# 119-hr-8923: At HOME Services Act

119-hr-8923, At HOME Services Act, is a 119th Congress bill sponsored by Rep. Castor, Kathy [D-FL-14] (D-FL); status introduced; PRIA reads it as touching household money (as of 2026-06-03).

- Canonical: https://policyrisk.com/legislation/119-hr-8923
- As of: 2026-06-03
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-8923
- Congress: 119
- Title: At HOME Services Act
- Status: introduced
- Introduced: 2026-05-20
- Sponsor: Rep. Castor, Kathy [D-FL-14] (D-FL)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-06-03

## Summary

**Allows Medicare-covered hospital observation care to be delivered in patients' homes.** This bill would create a two-year demonstration program that, within one year, would let participating hospitals furnish outpatient observation services in beneficiaries' homes and request specific waivers and flexibilities. - Medicare beneficiaries: Could receive hospital-level outpatient observation at home rather than in the hospital. The program would track outcomes such as readmission rates, mortality, infections, and patient experience. - Hospitals and providers: Could get waivers from 24-hour on-site nursing rules, certain physical environment and Life Safety Code requirements, and telehealth originating-site limits so the home counts as the originating site. Hospitals must meet Secretary-defined safety standards, report data, and may be removed from the program if they fail to comply. - CMS and researchers: The Secretary would collect data and conduct a study comparing home-based and hospital observation on quality, costs, the quantity and mix of services, and patient socioeconomic and demographic information. The Secretary must post a report on a CMS website within one year after the program ends.

## Cosponsors (1)

- Rep. Buchanan, Vern [R-FL-16] (R-FL), 2026-05-20T00:00:00.000Z

## Provisions PRIA read

- Medicare observation care at home: benefit, medium. This bill would create a two-year Medicare demonstration letting hospitals provide outpatient observation services in a beneficiary's home. The Secretary would have to start the program no later than 1 year after enactment. Hospitals would be allowed to join only if they request waivers and meet ru…

## Related bills

- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-7973: Momnibus Act
- 119-hr-9211: Jewish American Security Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

## Sources
- [119-hr-8923 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8923)

## Related
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-9211: Jewish American Security Act](https://policyrisk.com/legislation/119-hr-9211)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-8923 (as of 2026-06-03).