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HR 4313 Passed a chamber

Extends Medicare's hospital-at-home waiver flexibilities to September 30, 2030, and requires a follow-up study comparing care at home with inpatient hospital care.

Official title: Hospital Inpatient Services Modernization Act

Next stop Senate: awaiting action
Timeline each lane is a chamber; dates pull from congress.gov actions
House
Introduced 10-JUL-2025
Referred 10-JUL-2025
Approved by committee 17-SEP-2025
Reported 31-OCT-2025
On the calendar 31-OCT-2025
Passed 01-DEC-2025
Senate
Received 02-DEC-2025
Key points
  • Replaces the January 30, 2026 expiration date for the acute hospital care at home waiver with September 30, 2030
  • Requires the Secretary of Health and Human Services to study and report to Congress by September 30, 2028, comparing care at home with inpatient hospital care on quality, costs, and patient mix
  • Appropriates $2,500,000 to the Centers for Medicare & Medicaid Services for fiscal year 2026 to carry out the study
  • Reduces the Medicare Improvement Fund amount in Section 1898(b)(1) of the Social Security Act from $1,403,000,000 to $1,400,500,000
AI-generated from the Referred in Senate text of 02-DEC-2025 · verify · report an error
Official CRS summary

Covers an older version. The newest CRS summary describes the bill as of "Introduced in House" (10-JUL-2025); the text has changed since (Engrossed in House, 01-DEC-2025).

CRS is the Library of Congress's nonpartisan research office. Read it on congress.gov
Committee referrals (2) Policy area

Health

Sponsor Vern Buchanan (R-FL) Cosponsors · 8
■ 7 R■ 1 D
1 Democrat