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H. Rept. 119-359 1 (2025-10-31)

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U.S. GOVERNMENT
INFORMATION 4















                    119TH CONGRESS                                      REPORT
                      1st Session J  HOUSE  OF  REPRESENTATIVES         119-359







                      HOSPITAL   INPATIENT SERVICES MODERNIZATION ACT




                    OCTOBER 31, 2025.-Committed to the Committee of the Whole House on the State
                                     of the Union and ordered to be printed




                     Mr. SMITH of Missouri, from the Committee on Ways  and Means,
                                        submitted  the following


                                           REPORT


                                             together with


                                       SUPPLEMENTAL VIEWS

                                          [To accompany H.R. 4313]

                     The  Committee  on Ways  and  Means,  to whom  was referred the
                   bill (H.R. 4313) to amend title XVIII of the Social Security Act to
                   extend  acute hospital care at home waiver flexibilities, and to re-
                   quire an  additional study and report on such flexibilities, having
                   considered the same, reports favorably thereon with an amendment
                   and  recommends  that the bill as amended do pass.

                                               CONTENTS
                                                                                 Page
                        I. SUMMARY AND BACKGROUND   ..........................................................  3
                           A. Purpose and Sum m ary  .....................................................................  3
                           B. Background and Need for Legislation ....................         3
                           C. Legislative  H istory  ........................................................................... .  3
                           D . Designated  H earing  ..........................................................................  4
                        II. EXPLANATION    OF  THE  BILL  ..............................................................  4
                           A . Reasons  for  Change  ..........................................................................  4
                           B. Explanation  of Provisions  .................................................................  4
                           C . E ffective  D ate  ................................................................................... .  4
                        III. VOTES OF THE COMMITTEE .............................................................  4
                        IV. BUDGET EFFECTS OF THE BILL .....................................................  7
                           A. Committee Estimate of Budgetary Effects ..................       7
                           B. Statement Regarding New Budget Authority and Tax Expendi-
                               tures Budget  Authority  ..................................................................  7
                           C. Cost Estimate Prepared by the Congressional Budget Office .......  8
                        V. OTHER MATTERS  TO BE DISCUSSED  UNDER  THE RULES  OF
                        TH  E H O U SE .............................................................................................  8
                           A. Committee Oversight Findings and Recommendations .................  8
                           B. Statement of General Performance Goals and Objectives .............  8


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