Literature Review

Hospice telehealth once again endangered as federal shutdown looms  Hospice News; by Jim Parker; 1/28/26 The prospect of another government shutdown could result in the expiration of COVID-era telehealth flexibilities. The government experienced a lengthy shutdown in November 2025, which ended with the passing of the Continuing Appropriations Act of 2026. That bill not only funded the government through Jan. 30, but it also extended the telehealth flexibilities to that date. Now, a further extension sits in limbo as congressional lawmakers spar along partisan lines. If a new shutdown occurs, it would likely be partial, according to Logan Hoover, vice president of policy and government relations for the National Alliance for Care at Home.

Protecting patients at the end of life: Why CON still matters / part one, with Tim Rogers and Paul A. Ledford Teleios Collaborative Network (TCN); podcast/video hosted by Chris Comeaux with Time Rogers and Paul A. Ledford; 1/28/26 Certificate of Need (CON) laws remain one of the most debated—and misunderstood—regulatory frameworks in healthcare.  In this in-depth conversation, Chris Comeaux is joined by two of the nation’s most respected Hospice association leaders: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.

Gerald’s Law reintroduced in Congress to permanently protect veterans’ burial benefits National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 1/22/26 Representatives Bergman (R-MI) and Budzinski (D-IL) formally reintroduced Gerald’s Law as a standalone bill to permanently protect burial benefits for veterans who receive Veterans Affairs (VA) furnished hospice care outside of a VA facility. The National Alliance for Care at Home (the Alliance) applauds this bi-partisan effort to close a critical gap in benefits impacting seriously-ill veterans and their families. 

Top legal challenges for the health care industry in 2026 JD Supra; by Roxana Bokaei, Michele Gipp, David S. Greenberg, Gayland Hethcoat II, Brian Schneider, Jessica Sprovtsoff, Kathryn Steffen, Jill Steinberg, Hillary Stemple, Stephanie Trunk; 1/22/26 With 2026 underway, the AFS Health Care team highlights some of the most pressing legal issues facing the health care industry this year.

Some Americans to get Social Security benefits faster under new bill Newsweek; by Suzanne Blake; 1/16/26 A new Social Security bill has been proposed that would allow some Americans to get their benefits sooner. ... Why It Matters: Traditionally, Social Security disability recipients get paid on a specific schedule monthly after waiting a five-month period to earn their benefits. However, for terminally ill beneficiaries, this five-month delay can be especially burdensome and affect their quality of life before they inevitably die from their disease.

Increased criminal and civil enforcement by DOJ for skin substitutes in wound care JD Supra; by Tanisha Palvia, Jenn Sugar, Moore & Van Allen PLLC; 1/15/26 The Department of Justice recently announced, “[i]n the first [criminal] prosecution of its kind,” that husband and wife owners of wound graft companies were sentenced to 14.5 and 15 years imprisonment respectively for causing over $1.2 billion in false claims to be submitted to Medicare Part B and other federal health care programs for medically unnecessary wound grafts. ... The massive scheme had medically untrained sales representatives find elderly Medicare beneficiaries, often in hospice care, with any kind of wound.

[Updates] New York expected to enact medical aid in dying law in 2026 Nixon Peabody; Press Release; 12/29/25 Explore key amendments and compliance steps in the amended bill, which is expected to take effect in 2026. What’s the impact?

Translating the value of palliative transfusions for patients with blood cancers into high-quality end-of-life careJAMA Network Open; by Pamela Egan, Dana Guyer; 11/25Studies have described how patients with blood cancers enroll in hospice care at lower rates than patients with solid tumor cancers, receive more futile chemotherapy, are more likely to seek emergency care at the EOL [end of life] , are more likely to be treated in intensive care units, and are more likely to die in hospital settings than their counterparts with solid tumors. The Medicare hospice benefit is structured in such a way that providing transfusions is cost prohibitive for hospice agencies. It is time to heed the call from the American Society of Hematology and palliative care and hospice agencies nationwide to revise the Medicare hospice benefit such that patients with blood cancers can receive hospice care as soon as their cancer-directed treatments are no longer valuable without sacrificing the quality-of-life–sustaining transfusions. This will be an important step toward ensuring high-quality EOL care for patients with hematologic malignant neoplasms.

Gov. Hochul reaches agreement with NY Legislature to pass Medical Aid in Dying Act NBC News 10, Rochester/Albany, NY; by Evan Bourtis; 12/17/25 Gov. Kathy Hochul has reached an agreement with the New York State Legislature to allow medical aid in dying for terminally ill people. ... Hochul announced the agreement and published an op-ed in the Times Union on Wednesday. In the op-ed, Hochul said she proposed changes to the bill’s language, which sponsors and legislative leaders have agreed to include. She said she’ll sign the bill once the legislature returns to Albany. You can read the op-ed here. ...  Hochul wanted more protections in the bill’s language. Here is the updated list of safeguards in the bill: ...

House passes legislation that extends acute hospital care at home program through 2030 Health IT Answers | Industry News; 12/15/25 ATA Action, the advocacy arm of the American Telemedicine Association, comments on the U.S. House passing the U.S. House of the Hospital Inpatient Services Modernization Act (H.R. 4313) recently, which extends the Acute Hospital Care at Home (AHCaH) program through 2030. This is an important step to avert another lapse of essential care for Medicare patients on January 30, 2026. ... “In a solid show of bipartisan support, the House passed legislation under suspension, to ensure that millions of Medicare beneficiaries will continue to have access ..."

GUIDE and beyond: Strategies for comprehensive dementia care integrationJournal of the American Geriatrics Society; by Kristin Lees Haggerty, David B Reuben, Rebecca Stoeckle, David Bass, Malaz Boustani, Carolyn Clevenger, Ian Kremer, David R Lee, Madelyn Johnson, Morgan J Minyo, Katherine L Possin, Quincy M Samus, Lynn Spragens, Lee A Jennings, Gary Epstein-Lubow; 10/25The Centers for Medicare & Medicaid Services' (CMS) Guiding an Improved Dementia Experience (GUIDE) Model represents a landmark opportunity to improve outcomes for persons with dementia and their caregivers and scale comprehensive dementia care through a structured service delivery and alternative payment approach.  Drawing from the experiences of six previously tested programs ... we describe a four-step approach to enable successful adoption and implementation: identifying key leaders and partners, preparing a tailored value proposition, initiating program start-up, and ensuring sustainable implementation. We highlight practical tools and resources to address operational challenges, including electronic health record integration, reimbursement strategies, and staff training. By focusing on evidence-based models, health systems and other providers can accelerate implementation, reduce costly emergency and institutional care, and deliver high-quality, person-centered support. This approach can help to empower GUIDE participants and others to build effective, durable, scalable comprehensive dementia care systems, ultimately advancing the goal of establishing such care as a permanent Medicare benefit.

Bipartisan senators: Keep hospice out of Medicare Advantage Hospice News; by Jim Parker; 11/21/25 Two U.S. Senators have penned a letter to congressional leadership urging them to oppose any measures to bring hospice reimbursement into Medicare Advantage. Sens. Dr. Roger Marshall (R-Kan.) and Sheldon Whitehouse (D-R.I.) circulated the letter on Thursday, addressed to Senate leaders from both major political parties, as well as the chair and ranking member of the Senate Finance Committee. 

[United Kingdom] Warning issued as palliative care in England is ‘failing to meet people’s needs’ Independent; by Ella Pickover; 11/27/59 Palliative care services in England are "failing to meet people’s needs", a new parliamentary report has warned. Commissioned by MPs on the House of Commons Health and Social Care Committee, the findings attribute these shortcomings primarily to "insufficient funds" for services providing end-of-life and life-limiting condition care. The report highlighted that bereavement support for loved ones, while "valuable", is "frequently inaccessible". It also noted that palliative care patients and their families are "too rarely given the opportunity to plan effectively for the future". Painting a picture of services under "significant strain", the document cautions that health and care provisions are "ill-equipped" to address end-of-life needs, citing "insufficient" education and training.Editor's Note: Our ongoing distribution of posts from the United Kingdom report financial cuts from the UK government, resulting in insufficient funds to provide adequate staffing, facilities, supplies, and more. Want to learn more? Subscribers can login to your account and use the "Search Articles" field to find other posts, based on keywords you enter.