How HR 4313 changes current law

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill extends the Acute Hospital Care at Home waiver flexibilities until September 30, 2030, and requires a new study and report on these flexibilities.

• 42 U.S.C. 1395cc-7(a)(1)

  January 30, 2026 → September 30, 2030

  Extends the expiration date for acute hospital care at home waiver flexibilities.

• 42 U.S.C. 1395cc-7(a)(3)(E)

  the study described in subsection (b) → the studies described in subsections (b) and (c)

  Expands the scope of studies to include both the initial and subsequent studies.

• 42 U.S.C. 1395cc-7(a)(3)(E)

  The Secretary may require that such data and information be submitted through a hospital's cost report, through such survey instruments as the Secretary may develop, through medical record information, or through such other means as the Secretary determines appropriate.

  Allows the Secretary to specify additional methods for data submission related to hospital services.

• 42 U.S.C. 1395cc-7(b)

  Study → Initial Study

  Revises the title of the study in this section to indicate that it is the initial study.

• 42 U.S.C. 1395cc-7(b)(3)

  or subsection (c)

  Clarifies that the study requirements relate to both subsection (b) and the new subsection (c).

• 42 U.S.C. 1395cc-7

  Subsection (c) Subsequent Study and Report.-- (1) In general.--Not later than September 30, 2028, the Secretary shall conduct a study to... (4) Funding.--In addition to amounts otherwise available, there is appropriated to the Centers for Medicare & Medicaid Services Program Management Account for fiscal year 2026...

  Introduces a new requirement for a subsequent study on Acute Hospital Care at Home and appropriates funds for its implementation.

• 42 U.S.C. 1395iii(b)(1)

  $1,403,000,000 → $1,400,500,000

  Reduces the appropriation amount for the Medicare Improvement Fund.