Policy Issue: Program Integrity

Our Position

Protecting care for patients and families is a top policy priority. We must ensure appropriate oversight and regulation to protect the quality of care hospice patients receive, via additional oversight of new and suspicious hospices to prevent bad actors from operating. 


Previous Legislation

  • 116th Congress (2019-2020): H.R. 5821: “Helping Our Senior Population in Comfort Environments” (HOSPICE) Act: This legislation would have addressed the concerns identified by the HHS Office of Inspector General about CMS monitoring of hospice, hospice survey deficiencies and patient harm. Provisions of the HOSPICE Act were included and passed within the Consolidated Appropriations Act, 2021 (H.R. 133).  
  • 116th Congress (2019-2020): S.2807: Hospice Care Improvement Act of 2019: This legislation would have included provisions that aim to increase reported hospice data, improve the hospice survey process and increase compliance of quality standards for hospice care.  


  • October, 2023: Comments in response to Request for Information from the House Budget Committee titled “Solutions to Improve Outcomes and Reduce Federal Health Care Spending in the Budget.” Comments discussed the need for continued policy that addresses hospice fraud.
  • August, 2023: Coalition Letter to CMS on Auditing of Medicare Hospice Benefit Claims.
  • June, 2023: Priority Issue at Hospice Action Week 2023 in Washington, D.C.
  • February, 2023: Coalition Meeting with CMS Administrator Chiquita Brooks-LaSure to share concerns and recommendations to address hospice program integrity issues.
  • November, 2022: Coalition Letter to CMS Administrator Chiquita Brooks-LaSure with a collaboratively created list of 34 recommendations to improve hospice program integrity policy and regulation.
  • February, 2020: Priority Issue at We Are Hospice event on Capitol Hill in Washington, D.C.