US Federal 2025-2026 Regular Session

US Federal House Bill HB8923

Introduced
 

Caption

At HOME Services Act

Summary

HB8923, the At HOME Services Act of 2026, would direct the Secretary of Health and Human Services to create a 2-year Medicare demonstration program allowing participating hospitals to provide outpatient observation services to eligible Medicare beneficiaries in their homes. The program would be modeled on the Acute Hospital Care at Home initiative and would permit selected hospitals to use certain waivers and flexibilities, including relief from some in-facility nursing, physical environment, Life Safety Code, and telehealth-originating-site requirements, so long as the hospital meets specified criteria. To participate, hospitals would have to maintain the same standard of care at home as in the inpatient setting, satisfy patient safety requirements, and submit data to CMS for oversight and evaluation. The bill also requires the Secretary to study and compare care quality, outcomes, utilization, costs, service intensity, and beneficiary demographics between home-based observation care and hospital-based care. A report would be posted on the CMS website within a year after the demonstration ends, and certain collected information would be made publicly available on Medicare.gov as feasible.

Impact

The bill would amend Title XVIII of the Social Security Act by adding a new Medicare demonstration authority for hospital-provided observation services at home. It would temporarily expand the circumstances under which hospitals can furnish observation-level care outside the hospital, while preserving federal oversight through safety standards, reporting, and the ability of the Secretary to terminate noncompliant hospitals. The measure would affect Medicare beneficiaries, participating hospitals, CMS, and potentially Medicare payment and care-delivery practices by testing whether home-based observation care can substitute for traditional hospital observation services.

Sentiment

Based on the bill text and available context, the measure appears generally favorable and innovation-oriented, with bipartisan sponsorship from Representatives Castor and Buchanan. The absence of recorded committee debate or votes suggests no documented opposition in the provided materials, and the bill’s structure reflects a cautious pilot approach rather than a permanent policy change. Its emphasis on quality, safety, and evaluation indicates an effort to balance expanded home-based care with oversight.

Contention

The main potential points of contention are patient safety, equivalency of care, and the scope of regulatory waivers. Critics could question whether home-based observation can truly match inpatient standards, especially for medically complex beneficiaries, and whether relaxing hospital staffing and facility requirements could create risks. There may also be concern about which patients are selected for the program, how outcomes are measured, and whether the demonstration could disproportionately serve or exclude certain populations; the bill addresses this by requiring demographic data collection, including race, ethnicity, income, and dual-eligibility status.

Companion Bills

No companion bills found.

Previously Filed As

US S806

Increasing access to acute hospital at home services

US H1141

Increasing access to acute hospital at home services

US SB1628

Medicaid Pharmacy Services:

US H5018

Increasing access to acute hospital at home services

US HB207

Advanced Safe Testing at Residence Telehealth Act of 2023 This bill temporarily establishes several programs to provide telehealth services for at-home testing, evaluations, and other health care. Specifically, the bill establishes a demonstration program to provide assistive telehealth consultations and home- and community-based care for certain Medicare beneficiaries through Medicare Advantage (MA) plans. Covered services include certain at-home diagnostic tests, telehealth consultations, transportation services, and meal benefits. Beneficiaries must be (1) age 65 or older and eligible to enroll in a qualifying MA plan and to receive certain low-income subsidies under the Medicare prescription drug benefit, or (2) dually eligible for Medicare and Medicaid benefits. The bill also establishes a grant program for state Medicaid programs to cover similar at-home tests and related telehealth consultations. Additionally, the Department of Veterans Affairs must establish a pilot program to provide tests and related telehealth consultations free of charge to veterans.

US HB783

Sustainable Cardiopulmonary Rehabilitation Services in the Home Act

US SB248

Sustainable Cardiopulmonary Rehabilitation Services in the Home Act

US SB539

Requires MO HealthNet and health benefit plans providing for maternity benefits to cover a home blood pressure monitoring device and associated services for pregnant and postpartum women

US A926

Requires Medicaid coverage for assisted living services for individuals with serious mental illnesses.

US SB4037

Diabetes Act Diabetes Interventions Addressing Barriers to Enrollment, Technology, and Education Services (DIABETES) Act

Similar Bills

No similar bills found.