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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.
Where it standsPassed House, now in the Senate14 senators score as swing votes
Passed House
- House: passedDec 1, 2025
- Senate: next
- President: not yet
Summary
, via Congress.govHospital 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.
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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
Model
Directional: count only breaks toward the other partyWhy do scores change?v3default (selected)v2 model swing-v2
How the Senate breaks down
- 14Swing 70–100
- 63Middle 30–70
- 23Entrenched 0–30
Members fall into . All 100 senators have enough data to score.
Key players in the Senate
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, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
8 activeShow 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.
