HR2936119th CongressWALLET

Addressing Boarding and Crowding in the Emergency Department

Summary

Reduce emergency department boarding by modernizing public health data and testing new emergency care models. This bill would fund grants to track hospital bed capacity and ED boarding dynamics, expand CMS Innovation Center pilots for older adults and acute psychiatric crises, and require a Comptroller General study with a one-year report to Congress.

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Older adults and people in acute psychiatric crisis would be the focus of new CMS Innovation Center models testing geriatric-focused staffing, ED infrastructure and protocols, dedicated psychiatric ED units, and improved transfers to post-acute care.
Hospitals, EMS, and public health agencies would be eligible for grants or cooperative agreements to build or upgrade real-time data systems tracking bed capacity, ED boarding rates, wait times, and EMS offload times, plus a public-facing dashboard with privacy redaction.
The Comptroller General would study best practices for statewide, near real-time capacity systems that integrate with hospital electronic health records and assess impacts on boarding, wait times, and EMS offload times and report to Congress within one year.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Track hospital beds and emergency room waits

If enacted, the government could award grants to build state or regional, real-time systems to track hospital bed capacity. Systems would track how capacity affects emergency room boarding and wait times for treatment. They would also track ambulance offload times. Grantees could run a public dashboard, with data redacted to follow privacy laws. This could help hospitals respond faster to crowding.

Better emergency care for seniors and crisis patients

If enacted, the CMS Innovation Center would test new ways to improve emergency care for older adults and people in psychiatric crisis. Models could try flexible, team-based staffing and more staff training. They could update the ER layout and use senior-focused policies and quality measures. Models would also improve information sharing and transfers with post-acute facilities. For psychiatric crises, models could test dedicated ER units and faster placement in treatment facilities. This would not pay cash to patients, but it could improve safety, speed, and coordination.

Sponsors & CoSponsors

Sponsor

Joyce (PA)

PA • R

Cosponsors

Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 4/17/2025
Rep. Torres, Ritchie [D-NY-15]
NY • D
Sponsored 5/20/2025
Amodei (NV)
NV • R
Sponsored 5/20/2025
Rep. Ross, Deborah K. [D-NC-2]
NC • D
Sponsored 5/20/2025
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 5/20/2025
McBride
DE • D
Sponsored 8/15/2025
Crow
CO • D
Sponsored 8/15/2025
Rep. Matsui, Doris O. [D-CA-7]
CA • D
Sponsored 8/15/2025
Auchincloss
MA • D
Sponsored 8/15/2025
Rep. Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Sponsored 8/15/2025
Davis (NC)
NC • D
Sponsored 8/15/2025
Rep. Vindman, Eugene Simon [D-VA-7]
VA • D
Sponsored 9/15/2025
Obernolte
CA • R
Sponsored 10/24/2025
Rep. Neguse, Joe [D-CO-2]
CO • D
Sponsored 12/17/2025
Soto
FL • D
Sponsored 2/20/2026
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 4/21/2026
Rep. Green, Al [D-TX-9]
TX • D
Sponsored 5/11/2026
Pingree
ME • D
Sponsored 5/11/2026
Rep. Magaziner, Seth [D-RI-2]
RI • D
Sponsored 5/11/2026
Rep. Wilson, Joe [R-SC-2]
SC • R
Sponsored 5/11/2026
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 5/11/2026
Keating
MA • D
Sponsored 5/11/2026
Barragan
CA • D
Sponsored 5/11/2026

Roll Call Votes

No roll call votes available for this bill.

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Summary

How does this bill affect your finances?

Bill Overview

Analyzed Economic Effects

Medium Impact

Track hospital beds and emergency room waits

Low Impact

Better emergency care for seniors and crisis patients

Sponsors & CoSponsors

Sponsor

Cosponsors

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