,,ii  #aagth ,,congress  #b;d ,session  
,s4 #cgib  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #aj     
7legislative day1 ,march #g71 #bjbb,mr4 
,carper 7for himself1 ,mr4 ,scott of    
,south ,carolina1 ,mr4 ,tillis1 and ,ms4
 ,smith7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xviii of the ,social      
,security ,act to extend acute hospital 
care at home waiver flexibilities4  #a4 
,short title ,this ,act may be cited as 
the ,hospital ,inpatient ,services      
,modernization ,act4  #b4 ,extending    
acute hospital care at home waiver      
flexibilities ,section #ahab of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acie;d7 is amended-- 7#a7 by           
redesignating subsection 7g7 as         
subsection 7h72 and  7#b7 by inserting  
after subsection 7f7 the following new  
subsection3  7g7 7#a7 ,during the period
 beginning on the date of the enactment 
of this subsection and ending on the    

date that is #b years after the end of  
the emergency period described in       
section #aace7;g77#a77;,b71 inpatient   
hospital services or inpatient critical 
access hospital services described in   
subsection 7a77#a7 shall include        
services 7including telehealth services 
as defined in section #ahcd7m77         
furnished to an individual by an ,acute 
,hospital ,care at ,home ,program 7as   
defined by the ,secretary74  7#b7 ,with 
respect to telehealth services furnished
 by an ,acute ,hospital ,care at ,home  
,program during the period described in 
paragraph 7#a71 the requirements        
described in section                    
#ahcd7m77#d77;,c77i7 shall not apply and
 the sites described in section         
#ahcd7m77#d77;,c77ii7 shall include the 
home or temporary residence of the      
individual4  7#c7 ,with respect to      
services furnished in the home or       
temporary residence of the individual   
through an ,acute ,hospital ,care at    
,home ,program during such period1 the  

requirement for providing #bd-;hour     
nursing services and immediate          
availability of nursing services as     
conditions of participation shall also  
be satisfied by providing virtual access
 to nurses1 advanced practice providers1
 or physicians #bd hours per day4  7#d7 
,with respect to services furnished in  
the home or temporary residence of the  
individual through an ,acute ,hospital  
,care at ,home ,program during such     
period1 life safety code requirements   
shall be deemed satisfied for homes or  
temporary residences determined to be   
safe and appropriate for this care by   
the ,acute ,hospital ,care at ,home     
,program4  7#e7 ,not later than #ab     
months after the date of the enactment  
of this subsection1 the ,secretary shall
 issue regulations establishing health  
and safety requirements for ,acute      
,hospital ,care at ,home ,programs4  4  
#c4 ,evaluation and report on acute     
hospital care at home and hospital      
without walls waivers  7a7 ,evaluation  

,the ,secretary of ,health and ,human   
,services shall conduct an evaluation of
 the ,acute ,hospital ,care at ,home and
 ,hospital ,without ,walls waivers      
issued pursuant to the authority under  
section #aace7;b7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;b774 ,such evaluation shall 
include an analysis of-- 7#a7 relevant  
data collected by the ,centers for      
,medicare  ,medicaid ,services related  
to such waivers2 and  7#b7 the quality  
of care provided1 patient outcomes1     
beneficiary access1 health disparities1 
patient safety1 cost1 and utilization4  
7b7 ,report ,not later than #ij days    
after the date of the enactment of this 
,act1 the ,secretary of ,health and     
,human ,services shall submit to        
,congress a report on the evaluation    
conducted under subsection 7a71 together
 with recommendations for such          
legislation and administrative action as
 the ,secretary determines to be        
appropriate4