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HR7742FEDERALIN_COMMITTEE

At HOME Services Act: Proposed Medicare Home-Based Care Program

Original title: At HOME Services Act

December 17, 2024

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

If enacted, this program would change the setting where Medicare beneficiaries receive observation care, potentially shifting services from hospital wards to private residences while requiring hospitals to maintain equivalent standards of care.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Medicare beneficiaries

Eligible patients may receive outpatient observation services in their homes instead of a hospital facility.

Hospitals

Hospitals may apply to participate in the program to receive regulatory waivers and must comply with new data reporting and safety criteria.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Summary

This bill would create a two-year pilot program allowing hospitals to provide to Medicare patients directly in their homes. Participating hospitals would receive federal s for certain nursing and physical facility requirements that currently apply only to in-hospital care.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Why It Matters

If enacted, this program would change the setting where Medicare beneficiaries receive observation care, potentially shifting services from hospital wards to private residences while requiring hospitals to maintain equivalent standards of care.

Frequently Asked Questions

Will this program replace hospital visits?
No, it is a demonstration program that allows hospitals to provide specific '' at home as an alternative to the hospital setting.
How will the government ensure home care is safe?
Hospitals must meet patient safety standards determined by the Secretary and provide data to monitor the quality of care and patient outcomes.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Lobbying Activity

AARP

$4,110,000

2026

HEALTH ISSUESMEDICARE/MEDICAIDLAW ENFORCEMENT/CRIME/CRIMINAL JUSTICEPHARMACY

P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology

60 Plus Association

2026

TAXATION/INTERNAL REVENUE CODEENVIRONMENT/SUPERFUNDCOPYRIGHT/PATENT/TRADEMARKHEALTH ISSUES

Signed a coalition letter opposing any efforts to raise the corporate tax rate above the 21% level set in the 2017 Tax Cuts and Jobs Act (TCJA). Signed a coalition in support of the Family Business Legacy Act, H.R. 6329. This legislation creates parity in the tax code between the estate and gift taxes by allowing an estate tax deduction for contributions to 501(c)(4), (c)(5), and (c)(6) organizations. Signed a coalition letter urging opposition to proposals that would raise taxes on carried interest investment income.The letter is urging Congress to reject the misnamed Carried Interest Fairness Act, legislation recently reintroduced by Senators Tammy Baldwin, Elizabeth Warren, Bernie Sanders, and other progressive members of Congress. This legislation that would increase the tax rate on carried interest investment by 70%, from 23.8% to 40.8%. Signed a coalition letter in support of H.R.574 - ALIGN Act and highlight the 100% bonus depreciation provision's importance as the tax cut reauthorization efforts continue. Signed a coalition to support of repealing IRA's green new deal subsidies in reconciliation to pay for tax cuts. Signed a coalition letter regarding digital services taxes (DST) in an effort to stop Canadas imposition of a discriminatory digital services tax (DST) on U.S. firms and your efforts to include restrictions on the imposition of DSTs and other unfair digital policies in recently announced trade agreements-providing a model for future trade negotiations. Signed a coalition letter urging the President to index capital gains for inflation.

CURE SMA

$75,000

MCDERMOTT+ LLC

on behalf of NATIONAL ACADEMY OF ELDER LAW ATTORNEYS

Cleveland Clinic Foundation

on behalf of The Cleveland Clinic Foundation

$130,000

2022

HEALTH ISSUESMEDICARE/MEDICAID

SANE Act Telehealth (H.R.4040) Hospital-at-Home Food insecurity NQF Funding Brain Health NIH Reform No Surprise Act implementation

Ally Financial Inc.

$980,000

2013

FINANCIAL INSTITUTIONS/INVESTMENTS/SECHOUSINGINSURANCETELECOMMUNICATIONS

Proposals regarding financial regulatory reform implementation- relating to consumer loans, regulatory oversight and consumer products, implementation of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 including HR 613 The Systemic Risk Mitigation Act of 2013; S.451 Dodd-Frank Wallstreet Reform and Consumer Protection Technical Corrections Act of 2013; Financial Literacy & Education Efforts.

Ally Financial Inc.

$370,000

2012

FINANCIAL INSTITUTIONS/INVESTMENTS/SECHOUSINGINSURANCETELECOMMUNICATIONS

Proposals regarding financial regulatory reform implementation- relating to consumer loans, regulatory oversight and consumer products, implementation of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010; Financial Literacy & Education Efforts.

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Expansion of Hospital-at-Home

The bill seeks to codify and expand flexibilities previously granted during the emergency period of the COVID-19 pandemic into a formal, long-term demonstration program.

Connected Entities

organizationHospitalsInstitutions participating in the demonstration programMap →
personCastor of FloridaIntroduced the bill in the HouseMap →
bill_number1866GNew section added to the Social Security ActMap →
bill_number42 U.S.C. 1395 et seq.Section of the Social Security ActMap →
personSecretaryThe Secretary of Health and Human ServicesMap →
organizationU.S. Government Publishing OfficeSource of the billMap →
personMedicare beneficiariesTarget population for the demonstration programMap →
personBuchananCo-sponsored the bill in the HouseMap →

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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