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Hospice CARE Act of 2026

H.R. 7966 Rep. Linda Sánchez (D-CA-38) In committee
Bill text PDF
  1. Introduced Mar 17
  2. Committee Mar 17
  3. Passed House Next
  4. Passed Senate Not yet
  5. To President Not yet
  6. Law Not yet
Where it stands
In committee, Mar 17, 2026Next: House vote
225d ago Mar 17, 2026: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Final votes
No roll callsNo recorded vote on this bill yet
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1company, 1 filing
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Summary

This bill amends the Social Security Act to reform Medicare hospice care, focusing on integrity, oversight, and payment changes. It imposes a nationwide moratorium on new hospice enrollment for five years, with exemptions for areas lacking access, and requires prepayment medical review for certain hospices. It also mandates revalidation of enrollment information and a report on hospice ownership trends.

Sec. 2, Ensuring the integrity of hospice care: The bill imposes a 5-year nationwide moratorium on enrolling new hospice programs, with exemptions for programs serving areas with insufficient access. It requires prepayment medical review for routine home care furnished by aberrant hospices to long-stay patients, and mandates revalidation of all hospice enrollment information within 6 months, with ownership data published online. It extends enhanced oversight for newly-enrolled hospices to up to 2 years, and requires surveys every 18 months for certain hospices, including new ones or those with aberrant claims. It also prohibits Medicare payment to hospices that fail to submit quality data starting in fiscal year 2028, and requires physician certifications of terminal illness to be independent of the hospice.

Sec. 3, Payment reforms for hospice care: The bill adjusts payment rates for hospice care, specifying that for fiscal year 2030, routine home care payments will be split into a per diem and a per visit amount, with rates updated in specified fiscal years (2030, 2035, 2040). It creates a higher payment rate (400% of the 2027 rate) for specified hospice care like palliative chemotherapy or dialysis from 2027 to 2032, subject to conditions. It allows outlier payments for routine home care starting in 2032, capped at 5% of total payments and 10% per hospice. It requires plans of care for specified hospice care to be established by an independent oncologist or nephrologist. It also excludes home health aide and homemaker services from hospice care for individuals not in a skilled nursing or nursing facility.

Summary of the bill text as introduced in House (Mar 17, 2026), generated by SecBot from the official bill text; the Library of Congress summary is not yet published.

Official record from Congress.gov, the House Clerk and the Senate; lobbying from Lobbying Disclosure Act filings. Updated Oct 28, 2026.