H.R. 8883 · In committee · Health
Protecting Seniors and Stopping Fraudsters Act
Sponsor: Beth Van Duyne (R-TX)
What it does
- Subject hospice programs to revalidation within one year if located in a state with enhanced CMS oversight and not revalidated in the previous 18 months.
- Require newly enrolled or ownership-changed hospice programs and home health agencies to undergo surveys at least once every 12 months for 36 months.
- Impose additional surveys on hospice programs and home health agencies with unusual admission/discharge rates or that fail to submit required data to CMS.
- Apply larger payment reductions starting in FY2029 to hospice programs and home health agencies that fail to submit required data to CMS.
Official summary
Protecting Seniors and Stopping Fraudsters Act This bill establishes additional requirements for hospice programs and home health agencies under Medicare, particularly in relation to oversight and transparency. Specifically, the bill subjects hospice programs to revalidation within one year if the program (1) is located in a state in which new hospice programs are subject to enhanced oversight, as determined by the Centers for Medicare & Medicaid Services (CMS); and (2) has not been subject to revalidation over the previous 18 months. Additionally, hospice programs and home health agencies that are newly enrolled, have undergone a change in ownership, or have had billing privileges reactivated must undergo surveys at least once every 12 months over the 36-month period following their change in status. The bill also requires hospice programs and home health agencies that do not submit required data to the CMS or that have an unusual rate of admissions or discharges to undergo additional surveys. The bill also subjects hospice programs and home health agencies that fail to submit required data to the CMS to larger payment reductions beginning in FY2029. The CMS must identify…
Latest action
May 21, 2026: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 27 - 16.
Committee: House Ways and Means