I 

117TH CONGRESS 

2D SESSION H. R. 7053 

To amend title XVIII of the Social Security Act to extend acute hospital 

care at home waiver flexibilities. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 9, 2022 

Mr. WENSTRUP (for himself and Mr. BLUMENAUER) introduced the following 

bill; which was referred to the Committee on Ways and Means, and in 

addition to the Committee on Energy and Commerce, for a period to be 

subsequently determined by the Speaker, in each case for consideration 

of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title XVIII of the Social Security Act to extend 

acute hospital care at home waiver flexibilities. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Hospital Inpatient 

5 Services Modernization Act’’. 


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1 SEC. 2. EXTENDING ACUTE HOSPITAL CARE AT HOME 

2 WAIVER FLEXIBILITIES. 

3 Section 1812 of the Social Security Act (42 U.S.C. 

4 1395d) is amended— 

5 (1) by redesignating subsection (g) as sub6 section (h); and 

7 (2) by inserting after subsection (f) the fol8 lowing new subsection: 

9 ‘‘(g)(1) During the period beginning on the date of 

10 the enactment of this subsection and ending on the date 

11 that is 2 years after the end of the emergency period de12 scribed in section 1135(g)(1)(B), inpatient hospital serv13 ices or inpatient critical access hospital services described 

14 in subsection (a)(1) shall include services (including tele15 health services as defined in section 1834(m)) furnished 

16 to an individual by an Acute Hospital Care at Home Pro17 gram (as defined by the Secretary). 

18 ‘‘(2) With respect to telehealth services furnished by 

19 an Acute Hospital Care at Home Program during the pe20 riod described in paragraph (1), the requirements de21 scribed in section 1834(m)(4)(C)(i) shall not apply and 

22 the sites described in section 1834(m)(4)(C)(ii) shall in23 clude the home or temporary residence of the individual. 

24 ‘‘(3) With respect to services furnished in the home 

25 or temporary residence of the individual through an Acute 

26 Hospital Care at Home Program during such period, the 


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1 requirement for providing 24-hour nursing services and 

2 immediate availability of nursing services as conditions of 

3 participation shall also be satisfied by providing virtual ac4 cess to nurses, advanced practice providers, or physicians 

5 24 hours per day. 

6 ‘‘(4) With respect to services furnished in the home 

7 or temporary residence of the individual through an Acute 

8 Hospital Care at Home Program during such period, life 

9 safety code requirements shall be deemed satisfied for 

10 homes or temporary residences determined to be safe and 

11 appropriate for this care by the Acute Hospital Care at 

12 Home Program. 

13 ‘‘(5) Not later than 12 months after the date of the 

14 enactment of this subsection, the Secretary shall issue reg15 ulations establishing health and safety requirements for 

16 Acute Hospital Care at Home Programs.’’. 

17 SEC. 3. EVALUATION AND REPORT ON ACUTE HOSPITAL 

18 CARE AT HOME AND HOSPITAL WITHOUT 

19 WALLS WAIVERS. 

20 (a) EVALUATION.—The Secretary of Health and 

21 Human Services shall conduct an evaluation of the Acute 

22 Hospital Care at Home and Hospital Without Walls waiv23 ers issued pursuant to the authority under section 1135(b) 

24 of the Social Security Act (42 U.S.C. 1320b–5(b)). Such 

25 evaluation shall include an analysis of— 


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1 (1) relevant data collected by the Centers for 

2 Medicare & Medicaid Services related to such waiv3 ers; and 

4 (2) the quality of care provided, patient out5 comes, beneficiary access, health disparities, patient 

6 safety, cost, and utilization. 

7 (b) REPORT.—Not later than 90 days after the date 

8 of the enactment of this Act, the Secretary of Health and 

9 Human Services shall submit to Congress a report on the 

10 evaluation conducted under subsection (a), together with 

11 recommendations for such legislation and administrative 

12 action as the Secretary determines to be appropriate. 

Æ 


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