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House Passes Five-Year Extension of Hospital-at-Home Waivers Through 2030

The measure now awaits Senate consideration following unanimous House approval.

Overview

  • The Hospital Inpatient Services Modernization Act would continue the CMS Acute Hospital Care at Home waiver through Sept. 30, 2030, permitting inpatient-level care in patients’ homes.
  • The legislation requires CMS to submit a comparative study on quality and costs to Congressional committees by Sept. 30, 2028.
  • Participation has grown to 419 approved facilities across 39 states since the program’s 2020 launch.
  • The waiver’s lapse during a 43-day government shutdown forced operational disruptions, and CMS later reinstated it only through Jan. 30, 2026.
  • Provider and telehealth groups, including the American Hospital Association and the American Telemedicine Association, support the extension, citing data showing lower mortality and higher patient satisfaction.