Hospital Inpatient Services Modernization Act

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.