Social Security Act (42 U.S.C. 1395w–4(s)(1)) is amend-
ed by adding at the end the following new subparagraph: 
‘‘(G) END-OF-LIFE SUBDOMAINS RELATING 
TO QUALITY DOMAINS.—Within one or more ap-
propriate quality domains, the Secretary shall 
establish subdomains relating to end-of-life 
care, including subdomains relating to each of 
the following: 
‘‘(i) The process of eliciting and docu-
menting goals, preferences, and values of 
the patient (and, where relevant and ap-
propriate, family caregiver) regarding end- 
of-life care from the patient or from a le-
gally authorized representative, including 
the articulation of goals that accurately re-
flect how the patient wants to live. 
‘‘(ii) The effectiveness, patient-cen-
teredness (and, where relevant, family 
caregiver-centeredness), and accuracy of 
end-of-life care plans, including docu-
mentation of individual goals, preferences, 
and values. 
‘‘(iii) Agreement and consistency with 
respect to end-of-life care among— 
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‘‘(I) patient’s goals, values, and 
preferences; 
‘‘(II) any documented care plan; 
and 
‘‘(III) the care delivered.’’. 
(b) INCORPORATING QUALITY MEASURES ON END- 
OF-LIFE CARE FOR POST-ACUTE CARE (PAC).—Section 
1899B of the Social Security Act (42 U.S.C. 1395lll) is 
amended— 
(1) in subsection (a)(2)(E)(i)— 
(A) by striking ‘‘and’’ at the end of sub-
clause (IV); 
(B) by striking the period at the end of 
subclause (V) and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subclause: 
‘‘(VI) with respect to the domain 
described in subsection (c)(1)(F) (re-
lating to end-of-life care)— 
‘‘(aa) for PAC providers de-
scribed in clauses (ii), (iii), and 
(iv) of paragraph (2)(A), October 
1, 2018; and 
‘‘(bb) for PAC providers de-
scribed in clauses (i) of such 
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paragraph, January 1, 2019.’’; 
and 
(2) in subsection (c)(1), by adding at the end 
the following new subparagraph: 
‘‘(F) The effectiveness, patient-centered-
ness (and, where relevant, family caregiver-cen-
teredness), and accuracy of end-of-life care 
plans and communications relating to such 
plans, including— 
‘‘(i) documentation of a patient’s 
goals, preferences, and values; and 
‘‘(ii) agreement and consistency with 
respect to end-of-life care among— 
‘‘(I) patient’s goals, values, and 
preferences; 
‘‘(II) any documented care plan; 
and 
‘‘(III) the care delivered.’’. 
SEC. 7. ANNUAL REPORT ON MEDICARE DECEDENTS. 
The Secretary of Health and Human Services shall 
issue for each fiscal year (beginning no later than fiscal 
year 2018) an annual report that analyzes the cir-
cumstances of Medicare beneficiaries who died during the 
fiscal year covered by such report. Such analysis shall in-
clude at least the following with respect to such decedents: 
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(1) Information on the care or payor settings 
(such as under part A or part C of Medicare) at the 
time of death. 
(2) Information on the demographic character-
istics of such decedents. 
(3) Information on the geographic distribution 
of such decedents. 
(4) An evaluation of the Medicare claims data 
for such decedents for services furnished in the last 
year of life, including an analysis of the setting of 
care for decedents who had more than one chronic 
illness at the time of death. 
(5) Such other information as the Secretary 
deems appropriate. 
SEC. 8. GRANTS TO INCREASE PUBLIC AWARENESS OF AD-
VANCE CARE PLANNING. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall award grants to increase public 
awareness of advance care planning. Such grants shall be 
awarded under such terms and conditions as the Secretary 
shall specify. 
(b) TYPES OF GRANTS.—Grants under this section 
may provide for the development of— 
(1) decision support tools and instructional ma-
terials for individuals, family caregivers, and health 
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care providers that include the importance of plan-
ning for treatment decisions, discussing values and 
goals related to catastrophic injury or illness, and 
completing an advance directive; and 
(2) materials for individuals that presents the 
importance of articulating goals of care, under-
standing disease diagnosis and prognosis, evaluating 
treatment options, and developing a plan of care, 
and documenting the treatment plan. 
(c) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
for the 5-fiscal-year period beginning with fiscal year 2017 
$20,000,000, to remain available until expended. 
SEC. 9. ADVANCE CARE PLANNING AND PALLIATIVE CARE 
EDUCATION AND TRAINING. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall award grants to eligible entities to 
develop and implement programs and initiatives to train 
and educate individuals to provide advance care planning, 
advance illness care, hospice care, and palliative care in 
hospital, hospice, home, community, and long-term care 
settings. 
(b) ELIGIBLE ENTITIES.—For purposes of this sec-
tion, eligible entities may be a medical school, a nursing 
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