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Hospice Care Reform: Enhanced Oversight, Transparency, and New Patient Benefits

This Act introduces strict oversight rules for hospices to prevent fraud and improve the quality of end-of-life care. Citizens will gain better access to information about facility ownership and new options for palliative chemotherapy or dialysis within hospice care.
Key points
A 5-year moratorium on new hospice enrollments, except in areas with insufficient access to care.
More frequent quality inspections for hospice programs, occurring every 18 months instead of every 3 years.
New covered benefits including palliative chemotherapy, radiation, blood transfusions, and dialysis.
Requirement to provide patients with a clear Explanation of Benefits (EOB) within 15 days of hospice election.
Allowing nurse practitioners and physician assistants to certify a patient's terminal illness.
Introduction of a new short-term home-based respite care option for patients and caregivers.
Public disclosure of hospice ownership information, including the role of private equity firms.
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Status:
Introduced
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Additional Information
Hospice CARE Act of 2026
Print number: HR 7966
Sponsor: Rep. Sánchez, Linda T. [D-CA-38]
Process start date: 2026-03-17