H.R. 4313 119th Congress House

Hospital Inpatient Services Modernization Act

Official title: To amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities, and to require an additional study and report on such flexibilities.

Introduced: July 10, 2025 Introduced by: Vern Buchanan Republican · Florida See on congress.gov

Health Congressional oversightGovernment studies and investigationsHospital careMedicare

Everywhere this bill has been 13 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Dec 2, 2025

Received in the Senate and Read twice and referred to the Committee on Finance.

Dec 1, 2025

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)

Dec 1, 2025

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)

Dec 1, 2025

Considered under suspension of the rules. (consideration: CR H4935-4937)

Dec 1, 2025

Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.

Dec 1, 2025

DEBATE - The House proceeded with forty minutes of debate on H.R. 4313.

Dec 1, 2025

Motion to reconsider laid on the table Agreed to without objection.

Oct 31, 2025

Placed on the Union Calendar, Calendar No. 311.

Oct 31, 2025

Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-359.

Sep 17, 2025

Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 44 - 0.

Sep 17, 2025

Committee Consideration and Mark-up Session Held

Jul 10, 2025

Introduced in House

Jul 10, 2025

Referred to the House Committee on Ways and Means.

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What's happening now December 2, 2025

Received in the Senate and Read twice and referred to the Committee on Finance.

Plain-English summary Congressional Research Service

Hospital Inpatient Services Modernization Act

This bill extends the Acute Hospital Care at Home Program under Medicare and requires an additional study regarding the program. The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.

Specifically, the bill extends the program through FY2030 and requires the Centers for Medicare & Medicaid Services to conduct a study of the program with respect to several metrics, including the quality of care, incurred costs, types of services, and demographics of patients under the program compared to inpatient settings.

Hearings & markups 1

Markup of H.R. 842, H.R. 4313, H.R. 5347, H.R. 5343, H.R. 5349, H.R. 5346, H.R. 5284, H.R. 5345, H.R. 5348, and Views a…
Markup Sep 17, 2025 · 10:00 AM EDT · Ways and Means Committee

Related & companion bills 4

Bill text 4 versions

Engrossed in House Formatted Text PDF Formatted XML
Introduced in House Formatted Text PDF Formatted XML
Referred in Senate Formatted Text PDF Formatted XML
Reported in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 2

Ways and Means Committee
House of Representatives
Finance Committee
Senate

Lobbying activity 78

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

THE METROHEALTH SYSTEM
for THE METROHEALTH SYSTEM · Ohio · 3rd Quarter 2026 (July 1 - Sep 30)
AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
for AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
THE RABEN GROUP
for COMPASSION & CHOICES · Colorado · 3rd Quarter 2026 (July 1 - Sep 30)
NATIONAL ALLIANCE ON MENTAL ILLNESS
for NATIONAL ALLIANCE ON MENTAL ILLNESS · Virginia · 3rd Quarter 2026 (July 1 - Sep 30)
SIRONA STRATEGIES LLC
for MOVING HEALTH HOME · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
SIRONA STRATEGIES LLC
for ALLIANCE FOR CONNECTED CARE · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
78 filings
SENATE
78 filings
Centers For Medicare and Medicaid Services (CMS)
47 filings
Health & Human Services, Dept of (HHS)
38 filings
White House Office
18 filings
Executive Office of the President (EOP)
15 filings
Homeland Security, Dept of (DHS)
11 filings
Veterans Affairs, Dept of (VA)
11 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 78 filings →

Cosponsors 8

Moore, Blake D.

Utah · Oct 31, 2025

Fischbach, Michelle

Minnesota · Oct 24, 2025

Smith, Adrian

Nebraska · Sep 18, 2025

New York · Aug 15, 2025

Evans, Dwight

Pennsylvania · Jul 10, 2025

Smucker, Lloyd

Pennsylvania · Jul 10, 2025

Cite this page click to expand

APA

U.S. Congress. (2026). H.R. 4313: Hospital Inpatient Services Modernization Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-4313/

MLA

"H.R. 4313: Hospital Inpatient Services Modernization Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-4313/.

Bluebook (legal)

H.R. 4313, 119th Cong. (2026), https://openamerica.io/bill/119-HR-4313/.

Markdown link

[H.R. 4313: Hospital Inpatient Services Modernization Act](https://openamerica.io/bill/119-HR-4313/)