#aaith ,,congress #ast ,session ,h4 ,r4 #dcac ,,an ,,act ,to amend title ,,xviii of the ,social ,security ,act to extend acute hospital care at home waiver flexibilities1 and to require an additional study and report on such 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;,g7a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#g7;a77#a77 is amended by striking ,january #cj1 #bjbf and inserting ,september #cj1 #bjcj4 #c4 ,requiring additional study and report on acute hospital care at home waiver flexibilities ,section #ahff;,g of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#g71 as amended by section #b1 is further amended-- 7#a7 in subsection 7a77#c77;,e7-- 7,a7 in clause 7ii71 by striking the study described in subsection 7b7 and inserting the studies described in subsections 7b7 and 7c72 and 7,b7 by adding at the end the following new flush sentence3 ,the ,secretary may require that such data and information be submitted through a hospital's cost report1 through such survey instruments as the ,secretary may develop1 through medical record information1 or through such other means as the ,secretary determines appropriate4 2 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking ,study and inserting ,initial study2 and 7,b7 in paragraph 7#c71 by inserting or subsection 7c7 before the period at the end2 7#c7 by redesignating subsections 7c7 and 7d7 as subsections 7d7 and 7e71 respectively2 and 7#d7 by inserting after subsection 7b7 the following new subsection3 7c7 ,subsequent study and report 7#a7 ,in general ,not later than ,september #cj1 #bjbh1 the ,secretary shall conduct a study to-- 7,a7 analyze1 to the extent practicable1 the criteria established by hospitals under the ,acute ,hospital ,care at ,home initiative to determine which individuals may be furnished services under such initiative2 and 7,b7 analyze and compare 7both within and between hospitals participating in the initiative1 and relative to comparable hospitals that do not participate in the initiative1 for relevant parameters such as diagnosis-related groups7-- 7i7 quality of care furnished to individuals with similar conditions and characteristics in the inpatient setting and through the ,acute ,hospital ,care at ,home initiative1 including health outcomes1 hospital readmission rates 7including readmissions both within and beyond #cj days post-discharge71 hospital mortality rates1 length of stay1 infection rates1 composition of care team 7including the types of labor used1 such as contracted labor71 the ratio of nursing staff1 transfers from the hospital to the home1 transfers from the home to the hospital 7including the timing1 frequency1 and causes of such transfers71 transfers and discharges to post-acute care settings 7including the timing1 frequency1 and causes of such transfers and discharges71 and patient and caregiver experience of care2 7ii7 clinical conditions treated and diagnosis-related groups of discharges from inpatient settings relative to discharges from the ,acute ,hospital ,care at ,home initiative2 7iii7 costs incurred by the hospital for furnishing care in inpatient settings relative to costs incurred by the hospital for furnishing care through the ,acute ,hospital ,care at ,home initiative1 including costs relating to staffing1 equipment1 food1 prescriptions1 and other services1 as determined by the ,secretary2 7iv7 the quantity1 mix1 and intensity of services 7such as in-person visits and virtual contacts with patients and the intensity of such services7 furnished in inpatient settings relative to the ,acute ,hospital ,care at ,home initiative1 and1 to the extent practicable1 the nature and extent of family or caregiver involvement2 7v7 socioeconomic information on individuals treated in comparable inpatient settings relative to the initiative1 including racial and ethnic data1 income1 housing1 geographic proximity to the brick-and-mortar facility and whether such individuals are dually eligible for benefits under this title and title ,,xix2 and 7vi7 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 7#b7 ,selection bias ,in conducting the study under paragraph 7#a71 the ,secretary shall1 to the extent practicable1 analyze and compare individuals who participate and do not participate in the initiative controlling for selection bias or other factors that may impact the reliability of data4 7#c7 ,report ,not later than ,september #cj1 #bjbh1 the ,secretary of ,health and ,human ,services shall submit to the ,committee on ,ways and ,means of the ,house of ,representatives and the ,committee on ,finance of the ,senate a report on the study conducted under paragraph 7#a74 7#d7 ,funding ,in addition to amounts otherwise available1 there is appropriated to the ,centers for ,medicare ,medicaid ,services ,program ,management ,account for fiscal year #bjbf1 out of any amounts in the ,treasury not otherwise appropriated1 #b1ejj1jjj1 to remain available until expended1 for purposes of carrying out this subsection4 4 #d4 ,medicare ,improvement ,fund ,section #ahih7;b77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is amended by striking #a1djc1jjj1jjj and inserting #a1djj1ejj1jjj4 ,passed the ,house of ,representatives ,december #a1 #bjbe4;,clerk4