With Hospital at Home programs, hospitals can deliver inpatient-level care in patients’ homes. Three THOT members — University Health, Parkland Health, and Harris Health — are among the 400 hospitals and health systems nationwide that operate these innovative, patient-centered programs.
Authority for such programs originally was granted as a COVID-19 public health emergency (PHE) waiver. With the end of the PHE in 2023, Hospital at Home authority has been extended multiple times through Continuing Resolutions, most recently in November 2025 to extend authority through the end of January 2026.
THOT supports making permanent the authority to operate hospital at home programs.
2023 Legislative Outcome
House Bill 1890 – Passed
In addition to federal authorization, state authority for hospital-at-home programs is needed. HB 1890, by Rep. Jacey Jetton (R-Katy), created that authority in 2023. The bill was effective with the Governor’s signature on May 27, 2023. Read more.

