Bill · H.R. 4313· House(119-HR-4313)
Hospital Inpatient Services Modernization Act
- Introduced
- 7/10/2025
- Last activity
- 12/2/2025 — Received in the Senate and Read twice and referred to the Committee on Finance.
- Sponsored by
- Vern Buchanan
- Cosponsors
- - 7 - 1
- Introduced
- Passed House
- In Senate committee
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
Does this make health care easier to get in general?+5
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?+5
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 scientific research?+5
The bill funds a study to analyze the quality and costs of the hospital-at-home initiative.
The opposite
Does this make the government pay for what it commits to?-1
The bill slightly reduces the Medicare Improvement Fund by $2.5 million.
Who it would affect, and how
Potential Positive Impacts for People
-
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.
-
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.
-
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. Hover a score for the reason it gave.
- Healthcare
- Improves Healthcare Access+5Increases Research Funding+5Increases Medicare Funding+1
- Demographic And Interest Groups
- Good For Retirees+4Good For Seniors+4
- Education And Technology
- Increases Scientific Research Funding+5
- Governance And Ideology
- Improves Government Transparency+3
- Social Issues And Justice
- Improves Racial Equity+2
- Economy And Finance
- Improves Fiscal Responsibility-1
- 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