H.R. 4313.


  • December 1, 2025
    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)


  • December 1, 2025
    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)


  • December 1, 2025
    Motion to reconsider laid on the table Agreed to without objection.


  • December 2, 2025
    Received in the Senate and Read twice and referred to the Committee on Finance.

Health

Related Bills

  • S 119-891: Bipartisan Health Care Act
  • HR 119-7148: Consolidated Appropriations Act, 2026
  • HR 119-1768: Lower Costs for Everyday Americans Act
  • S 119-2237: Hospital Inpatient Services Modernization Act
Congressional oversightGovernment studies and investigationsHospital careMedicare

Hospital Inpatient Services Modernization Act

USA119th CongressHR-4313| House 
| Updated: 12/2/2025
This bill extends the existing waiver flexibilities that permit acute hospital care to be provided in a patient's home, pushing the expiration date from 2025 to September 30, 2030 . This extension aims to continue supporting innovative models of care delivery under Medicare, allowing more time for the program's evaluation and implementation. The legislation also mandates a comprehensive subsequent study and report , due by September 30, 2028, to thoroughly evaluate the Acute Hospital Care at Home initiative. This study will analyze patient selection criteria, compare care quality, health outcomes, and costs between home-based and traditional inpatient settings, examining metrics like readmission rates, mortality, and length of stay. It will also investigate the quantity and intensity of services, socioeconomic data of participants, and outcomes for patients admitted from emergency departments versus those transferred from inpatient stays, with a focus on controlling for selection bias. The Secretary of Health and Human Services must submit this report to Congress.

Bill Text Versions

View Text
4 versions available

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 117-7053
Hospital Inpatient Services Modernization Act

Bill from Previous Congress

HR 118-8260
Hospital Inpatient Services Modernization Act
Jul 10, 2025

Latest Companion Bill Action

S 119-2237
Introduced in Senate
Jul 10, 2025
Introduced in House
Jul 10, 2025
Referred to the House Committee on Ways and Means.
Sep 17, 2025
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 44 - 0.
Sep 17, 2025
Committee Consideration and Mark-up Session Held
Oct 31, 2025
Placed on the Union Calendar, Calendar No. 311.
Oct 31, 2025
Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-359.
Dec 1, 2025
Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
Dec 1, 2025
Considered under suspension of the rules. (consideration: CR H4935-4937)
Dec 1, 2025
DEBATE - The House proceeded with forty minutes of debate on H.R. 4313.
Dec 1, 2025
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
Dec 1, 2025
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
Dec 1, 2025
Motion to reconsider laid on the table Agreed to without objection.
Dec 2, 2025
Received in the Senate and Read twice and referred to the Committee on Finance.
  • Bill from Previous Congress

    HR 117-7053
    Hospital Inpatient Services Modernization Act


  • Bill from Previous Congress

    HR 118-8260
    Hospital Inpatient Services Modernization Act


  • July 10, 2025

    Latest Companion Bill Action

    S 119-2237
    Introduced in Senate


  • July 10, 2025
    Introduced in House


  • July 10, 2025
    Referred to the House Committee on Ways and Means.


  • September 17, 2025
    Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 44 - 0.


  • September 17, 2025
    Committee Consideration and Mark-up Session Held


  • October 31, 2025
    Placed on the Union Calendar, Calendar No. 311.


  • October 31, 2025
    Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-359.


  • December 1, 2025
    Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.


  • December 1, 2025
    Considered under suspension of the rules. (consideration: CR H4935-4937)


  • December 1, 2025
    DEBATE - The House proceeded with forty minutes of debate on H.R. 4313.


  • December 1, 2025
    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)


  • December 1, 2025
    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)


  • December 1, 2025
    Motion to reconsider laid on the table Agreed to without objection.


  • December 2, 2025
    Received in the Senate and Read twice and referred to the Committee on Finance.
Vern Buchanan

Vern Buchanan

Republican Representative

Florida

Cosponsors (8)
Dwight Evans (Democratic)Adrian Smith (Republican)Mike Carey (Republican)Claudia Tenney (Republican)Lloyd Smucker (Republican)Blake D. Moore (Republican)Michael K. Simpson (Republican)Michelle Fischbach (Republican)

Ways and Means Committee, Finance Committee

Health

Related Bills

  • S 119-891: Bipartisan Health Care Act
  • HR 119-7148: Consolidated Appropriations Act, 2026
  • HR 119-1768: Lower Costs for Everyday Americans Act
  • S 119-2237: Hospital Inpatient Services Modernization Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Congressional oversightGovernment studies and investigationsHospital careMedicare