HR 5439 United States House · 119th Congress

Medically Tailored Home-Delivered Meals Program Pilot Act

This bill creates a 6-year Medicare pilot program providing medically tailored home-delivered meals and nutrition counseling to specific high-risk Medicare patients after hospital discharge. It targets individuals with diet-impacted conditions (like diabetes or heart failure) who live at home, have limited mobility, and are at high risk of hospital readmission. Selected hospitals must meet quality standards, screen patients using approved tools, and deliver at least two meals daily meeting nutritional needs while respecting cultural/religious dietary requirements, all without patient cost-sharing. The program requires hospitals to submit data for the Secretary to evaluate health outcomes, readmission rates, and cost savings compared to non-participants. Funding comes from the Medicare Hospital Insurance Trust Fund, offset by reductions to other hospital payments to maintain budget neutrality.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2025
Committee Review
Floor Vote
President
Introduced Sep 17, 2025 Last action Sep 17, 2025
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3
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Committee
1
Sep 17, 2025
Committee
Referred to the House Committee on Ways and Means.
lower
Sep 17, 2025
Introduced
Introduced in House
lower
1 primary · 34 co-sponsors

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