I 

118TH CONGRESS 

2D SESSION H. R. 10097 

To amend title XVIII of the Social Security Act to adjust the hospice 

program survey and enforcement procedures under the Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 1, 2024 

Ms. VAN DUYNE (for herself and Mr. PANETTA) introduced the following bill; 

which was referred to the Committee on Ways and Means 

A BILL 

To amend title XVIII of the Social Security Act to adjust 

the hospice program survey and enforcement procedures 

under the Medicare program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Enhancing Hospice 

5 Oversight and Transparency Act’’. 


ssavage on LAPJG3WLY3PROD with BILLS
2 

•HR 10097 IH

1 SEC. 2. ADJUSTING HOSPICE PROGRAM SURVEY AND EN2 FORCEMENT PROCEDURES UNDER THE 

3 MEDICARE PROGRAM. 

4 (a) SPECIAL FOCUS PROGRAM.—Section 1822(b) of 

5 the Social Security Act (42 U.S.C. 1395i–6(b)) is amend6 ed— 

7 (1) in paragraph (1), by inserting ‘‘, beginning 

8 not earlier than the date specified in paragraph 

9 (3),’’ after ‘‘shall’’; and 

10 (2) by adding at the end the following new 

11 paragraphs: 

12 ‘‘(3) DATE SPECIFIED.—For purposes of para13 graph (1), the date specified in this paragraph is— 

14 ‘‘(A) January 1, 2027, or 

15 ‘‘(B) the date on which a State or local 

16 survey agency, or an approved accreditation 

17 agency, has, during the most recent 36-month 

18 period specified in subsection (a), conducted at 

19 least 1 survey under such subsection with re20 spect to each entity that is certified as a hos21 pice program (as described in such subsection) 

22 as of the date of the enactment of the Enhanc23 ing Hospice Oversight and Transparency Act, 

24 whichever is earlier. 

25 ‘‘(4) FEEDBACK REPORTS.—On or after Janu26 ary 1, 2027, the Secretary may publicly identify a 


ssavage on LAPJG3WLY3PROD with BILLS
3 

•HR 10097 IH

1 hospice program that is selected for such special 

2 focus program as being so selected if, not later than 

3 60 days before such public identification, the Sec4 retary provides a confidential feedback report to 

5 such hospice program that includes the Secretary’s 

6 rationale for such selection.’’. 

7 (b) INCREASING PAYMENT REDUCTIONS FOR FAIL8 URE TO MEET QUALITY DATA REPORTING REQUIRE9 MENTS.—Section 1814(i)(5)(A)(i) of the Social Security 

10 Act (42 U.S.C. 1395f(i)(5)(A)(i)) is amended by striking 

11 ‘‘by 2 percentage points (or, for fiscal year 2024 and each 

12 subsequent fiscal year, 4 percentage points).’’ and insert13 ing ‘‘by— 

14 ‘‘(I) for fiscal years 2014 

15 through 2023, 2 percentage points; 

16 ‘‘(II) for fiscal years 2024 

17 through 2026, 4 percentage points; 

18 and 

19 ‘‘(III) for fiscal year 2027 and 

20 each subsequent fiscal year, 10 per21 centage points.’’. 

22 (c) INCREASING PUBLIC AWARENESS OF FAILURE

23 TO MEET QUALITY DATA REPORTING REQUIREMENTS.— 

24 Section 1814(i)(5)(E) of the Social Security Act (42 

25 U.S.C. 1395f(i)(5)(E)) is amended by inserting ‘‘the failVerDate Sep 11 2014 18:10 Nov 04, 2024 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H10097.IH H10097

ssavage on LAPJG3WLY3PROD with BILLS
4 

•HR 10097 IH

1 ure of a hospice program to submit such data under sub2 paragraph (C) and’’ after ‘‘The Secretary shall report’’. 

Æ 


ssavage on LAPJG3WLY3PROD with BILLS