Hospital Inpatient Services Modernization Act
Sponsored By: Representative Buchanan
Passed House
Summary
Extends Acute Hospital Care at Home waiver flexibilities through September 30, 2030. This bill would also require a new study of how hospitals select patients for acute care at home and provide targeted funding to carry out that work.
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- Hospitals and patients: It would let hospitals continue using the Acute Hospital Care at Home waiver program longer, keeping the option to treat certain inpatients at home through September 30, 2030. This affects hospitals participating in the program and the patients they treat at home.
- Research and oversight: It would require a subsequent study and report by September 30, 2028 that analyzes hospitals' selection criteria, compares outcomes across participating and nonparticipating hospitals, and adjusts for selection bias where feasible. The bill authorizes data collection via cost reports, surveys, medical records, or other methods.
- Funding and Medicare account change: It would appropriate $2.5 million for fiscal year 2026 to the CMS Program Management Account and adjust the Medicare Improvement Fund downward by $2.5 million to $1,400,500,000.
*Net fiscal effect: a $2.5 million appropriation offset by a $2.5 million reduction in the Medicare Improvement Fund, leaving that fund at $1.4005 billion.*
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
More time for Medicare hospital-at-home care
If enacted, this bill would let hospitals keep using Medicare’s hospital-at-home rules through September 30, 2030. If your hospital participates, you could get hospital-level care at home through that date. The change would start once the bill becomes law.
New study of Medicare hospital-at-home
This bill would require HHS to study Medicare’s hospital-at-home care and report by September 30, 2028. The government would provide $2.5 million in fiscal year 2026 to CMS to run the study. Hospitals could be required to send data through cost reports, surveys, or medical records. This would not change your benefits now but could inform future policy.
Small cut to Medicare improvement fund
This bill would lower the Medicare Improvement Fund from $1.403 billion to $1.4005 billion, a $2.5 million drop. This could slightly reduce money for some Medicare activities. The change would take effect upon enactment.
Sponsors & CoSponsors
Sponsor
Buchanan
FL • R
Cosponsors
Smucker
PA • R
Sponsored 7/10/2025
Evans (PA)
PA • D
Sponsored 7/10/2025
Tenney
NY • R
Sponsored 8/15/2025
Carey
OH • R
Sponsored 8/15/2025
Simpson
ID • R
Sponsored 8/29/2025
Smith (NE)
NE • R
Sponsored 9/18/2025
Fischbach
MN • R
Sponsored 10/24/2025
Moore (UT)
UT • R
Sponsored 10/31/2025
Roll Call Votes
No roll call votes available for this bill.
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