Bill · H.R. 5439· House(119-HR-5439)
Medically Tailored Home-Delivered Meals Program Pilot Act
- Introduced
- 9/17/2025
- Last activity
- 9/16/2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.
- Sponsored by
- James McGovern
- Cosponsors
- - 30 - 5
- Introduced
What this bill would do
This bill creates a six-year pilot program under Medicare Part A to test a Medically Tailored Home-Delivered Meals Program. Selected hospitals will provide qualifying patients with tailored meals and medical nutrition therapy after hospital discharge. The goal is to improve health outcomes and lower hospital readmission rates for certain individuals. At least 40 eligible hospitals will be chosen to participate in this program by June 30, 2027. The program will be funded through the Hospital Insurance Trust Fund, with corresponding payment reductions applied to other subsection (d) hospitals to maintain budget neutrality. The Secretary of Health and Human Services must submit intermediate and final evaluations of the program to Congress.
Yes· 3 of 7
Would people over 65 be better off under this?+8
The bill provides significant nutritional and medical support for elderly Medicare beneficiaries.
Would retired people be better off under this?+8
The program directly benefits retirees through Medicare-funded nutritional care.
Would people with disabilities be better off under this?+7
The bill assists those limited in daily living activities with essential medical nutrition.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Free Medically Tailored Meals: Under Section 2 adding new section 1866H(c)(3)(A), qualified individuals will receive at least two medically tailored home-delivered meals per day for a period of at least 12 weeks, which meet at least two-thirds of their daily nutritional needs and account for their specific medical, religious, and cultural needs. This directly helps recovering patients get proper nutrition at home without worrying about meal preparation.
-
No Out-of-Pocket Costs: Under Section 2 adding new section 1866H(d)(2), items and services provided through the program are delivered without any deductibles, copayments, coinsurance, or other cost-sharing. This ensures that vulnerable patients can access these health benefits without adding to their financial burdens.
-
Medical Nutrition Support: Under Section 2 adding new section 1866H(c)(3)(B), patients will receive medical nutrition therapy connected to their meal deliveries for up to a year. This provides professional dietary guidance to help patients manage diet-impacted diseases like diabetes or heart failure.
Potential Negative Impacts for People
- Hospital Payment Reductions: Under Section 2 adding new section 1866H(f)(2), the Secretary is required to reduce payments made to certain subsection (d) hospitals to offset the total cost of the program and maintain budget neutrality. This reduction in hospital funding could potentially strain the resources of participating or general hospitals that rely on those funds for overall operations.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+8Good For Seniors+8Good For People With Disabilities+7Good For Low Income Households+5
- Healthcare
- Improves Healthcare Access+6Increases Medicare Funding+5Reduces Hospital Costs+3
- 10/1/2026
- 1 Cosponsor added.
- 9/16/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.
- 9/10/2026
- 2 Cosponsors added.
- 9/8/2026
- 1 Cosponsor added.
- 8/20/2026
- 1 Cosponsor added.
- 6/23/2026
- 3 Cosponsors added.
- 6/8/2026
- 2 Cosponsors added.
- 6/3/2026
- 1 Cosponsor added.
- 4/27/2026
- 1 Cosponsor added.
- 3/12/2026
- 1 Cosponsor added.
- 2/2/2026
- 1 Cosponsor added.
- 12/15/2025
- 2 Cosponsors added.
- 12/1/2025
- 3 Cosponsors added.
- 11/20/2025
- 2 Cosponsors added.
- 11/19/2025
- 1 Cosponsor added.
- 11/18/2025
- 3 Cosponsors added.
- 10/31/2025
- 2 Cosponsors added.
- 10/10/2025
- 2 Cosponsors added.
- 10/3/2025
- 2 Cosponsors added.
- 9/17/2025
- Sponsor introductory remarks on measure. (CR H4374-4375)
- Referred to the House Committee on Ways and Means.
- 4 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Gus BilirakisRepublican · Florida
Suzanne BonamiciDemocrat · Oregon
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
André CarsonDemocrat · Indiana
Salud CarbajalDemocrat · California
Suzan DelBeneDemocrat · Washington
Sharice DavidsDemocrat · Kansas
Maxine DexterDemocrat · Oregon
Dwight EvansDemocrat · Pennsylvania
Brian FitzpatrickRepublican · Pennsylvania
Andrew GarbarinoRepublican · New York
Daniel GoldmanDemocrat · New York
Marcy KapturDemocrat · Ohio
Sydney Kamlager-DoveDemocrat · California
Timothy KennedyDemocrat · New York
Stephen LynchDemocrat · Massachusetts
Ted LieuDemocrat · California
Michael LawlerRepublican · New York
Nicole MalliotakisRepublican · New York
Betty McCollumDemocrat · Minnesota
Gwen MooreDemocrat · Wisconsin
Doris MatsuiDemocrat · California
Seth MoultonDemocrat · Massachusetts
Eleanor NortonDemocrat · District of Columbia
Chellie PingreeDemocrat · Maine
Deborah RossDemocrat · North Carolina
Jamie RaskinDemocrat · Maryland
Terri SewellDemocrat · Alabama
Mike ThompsonDemocrat · California
Rashida TlaibDemocrat · Michigan
Ritchie TorresDemocrat · New York
Eugene VindmanDemocrat · Virginia
Nikema WilliamsDemocrat · Georgia
Bonnie Watson ColemanDemocrat · New Jersey