Senators Carper and Scott introduce bill to extend hospital-at-home exemption program

DELAWARE, March 10 – WASHINGTON, DC—U.S. Sen. Tom Carper (D-Del.), Senior Member of the Senate Finance Committee, and Sen. Tim Scott (RS.C.) today presented the Inpatient Services Modernization Actlegislation that would expand pandemic-induced Centers for Medicare & Medicaid Services (CMS) waiver flexibilities to bring hospital care directly to patients in their homes, helping to reduce costs and improve the patient experience.

Congressmen Earl Blumenauer (D-Ore.) and Brad Wenstrup, DPM, (R-Ohio) also introduced complementary legislation in the House of Representatives today.

“Over the past two years, hospitals have borne the brunt of the COVID-19 pandemic – and without missing a beat – nurses, doctors and other healthcare professionals have continued to provide quality care. to those affected by the virus and other personal medical conditions,” Carper said. “Overwhelmed with virus patients, hospitals like ChristianaCare in Delaware have had to adapt quickly in order to treat patients with other medical needs, such as creating innovative programs to provide hospital care to patients at home. I am proud to introduce this bill with my friend Senator Scott that will modernize our health care system and ensure that investments in programs to bring hospital care to patients at home can continue.

“The Acute Hospital Care at Home program has revolutionized healthcare for many Americans by improving care while reducing the health risks associated with hospital stays,” said Scott. “I am proud to expand this program which will ease the strain on our healthcare system and allow thousands of vulnerable Americans to continue to receive quality care from the safety of their own homes.”

“Hospital Home Care is an amazing innovation that brings hospital-level care to a patient’s home, including laboratory tests, mobile imaging like X-rays and ultrasounds, IV therapies, equipment sustainable medicine and much more”, said Janice E. Nevin, MD, MPH, President and CEO of ChristianaCare.“Supported by virtual technology, ChristianaCare’s hospital home care team is comprised of physicians, nurse practitioners, registered nurses and other healthcare professionals who provide expert care 24/7. 7 to people in the comfort of their homes. We are grateful for the legislative support that has made this new type of care possible, ultimately enabling better care and better outcomes at lower cost.

The Hospital Inpatient Services Modernization Act has broad support from the medical industry, including: Advanced Care at Home Coalition; INTEGRIS Health; Providence; Christiana Care; Point of unity; Health; Texas Health Resources; Medical University of South Carolina; CommonSpirit Health; PSW; Northwest Momentum Health Partners; MultiCare; Vanderbilt University Medical Center; Johns Hopkins Health System; Duke Health; The Guthrie Clinic; University Hospitals Health System, Cleveland, Ohio; CIC Health; Medically at home; Geisinger Medical Center; UCI HEALTH; Mount Sinai Health System; Adventist Health; Kaiser Permanente; countess; DispatchHealth; Displacement of the health center; compass; BrightStar care; Marshfield Clinic Health System; Omnicell; UNC Health & UNC School of Medicine; Novant Health; University hospitals; Riverside Health System; AMGA; VCU Health; Yale New Haven Health; American physician groups; and the Ascension.


In November 2020, when hospitals across our country were overwhelmed with patients due to the COVID-19 pandemic, CMS launched the Acute Hospital Care At Home Waiver Program to allow Medicare beneficiaries to receive care services. acute health care at home. However, this waiver is due to expire at the end of the federal COVID-19 public health emergency.

Senators Carper and Scott’s bill would ensure that patients and providers have access to the waiver program for two years beyond the duration of the COVID-19 public health emergency. This bipartisan bill would also require that, within a year of its enactment, CMS issue regulations establishing health and safety requirements for hospital-at-home programs. Additionally, the legislation would require the Department of Health and Human Services (HHS) to submit a report to Congress on the effectiveness of the waiver program along with legislative recommendations.

To read the full text of the law, click on here.


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