Inside the Medicare Advantage Reform Act

A bill currently before Congress seeks to overhaul aspects of the Medicare Advantage program. Rep. David Schweikert (R-Ariz.) recently introduced the Medicare Advantage Reform Act. If enacted, the bill, numbered H.R. 3467, would make wholesale changes to the Medicare Advantage (MA). A key provision of the bill is a proposed requirement that MA plans pay […]

Proposed Bill Would Require MA to Pay for Hospice Care 

Rep. David Schweikert (R-Ariz.) has introduced the Medicare Advantage Reform Act, which among other provisions would require health plans to pay for hospice care. If enacted, the bill, numbered H.R. 3467, would make wholesale changes to the Medicare Advantage program. It would mandate capitated payment models, change risk adjustment methodologies and create new exemptions for […]

Wisconsin State Assembly Approves Bill Establishing Palliative Care Council

The Wisconsin State Assembly has approved a bill requiring the state’s Department of Health Services (DHS) to create a statewide palliative care council. A group of 22 palliative clinical professionals, patients and family members would comprise the council to help address care delivery issues and raise awareness in the field. The council would also include […]

[UPDATED] Advocacy Groups: Medicaid Cuts Would Adversely Impact Home-, Community-Based Services

A tax bill currently before Congress could lead to Medicaid cuts that would inhibit access to home- and community-based services (HCBS). The bill, which promises sweeping tax and spending cuts, currently is undergoing a reconciliation process. The amount of tax cuts could reach $4.5 trillion, with spending cuts in the area of $4.5 billion, with […]

How Illinois Plans to Fine Tune End-of-Life, Palliative Care

The State of Illinois legislature is advancing bills that would provide additional support for patients nearing the end of life. The Illinois General Assembly’s House of Representatives has advanced four bills related to hospice and palliative care that were recently cleared by a legislative committee. They pertain to issues like medication delivery, advance care planning […]

New Pediatric Hospice Coming to Fruition, Pushing for Legislation to Improve Access

Founders of a new Iowa-based pediatric hospice facility have recently pushed legislation forward to help improve the availability of end-of-life support for terminally ill children and their families. Mason’s Light House is anticipated to open in 2027 or 2028, depending on state licensing processes and funding, according to Shanna Sieck, founder and board president of […]

New Law Extends Telehealth Flexibilities Another 6 Months

Pandemic-related telehealth flexibilities set to expire March 31 have recently been extended for another six months as federal lawmakers approve a continuing resolution to fund the government and avoid a shutdown. Congress has passed the Full-Year Continuing Appropriations and Extensions Act 2025 (FY2025), which allowed for continuation of several public health, Medicare and Medicaid authorities […]

State Legislators Propose New Bill to Combat Hospice Fraud in Hotbed Region

Nevada lawmakers have introduced a bill to curb hospice fraud in that state. Nevada is among the four hotbed states seeing escalating program integrity issues in recent years, joined by Arizona, California and Texas. Sponsored by Assemblymember Rebecca Edgeworth (R-Las Vegas, District 35), the newly proposed bill introduced a number of measures that could widen […]

Congress Mulls Bill to Extend Hospice Recertification Via Telehealth

Federal lawmakers have introduced legislation designed to extend a key telehealth flexibility beyond a March 31 termination date. Reps. Carol Miller (R-West Virginia) and Jared Golden (D-Maine) have reintroduced the Hospice Recertification Flexibility Act. If enacted, the bill would allow hospices to conduct face-to-face recertification visits via telehealth. “As patients enter into hospice care, it’s […]