US Congress · 119th Congress (2025-2026)

HR 4313In Second Chamber

Hospital Inpatient Services Modernization Act

Source of recordUS Congress · congress.govLast synced Jul 14, 2026

Chamber

House

Progress

Where this bill stands in the legislative process.

Introduced
Passed House
Passed Senate
To President
Became Law

Overview

This bill, the Hospital Inpatient Services Modernization Act, extends a program called Acute Hospital Care at Home, which allows hospitals to treat some patients at home instead of in the hospital. It extends this program through 2030 and requires the Centers for Medicare & Medicaid Services to conduct a study to evaluate the program’s effectiveness and impact. The study will analyze various factors, including quality of care, costs, and patient outcomes compared to traditional inpatient care.

Key provisions

Extends the Acute Hospital Care at Home program through fiscal year 2030.
Requires a study of the program’s effectiveness and impact.
The study will analyze quality of care, costs, and patient outcomes.
The study will compare outcomes between patients receiving care at home and those in traditional inpatient settings.
The study will examine the criteria hospitals use to select patients for the program.
The study will analyze socioeconomic data of patients involved.
The study will account for selection bias when comparing data.
The Secretary of Health and Human Services must submit a report to Congress detailing the study’s findings.

Who is affected

Hospitals
Patients
Medicare beneficiaries
Medicaid beneficiaries
Healthcare providers

Notable changes

Bill text

Read the latest version inline or switch to a previous version.

Jul 10, 2025XMLView source

Text extraction is in progress. View the official source.

Legislative history

15 recorded actions · showing the most recent 12

Sep 17, 2025House

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

Sep 17, 2025House

Committee Consideration and Mark-up Session Held

Oct 31, 2025House

Placed on the Union Calendar, Calendar No. 311.

Oct 31, 2025House

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

Oct 31, 2025

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

Dec 1, 2025House

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

Dec 1, 2025House

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, 2025House

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

Dec 1, 2025House

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

Dec 1, 2025House

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

Dec 2, 2025Senate

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

Votes

Recorded roll calls and chamber actions on this bill.

Passage without roll call

The official record shows passage by unanimous consent or voice vote where no roll call was taken. No member-level tally is available for these steps, and the district map does not apply.

12/1/2025HouseVoice vote
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
No roll-call vote on record for this action.
12/1/2025Voice vote
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)
No roll-call vote on record for this action.

Floor votes and chamber actions

Recorded roll calls list how each member voted. Unanimous consent or voice vote appears in the official action history without a roll call; no member-level tally is available for those steps.

Passage without roll call

Dec 1, 2025HouseVoice vote
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4935)
No roll-call vote on record for this action.
Dec 1, 2025Voice vote
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)
No roll-call vote on record for this action.

Geography

Recorded positions across the country.

No public positions recorded for this legislation.

Arguments

Reasons offered for and against this legislation.

Arguments in favor

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Arguments opposed

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Hospital Inpatient Services Modernization Act

Progress