,,ii  #aahth ,,congress  #b;d ,session  
,s4 #dcej  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ae1      
#bjbd,mr4 ,carper 7for himself1 ,mr4    
,scott of ,south ,carolina1 ,ms4 ,smith1
 and ,mr4 ,tillis7 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 #ahff;,g of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acie;cc-#g7 is amended-- 7#a7 in       
subsection 7a77#a71 by striking #bjbd   
and inserting #bjbi2 and  7#b7 in       
subsection 7b7-- 7,a7 in the heading1 by
 striking ,study and report and         
inserting ,studies and reports2 and     
7,b7 in paragraph 7#a7-- 7i7 in the     

matter preceding subparagraph 7,a71 by  
striking ,the ,secretary and inserting  
,not later than ,september #cj1 #bjbd1  
and again not later than ,september #cj1
 #bjbh1 the ,secretary2  7ii7 in        
subparagraph 7,b7-- 7,i7 in clause 7iv71
 by striking and at the end2  7,,ii7 in 
clause 7v71 by striking the period and  
inserting 2 and2 and  7,,iii7 by adding 
at the end the following new clause3    
7vi7 in the case of the second study    
conducted under this paragraph1 the     
quality of care1 outcomes1 costs1       
quantity and intensity of services1 and 
other relevant metrics between          
individuals who entered into the ,acute 
,hospital ,care at ,home initiative     
directly from an emergency department   
compared with individuals who entered   
into the ,acute ,hospital ,care at ,home
 initiative directly from an existing   
inpatient stay in a hospital4  2 and    
7,c7 in paragraph 7#b7-- 7i7 in the     
header1 by striking ,report and         
inserting ,reports2 and  7ii7 by        

inserting and again not later than      
,september #cj1 #bjbh1 after #bjbd12 and
  7iii7 by striking on the study        
conducted under paragraph 7#a74 and     
inserting the following3 on-- 7,a7 with 
respect to the first report submitted   
under this paragraph1 the first study   
conducted under paragraph 7#a72 and     
7,b7 with respect to the second report  
submitted under this paragraph1 the     
second study conducted under paragraph  
7#a74  4