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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Enhancing Hospice 
Oversight and Transparency Act’’. 
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SEC. 2. ADJUSTING HOSPICE PROGRAM SURVEY AND EN-
FORCEMENT 
PROCEDURES 
UNDER 
THE 
MEDICARE PROGRAM. 
(a) SPECIAL FOCUS PROGRAM.—Section 1822(b) of 
the Social Security Act (42 U.S.C. 1395i–6(b)) is amend-
ed— 
(1) in paragraph (1), by inserting ‘‘, beginning 
not earlier than the date specified in paragraph 
(3),’’ after ‘‘shall’’; and 
(2) by adding at the end the following new 
paragraphs: 
‘‘(3) DATE SPECIFIED.—For purposes of para-
graph (1), the date specified in this paragraph is— 
‘‘(A) January 1, 2027, or 
‘‘(B) the date on which a State or local 
survey agency, or an approved accreditation 
agency, has, during the most recent 36-month 
period specified in subsection (a), conducted at 
least 1 survey under such subsection with re-
spect to each entity that is certified as a hos-
pice program (as described in such subsection) 
as of the date of the enactment of the Enhanc-
ing Hospice Oversight and Transparency Act, 
whichever is earlier. 
‘‘(4) FEEDBACK REPORTS.—On or after Janu-
ary 1, 2027, the Secretary may publicly identify a 
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hospice program that is selected for such special 
focus program as being so selected if, not later than 
60 days before such public identification, the Sec-
retary provides a confidential feedback report to 
such hospice program that includes the Secretary’s 
rationale for such selection.’’. 
(b) INCREASING PAYMENT REDUCTIONS FOR FAIL-
URE TO MEET QUALITY DATA REPORTING REQUIRE-
MENTS.—Section 1814(i)(5)(A)(i) of the Social Security 
Act (42 U.S.C. 1395f(i)(5)(A)(i)) is amended by striking 
‘‘by 2 percentage points (or, for fiscal year 2024 and each 
subsequent fiscal year, 4 percentage points).’’ and insert-
ing ‘‘by— 
‘‘(I) 
for 
fiscal 
years 
2014 
through 2023, 2 percentage points; 
‘‘(II) 
for 
fiscal 
years 
2024 
through 2026, 4 percentage points; 
and 
‘‘(III) for fiscal year 2027 and 
each subsequent fiscal year, 10 per-
centage points.’’. 
(c) INCREASING PUBLIC AWARENESS OF FAILURE 
TO MEET QUALITY DATA REPORTING REQUIREMENTS.— 
Section 1814(i)(5)(E) of the Social Security Act (42 
U.S.C. 1395f(i)(5)(E)) is amended by inserting ‘‘the fail-
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ure of a hospice program to submit such data under sub-
paragraph (C) and’’ after ‘‘The Secretary shall report’’. 
Æ 
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