A Republican bill with 1 Democratic cosponsor · See all 8 cosponsors
Last activity — Received in the Senate and Read twice and referred to the Committee on Finance.
In the other chamber's committee
Passed one chamber and has been handed to a committee in the other.
The committee decides whether it goes any further, and most bills that reach a committee never leave it. A committee that simply does nothing kills a bill without anyone ever voting against it, so no news from here is usually the news.
Its path through Congress
- Introduced
- Passed House voice vote
- In Senate committee
The House by voice vote (members called out yes or no together): no member's position on it was recorded.
What this bill would do
The Hospital Inpatient Services Modernization Act seeks to amend the Social Security Act regarding acute hospital care at home waiver flexibilities. It extends the deadline for these flexibilities from January 30, 2026, to September 30, 2030. Additionally, the bill mandates a new study and report to be completed by September 30, 2028. This study will analyze various factors including quality of care, costs, and patient demographics related to the initiative. To fund this study, $2,500,000 is appropriated to the Centers for Medicare & Medicaid Services. Finally, the bill adjusts the Medicare Improvement Fund.
Yes· 3 of 8
- Scored +5
Does this make health care easier to get in general?
Extending acute hospital care at home flexibilities improves access to hospital-level care in a residential setting.
- Scored +5
Does this put more money into medical research?
The bill appropriates $2.5 million for a study on the quality and impact of hospital-at-home services.
- Scored +5
Does this put more money into scientific research?
The bill funds a study to analyze the quality and costs of the hospital-at-home initiative.
The opposite
- Scored -1
Does this make the government pay for what it commits to?
The bill slightly reduces the Medicare Improvement Fund by $2.5 million.
Who it would affect, and how
Potential Positive Impacts for People
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Extended Care Flexibilities: Section 2 extends the acute hospital care at home waiver flexibilities until September 30, 2030, which allows for continued use of the initiative beyond the previous January 2026 deadline.
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Improved Data and Oversight: Section 3(c)(1) requires a comprehensive study to analyze quality of care, health outcomes, hospital mortality rates, infection rates, and patient/caregiver experiences. This analysis is intended to compare the initiative against traditional inpatient settings to understand how care is being furnished.
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Cost and Service Analysis: Section 3(c)(1)(iii) and (iv) direct the study to look at the costs incurred by hospitals—including staffing, equipment, and food—and the quantity and intensity of services provided, which may help in understanding the economic impact of the care model.
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Demographic and Socioeconomic Insights: Section 3(c)(1)(v) mandates the analysis of socioeconomic information, such as racial and ethnic data, income, and housing, to compare individuals in the initiative against those in comparable inpatient settings.
Potential Negative Impacts for People
- Reduction in Medicare Improvement Fund: Section 4 changes the amount in the Medicare Improvement Fund from $1,403,000,000 to $1,400,500,000, which is a reduction in the listed amount.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Healthcare
- Does this make health care easier to get in general? — Extending acute hospital care at home flexibilities improves access to hospital-level care in a residential setting. Does this put more money into medical research? — The bill appropriates $2.5 million for a study on the quality and impact of hospital-at-home services. Does this put more money into Medicare, the health coverage for people over 65? — The extension of care-at-home flexibilities provides continued service availability for Medicare beneficiaries.
- Demographic And Interest Groups
- Would retired people be better off under this? — The extension of care-at-home services provides more options for retirees using Medicare. Would people over 65 be better off under this? — Extending the hospital-at-home flexibilities benefits seniors who rely on Medicare for acute care.
- Education And Technology
- Does this put more money into scientific research? — The bill funds a study to analyze the quality and costs of the hospital-at-home initiative.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill requires a new study and report to be submitted to Congress, increasing oversight of the program.
- Social Issues And Justice
- Does this narrow racial gaps in how people are treated? — The mandated study includes an analysis of racial and ethnic data to evaluate service equity.
- Economy And Finance
- Does this make the government pay for what it commits to? — The bill slightly reduces the Medicare Improvement Fund by $2.5 million.
- 12/2/2025
- Received in the Senate and Read twice and referred to the Committee on Finance.
- 12/1/2025
- Motion to reconsider laid on the table Agreed to without objection.
- 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)
- On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
- DEBATE - The House proceeded with forty minutes of debate on H.R. 4313.
- Considered under suspension of the rules. (consideration: CR H4935-4937)
- Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.
- 10/31/2025
- Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-359.
- Placed on the Union Calendar, Calendar No. 311.
- 1 Cosponsor added.
- 10/24/2025
- 1 Cosponsor added.
- 9/18/2025
- 1 Cosponsor added.
- 9/17/2025
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 44 - 0.
- 8/29/2025
- 1 Cosponsor added.
- 8/15/2025
- 2 Cosponsors added.
- 7/10/2025
- Referred to the House Committee on Ways and Means.
- 2 Cosponsors added.
- Introduced in House
4 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Mike CareyRepublican · Ohio
Dwight EvansDemocrat · Pennsylvania
Michelle FischbachRepublican · Minnesota
Blake MooreRepublican · Utah
Michael SimpsonRepublican · Idaho
Adrian SmithRepublican · Nebraska
Lloyd SmuckerRepublican · Pennsylvania
Claudia TenneyRepublican · New York