Congress Swing TrackerLegislative intelligence Swing vote analysis

H.R. 4313: Hospital Inpatient Services Modernization Act · Congress Swing Tracker

H.R. 4313119th CongressHealth

Hospital Inpatient Services Modernization Act

Sponsored by Rep. Vern Buchanan (R-FL) · 8 active : 7 Republicans, 1 Democrat

Latest action: Received in the Senate and Read twice and referred to the Committee on Finance.

Read the summary

Where it standsPassed House, now in the Senate

Passed House

House: passedDec 1, 2025
Senate: next
President: not yet

14 senators score as swing votes

Summary

, via Congress.gov

Summary on Congress.gov

Hospital Inpatient Services Modernization Act

This bill extends the Acute Hospital Care at Home Program under Medicare and requires an additional study regarding the program. The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.

Read full summary

Specifically, the bill extends the program through FY2030 and requires the Centers for Medicare & Medicaid Services to conduct a study of the program with respect to several metrics, including the quality of care, incurred costs, types of services, and demographics of patients under the program compared to inpatient settings.

How the projections held up

Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.

House

Passed by voice vote or unanimous consent: no individual votes recorded.

Committees and subjects

Committees

House Committee on Ways and Means · HouseReported by · Markup by · Referred to
Senate Committee on Finance · SenateReferred to

Subjects

Congressional oversight
Government studies and investigations
Hospital care
Medicare

Senate · 100 House · 433

Model

v3defaultv2

Directional: count only breaks toward the other party Why do scores change?

How the House breaks down

73Swing 70–100
196Middle 30–70
158Entrenched 0–30
6Insufficient data not ranked

Members fall into . 6 representatives don’t have enough data yet and are marked “insufficient data”. Non-voting delegates are not counted. The bill is not before the House right now; these scores show where members would stand.

Key players in the House

Ranked by swing score, 0–100 · swing-v3, directional

: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.

Bars show each input from 0 to 100: ideology gap, scorecard gap, , and the . is the seat’s partisan lean, and shows how much of the input data a score has.

Similar past votes, House

Earlier behind swing-v3’s input

Similar votes count toward swing-v3 in the House: total similarity weight 8.5 (needs 5.0).

H.R. 498 · Dec 18, 2025 · Roll call 361On PassageDo No Harm in Medicaid Act
PassedSame policy area×0.5
H.R. 6703 · Dec 17, 2025 · Roll call 348On PassageLower Health Care Premiums for All Americans Act
PassedSame policy area×0.5
H.R. 2483 · Jun 4, 2025 · Roll call 150On PassageSUPPORT for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 2483 · Jun 4, 2025 · Roll call 149On Agreeing to the Amendment
FailedSame policy area×0.5
H.R. 8333 · Sep 9, 2024 · Roll call 1120On Motion to Suspend the Rules and Pass, as AmendedBIOSECURE Act
PassedSame policy area×0.5
H.R. 3843 · Mar 7, 2024 · Roll call 785On Motion to Suspend the Rules and PassAction for Dental Health Act
PassedSame policy area×0.5
H.R. 485 · Feb 7, 2024 · Roll call 758On PassageProtecting Health Care for All Patients Act
PassedSame policy area×0.5
H.R. 6918 · Jan 18, 2024 · Roll call 735On PassageSupporting Pregnant and Parenting Women and Families Act
PassedSame policy area×0.5

Show 9 more

H.R. 4531 · Dec 12, 2023 · Roll call 710On Motion to Suspend the Rules and Pass, as AmendedSupport for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 5378 · Dec 11, 2023 · Roll call 703On Motion to Suspend the Rules and Pass, as AmendedLower Costs, More Transparency Act
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 115On PassageTo terminate the requirement imposed by the Director of the Centers for Disease Control and Prevention for proof of COVID-19 vaccination for foreign travelers, and for other purposes
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 113On Agreeing to the Amendment

Cosponsors

8 active

Show all 8 cosponsors

Dwight Evans (D-PA-3)
Lloyd Smucker (R-PA-11)
Claudia Tenney (R-NY-24)
Mike Carey (R-OH-15)
Michael K. Simpson (R-ID-2)
Adrian Smith (R-NE-3)
Michelle Fischbach (R-MN-7)
Blake D. Moore (R-UT-1)

How the swing score works

Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.

Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.

Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.

Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.

Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.

Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.

1
Brian K. FitzpatrickRepublican · Pennsylvania 1st · Lean D+1House Committee on Ways and MeansOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
Committee
Broke with party on 24% of 17 similar votes
100Swing
ContactCall 202-225-4276 Website
2
Thomas R. SuozziDemocrat · New York 3rd · Lean EVENHouse Committee on Ways and MeansOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
Committee
Broke with party on 14% of 6 similar votes
95Swing
ContactCall
3
Jared F. GoldenDemocrat · Maine 2nd · Lean R+4On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 25% of 17 similar votes
95Swing
ContactCall 202-225-6306 Website
4
Marie Gluesenkamp PerezDemocrat · Washington 3rd · Lean R+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 25% of 17 similar votes
93Swing
ContactCall 202-225-3536 Website
5
Michael LawlerRepublican · New York 17th · Lean D+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 13% of 17 similar votes
92Swing
ContactCall 202-225-6506 Website
6
Don BaconRepublican · Nebraska 2nd · Lean D+3On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 11% of 16 similar votes
91Swing
ContactCall 202-225-4155 Website
7
Henry CuellarDemocrat · Texas 28th · Lean R+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 22% of 17 similar votes
91Swing
ContactCall 202-225-1640 Website
8
Thomas H. KeanRepublican · New Jersey 7th · Lean EVENOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 12% of 17 similar votes
90Swing
ContactCall 202-225-5361 Website
9
David G. ValadaoRepublican · California 22nd · Lean R+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 11% of 15 similar votes
89Swing
ContactCall 202-225-4695 Website
10
Donald G. DavisDemocrat · North Carolina 1st · Lean R+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 26% of 17 similar votes
89Swing
ContactCall 202-225-3101 Website