The At HOME Services Act would create a two-year demonstration program allowing hospitals to provide observation services to Medicare beneficiaries in their homes rather than in hospital facilities. The program would grant participating hospitals regulatory flexibility in areas like nurse staffing requirements, physical environment standards, and telehealth rules, while still requiring them to maintain the same standard of care as inpatient hospital settings. Hospitals would need to meet safety standards, provide data to monitor quality and costs, and ensure their patient selection criteria are appropriate. The Secretary of Health and Human Services must implement the program within one year of the bill's enactment, and within one year after the program ends, must publish a study comparing outcomes, costs, and patient experiences between home-based and hospital-based observation services, with results made available on Medicare.gov.
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