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 con-
cerned 
A BILL 
To amend title XVIII of the Social Security Act to extend 
acute hospital care at home waiver flexibilities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Hospital Inpatient 
Services Modernization Act’’. 
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SEC. 2. EXTENDING ACUTE HOSPITAL CARE AT HOME 
WAIVER FLEXIBILITIES. 
Section 1812 of the Social Security Act (42 U.S.C. 
1395d) is amended— 
(1) by redesignating subsection (g) as sub-
section (h); and 
(2) by inserting after subsection (f) the fol-
lowing new subsection: 
‘‘(g)(1) During the period beginning on the date of 
the enactment of this subsection and ending on the date 
that is 2 years after the end of the emergency period de-
scribed in section 1135(g)(1)(B), inpatient hospital serv-
ices or inpatient critical access hospital services described 
in subsection (a)(1) shall include services (including tele-
health services as defined in section 1834(m)) furnished 
to an individual by an Acute Hospital Care at Home Pro-
gram (as defined by the Secretary). 
‘‘(2) With respect to telehealth services furnished by 
an Acute Hospital Care at Home Program during the pe-
riod described in paragraph (1), the requirements de-
scribed in section 1834(m)(4)(C)(i) shall not apply and 
the sites described in section 1834(m)(4)(C)(ii) shall in-
clude the home or temporary residence of the individual. 
‘‘(3) With respect to services furnished in the home 
or temporary residence of the individual through an Acute 
Hospital Care at Home Program during such period, the 
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requirement for providing 24-hour nursing services and 
immediate availability of nursing services as conditions of 
participation shall also be satisfied by providing virtual ac-
cess to nurses, advanced practice providers, or physicians 
24 hours per day. 
‘‘(4) With respect to services furnished in the home 
or temporary residence of the individual through an Acute 
Hospital Care at Home Program during such period, life 
safety code requirements shall be deemed satisfied for 
homes or temporary residences determined to be safe and 
appropriate for this care by the Acute Hospital Care at 
Home Program. 
‘‘(5) Not later than 12 months after the date of the 
enactment of this subsection, the Secretary shall issue reg-
ulations establishing health and safety requirements for 
Acute Hospital Care at Home Programs.’’. 
SEC. 3. EVALUATION AND REPORT ON ACUTE HOSPITAL 
CARE AT HOME AND HOSPITAL WITHOUT 
WALLS WAIVERS. 
(a) EVALUATION.—The Secretary of Health and 
Human Services shall conduct an evaluation of the Acute 
Hospital Care at Home and Hospital Without Walls waiv-
ers issued pursuant to the authority under section 1135(b) 
of the Social Security Act (42 U.S.C. 1320b–5(b)). Such 
evaluation shall include an analysis of— 
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