II 118th CONGRESS 2d Session S. 3756 IN THE SENATE OF THE UNITED STATES February 7, 2024 Mr. Rubio (for himself, Mr. Carper , and Mrs. Blackburn ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To establish a new pilot program that would test coverage of outpatient observation services furnished outside a hospital under the Acute Hospital Care at Home initiative.

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 of 2024 . 2. Pilot program to include observation services in the Acute Hospital Care at Home initiative (a) In general Not later than 1 year after the date of enactment of this Act and subject to subsection (b), the Secretary of Health and Human Services in coordination with the Centers for Medicare and Medicaid Services shall establish a pilot program to test expanding the Acute Hospital Care at Home initiative described in section 1866G of the Social Security Act ( 42 U.S.C. 1395cc–7 ) to allow a hospital to furnish outpatient observation services to an individual at home in accordance with such requirements as the Secretary shall specify. (b) Required notification Notwithstanding any other provision of law, the Secretary may not waive the requirements of section 1866(a)(1)(Y) of the Social Security Act ( 42 U.S.C. 1395cc(a)(1)(Y) ) for hospitals participating in the pilot program.