Literature Review

8 years later, Ohio takes another look at ‘medical aid in dying.’ Will this time be different? Cleveland.com, Columbus, OH; by Mary Frances McGown; 4/26/26 Eight years after similar legislation stalled at the Statehouse, Ohio lawmakers are again weighing whether terminally ill residents should be able to determine the timing of their death. Rep. Eric Synenberg this week introduced legislation to legalize “medical aid in dying” in Ohio, allowing mentally competent adults with a terminal diagnosis and six months or less to live to hasten their deaths by taking a lethal dose of medication prescribed by a physician. ... Recent public polling has shown that most Americans are open to medical aid in dying, and advocates say that public education on the subject has improved since the last legislative battle. Yet opposition to such legislation is also strong, particularly among the religious.

NPHI statement on “Protecting Patients and Taxpayers: Cracking Down on Medicare Fraud” hearingNational Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 4/22/26 The National Partnership for Healthcare and Hospice Innovation (NPHI) supports the continued focus by Congress and the Administration on addressing fraud, waste, and abuse within the Medicare hospice benefit. NPHI’s policy team, led by Ethan McChesney and joined by Quin Lyons, attended the House Ways & Means Full Committee hearing titled “Protecting Patients and Taxpayers: Cracking Down on Medicare Fraud,” on April 21, reinforcing NPHI’s active engagement on this issue. ... “Fraud in hospice is not a theoretical concern – it is happening in real time, and patients and families are paying the price,” said Tom Koutsoumpas, Founder and CEO of NPHI. “We are seeing entire markets impacted by actors who have no connection to the communities they claim to serve. These fraudulent actors must be rooted out of the system — at once.

Hospice Fraud Briefing: one page summaryLund Person & Associates Hospice Consulting; by Judi Lund Person; 4/16/26 Download this one-page, detailed summary of Top Cases, Total Losses, and Dominant Schemes from April 2025-2026.

Kelly, DelBene introduce Concurrent Care for Comfort Act U.S. Representative Mike Kelly, Washington, DC; Press Release; 4/20/26 Today, U.S. Representatives Mike Kelly (R-PA), a member of the Ways & Means Subcommittee on Health, and Suzan DelBene (D-WA) introduced the Concurrent Care for Comfort Act, legislation that seeks to improve patient care and outcomes for Americans on Medicare who receive dialysis treatment. Currently, Americans living with end stage renal disease (ESRD) are not permitted to continue their dialysis treatment under Medicare to enter palliative hospice care. This legislation would amend Medicare policy to allow for Americans to continue their treatment, enter hospice, and be with their family pain-free.

Sessions introduces bill to fight fraud and promote accountability in federally funded programs U.S. Committee on Oversight and Government Reform, Washington, DC; Press Release; 4/16/26 Subcommittee on Government Operations Chairman Pete Sessions (R-Texas) introduced the Fraud Prevention and Accountability Act (H.R. 8312) to expand the U.S. Treasury Fiscal Service’s financial and program integrity services and ensure the Pandemic Response Accountability Committee’s (PRAC) anti-fraud data analysis capabilities and resources are maintained in a permanent Inspectors General office. ... Read the bill text here.

Nonprofit granted property tax exemption SWVA Today / Richlands News-Press, Richlands, VA; by Jim Talbert; 4/13/26 Legacy Hospice and Palliative Care will not pay property taxes, the Board of Supervisors unanimously decided following a public hearing at its Apr. 7 meeting. Several citizens spoke in support of the move, which will save the organization about $7,094 annually. ... A nonprofit serving the counties of Tazewell, Bland, Dickenson, Buchanan, and Russell, Legacy [Viriginia] was granted a tax exemption for its recently acquired property in Cedar Bluff on the basis of providing a "benevolent service" to Tazewell County. Previously, Legacy had rented a building. At the meeting, citizens provided personal testimonies of their experiences with Legacy. 

New measure likely to relax antipsychotic prescribing for certain hospice patients McKnights Home Care; by John Roszkowski; 4/8/26 Appropriate prescribing of antipsychotic medications to hospice patients no longer will negatively affect skilled nursing facilities’ quality ratings under a new federal rule change, potentially opening the door for SNFs to accept more hospice patients. The Centers for Medicare and Medicaid Services recently revised its Long-Stay Antipsychotic Quality measure to exclude residents receiving hospice services from the measure denominator for quality reporting. As a result, antipsychotic use for hospice residents will not influence a SNF’s Five-Star Quality Measure score.

Attorney General Bonta dismantles Los Angeles hospice fraud ring responsible for $267 million in fraud, 21 charged Office of the Attorney General California Department of Justice - Rob Bonta, Los Angeles, CA; Press Release; 4/29/26 California Attorney General Rob Bonta, together with the California Department of Health Care Services (DHCS), today announced charges filed against 21 suspects and the dismantling of a major hospice fraud scheme that defrauded California of $267 million. Operation Skip Trace resulted in the arrest of five people after ten different locations were searched in Southern California. In addition, two handguns and over $757,000 in cash were seized. “This isn’t a political game for us. This is about protecting taxpayer dollars, protecting the programs that sick and vulnerable Californians rely on, and protecting our state,” said Attorney General Rob Bonta. 

Finding rare agreement on fixing the health care affordability crisisPenn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 4/7/26 In a rare display of bipartisan alignment, former Obama administration advisor Ezekiel Emanuel and Trump policy architect Brian Blase declared that the U.S. health care system is being choked by “perverse incentives” and monopolistic practices. ...

Proposed Rule: FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements. CMS-1851-P DisplayRegulations.gov -  An official website of the United States Government | CMS; 4/6/26 This proposed rule would update the hospice wage index, payment rates, and aggregate cap for Fiscal Year 2027; include an analysis of Medicare non-hospice spending, and proposes requirements that hospices provide the hospice election statement addendum to all Medicare beneficiaries. Additionally, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes RFI on community palliative care services; hospice specific wage index construction; and the overlap between hospice and medical aid in dying. Finally, this rule proposes changes to the Hospice Quality Reporting Program. In commenting, please refer to file code. CMS-1851-P.

California targeted in House Committee investigation of hospice fraud

Oversight Committee launches investigation into rampant taxpayer fraud in California hospice programs U.S. Committee on Oversight and Government Reform, Washington, DC; Press Release; 3/23/26Following alarming reports that California officials failed to properly safeguard federal funds, House Committee on Oversight and Government Reform Committee Chairman James Comer (R-Ky.) and Oversight Committee Republicans today launched an investigation into rampant taxpayer fraud in California’s hospice programs. In a letter to California Governor Gavin Newsom, the lawmakers emphasized that the Newsom administration has been aware of state audit reports of hospice fraud for at least four years but has failed to prevent or detect it and has enabled hospice providers to defraud the American taxpayer and exploit vulnerable patients. The Oversight Committee is now requesting documents and communications regarding California’s oversight and internal controls to detect and prevent fraud for its federally funded hospice programs.

Hearing on “Improving kidney health through better prevention and innovative treatment” U.S. House Committee on Ways and Means Subcommittee on Health; written testimony fo Dr. Robert Taylor; 3/18/26