Sens. Scott, Warnock and Colleagues Introduce Hospital at Home Healthcare Bill

WASHINGTON — Today, U.S. Senators Tim Scott (R-S.C.) and Reverend Raphael Warnock (D-Ga.) introduced the Hospital Inpatient Services Modernization Act, legislation that would extend the Acute Hospital at Home Waiver program and modernize how Americans receive hospital-level care. This bill would build on the successful Hospital at Home program, which currently allows thousands of Americans to safely receive hospital-level care in their homes through a Center for Medicare and Medicaid Services (CMS) waiver. 

“The American healthcare system must evolve to meet the needs of the patients in the 21st century,” said Senator Scott. “Hospital-at-home care provides better outcomes for patients while reducing costs. This legislation ensures that successful programs like this can continue to serve families across South Carolina and the nation.”

“This legislation is about protecting access to quality health care, lowering costs for patients, and improving the health and well-being of our family and neighbors,” said Senator Reverend Raphael Warnock. “I will always work to lower costs and increase health care access for Georgians, and I urge my colleagues to support this bipartisan effort.”

This legislation addresses the unsustainable costs of the current healthcare system by leveraging technology and alternative care models. 

In addition to Senators Scott and Warnock, this bill was cosponsored by Senators Blackburn (R-Tenn.), Tina Smith (D-Minn.), Thom Tillis (R-N.C.), and Sheldon Whitehouse (D-R.I.).

Read the text of the bill here.

Background:

Under the current program, CMS requires an in-person physician evaluation and screening protocols to assess medical and non-medical factors before at-home care can begin. Research has shown hospital-at-home programs decrease hospital-acquired infections, falls, delirium, and immobility while providing cost savings. 

The waiver programs launched in November of 2020 to help decompress hospitals during the COVID-19 pandemic. Senator Scott and former Senator Carper worked to extend the Hospital at Home Program during the 117th and 118th Congress. During the 117th Congress, they introduced and passed the Hospital Inpatient Services Modernization Act, legislation that extended the Hospital at Home waiver program two years beyond the duration of the COVID-19 Public Health Emergency. The March Continuing Resolution extended Hospital-at-Home until the end of this fiscal year. Now, more than 37 states have Hospital-at-Home programs, including South Carolina. The program is set to expire on September 30th, 2025.

While the federal healthcare system is transitioning from payment models that solely fund care in traditional facilities, several states have passed legislation allowing varying levels of hospital-at-home flexibility.

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