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House Advances Bipartisan Plan to Extend “Hospital at Home’’ Through 2030

House Advances Bipartisan Plan to Extend “Hospital at Home’’ Through 2030

A unanimous vote moves the Medicare waiver one step closer to long-term stability for hospitals delivering acute-level care in the home.

The U.S. House of Representatives this week unanimously approved a bipartisan bill to extend the federal “Hospital at Home’’ program through 2030, marking a significant step toward long-term stability for an initiative that has reshaped how acute care can be delivered.

Originally launched by the Centers for Medicare and Medicaid Services in 2020, the Acute Hospital Care at Home program was designed to relieve strained health systems during the COVID-19 pandemic by allowing hospitals to care for eligible patients in their homes rather than in inpatient units. The model combines remote monitoring technology, in-home nursing and rehabilitation visits, and virtual physician oversight to support safe recovery outside the hospital setting.

Since its inception, the Medicare waiver enabling the program has depended on a series of short-term extensions and is currently set to expire in January 2026. The House bill would avert that deadline and give health systems a four-year runway to expand and refine their home-based acute care services.

Massachusetts has emerged as a strong adopter, with ten hospitals already approved to participate. That number is expected to grow significantly once the reauthorization is enacted, positioning the Commonwealth to advance innovation in home-based acute care.

The measure now moves to the U.S. Senate, where it is expected to draw similar bipartisan support.

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