1. Short title This Act may be cited as the At Home Observation and Medical Evaluation Services Act of 2024 or the At HOME Services Act . 2. Demonstration program for hospitals to provide outpatient observation services to Medicare beneficiaries at home Title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ) is amended by inserting after section 1866G the following new section: 1866H. Demonstration program for hospitals to provide outpatient observation services at home (a) In general Not later than 1 year after the date of enactment of this section, the Secretary shall implement a 2-year demonstration program (in this section referred to as the Program ) for hospitals to provide outpatient observation services to eligible beneficiaries in the homes of such beneficiaries. In implementing such Program, the Secretary shall grant waivers and flexibilities (as described in subsection (b)) to an individual hospital that submits a request for such waivers and flexibilities and meets specified criteria (as described in subsection (c)) in order to participate in the Program. (b) Waivers and flexibilities For the purposes of subsection (a), the waivers and flexibilities described in this paragraph are the following waivers and flexibilities that were made available to individual hospitals under the Acute Hospital Care at Home initiative of the Secretary during the emergency period described in section 1135(g)(1)(B): (1) Subject to subsection (c)(2), waiver of the requirements to provide 24-hour nursing services on premises and for the immediate availability of a registered nurse under section 482.23(b) of title 42, Code of Federal Regulations (or any successor regulation), and the waivers of the physical environment and Life Safety Code requirements under section 482.41 of title 42, Code of Federal Regulations (or any successor regulation). (2) Waiver of the telehealth requirements under clause (i) of section 1834(m)(4)(C), as amended by section 4113(a) of the Health Extenders, Improving Access to Medicare,