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Medicare pilot would test home-delivered meals for discharged patients

In markupH.R. 5439Latest action

Sponsor: James P. McGovern · Representative · MA

AIDecoded by AI · checked against the record
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Official title: Medically Tailored Home-Delivered Meals Program Pilot Act

119th Congress

Topics: Health care

Introduced:

Read the official bill on Congress.gov

In plain words

The plain-language version comes first. The official text is always the reference.

A 6-year Medicare pilot would test whether medically tailored meals for discharged patients reduce hospital readmissions.

50-second read · 5 questions answered below

What does this do?

This bill creates a 6-year Medicare pilot program offering medically tailored home-delivered meals and nutrition counseling to certain recently discharged patients. At least 40 hospitals would be selected to participate, providing meals and nutrition therapy for at least 12 weeks after discharge with regular follow-up check-ins.

Who does it affect?

The program affects Medicare Part A patients with diet-related chronic illnesses, such as diabetes, heart failure, kidney disease, or COPD, who live at home and have significant difficulty with daily activities. It also affects hospitals that choose to participate and must meet quality and screening standards.

Why does it matter?

The program's stated purpose is to determine whether this benefit improves patient health and lowers hospital readmission rates. HHS would track results and report to Congress after 3 years and again after 8 years.

What does it cost, and who pays?

  • Medicare pays hospitals for meals
  • patients pay no extra cost
  • hospital payments slightly reduced to offset

AI-drafted summary. Check it against the official text before you act on it.

Based on the “Introduced in House” text of Sep 17, 2025.

After that text, a committee agreed on Sep 16, 2026 to send the bill to the full chamber with changes. This plain-language version may not reflect them.

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Where does it stand?

  1. IntroducedSep 17, 2025
  2. House committeeYou are here · Sep 16, 2026
  3. House vote
  4. Senate
  5. The president's desk

Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.

Data as of October 9, 2026
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