# 119-hr-4313: Hospital Inpatient Services Modernization Act

119-hr-4313, Hospital Inpatient Services Modernization Act, is a 119th Congress bill sponsored by Rep. Buchanan, Vern [R-FL-16] (R-FL); status passed_house; PRIA reads it as touching household money (as of 2026-07-15).

- Canonical: https://policyrisk.com/legislation/119-hr-4313
- As of: 2026-07-15
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4313
- Congress: 119
- Title: Hospital Inpatient Services Modernization Act
- Status: passed_house
- Introduced: 2025-07-10
- Sponsor: Rep. Buchanan, Vern [R-FL-16] (R-FL)
- Cosponsors: 8
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-15

## 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. - 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.*

## Cosponsors (8)

- Rep. Smucker, Lloyd [R-PA-11] (R-PA), 2025-07-10T00:00:00.000Z
- Rep. Evans, Dwight [D-PA-3] (D-PA), 2025-07-10T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-08-15T00:00:00.000Z
- Rep. Carey, Mike [R-OH-15] (R-OH), 2025-08-15T00:00:00.000Z
- Rep. Simpson, Michael K. [R-ID-2] (R-ID), 2025-08-29T00:00:00.000Z
- Rep. Smith, Adrian [R-NE-3] (R-NE), 2025-09-18T00:00:00.000Z
- Rep. Fischbach, Michelle [R-MN-7] (R-MN), 2025-10-24T00:00:00.000Z
- Rep. Moore, Blake D. [R-UT-1] (R-UT), 2025-10-31T00:00:00.000Z

## Provisions PRIA read

- More time for Medicare hospital-at-home care: benefit, medium. 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: benefit, low. 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 c…
- Small cut to Medicare improvement fund: cost, low. 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.

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act
- 119-hr-1628: 761st Tank Battalion Congressional Gold Medal Act
- 119-hr-1502: North Platte Canteen Congressional Gold Medal Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-4313 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4313)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act](https://policyrisk.com/legislation/119-hr-4382)
- [119-hr-1628: 761st Tank Battalion Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1628)
- [119-hr-1502: North Platte Canteen Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1502)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4313 (as of 2026-07-15).