Hospital-at-Home Programs in Limbo Awaiting Congressional Extension

Healthcare Innovation September 12, 2025
David Raths

CMS official acknowledges that piecemeal approach to extensions is challenging for program operations and long-term planning

Key Highlights

• The hospital-at-home waiver, allowing hospital-level care in patients’ homes, is set to expire on Sept. 30, risking program shutdowns in 39 states.
• Congress has extended the waiver multiple times, but long-term legislative solutions are still uncertain, creating planning challenges for hospitals.
• If the waiver lapses Sept. 30, patients in home-based care must be transitioned back to brick-and-mortar hospitals or have discharge plans in place.

Unless Congress acts by Sept. 30, the Acute Hospital Care at Home (AHCaH) waiver that allows hospitals to provide hospital-level care in patients’ homes will expire, disrupting programs in 39 states. If no waiver extension happens...

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