Literature Review

Here's how the federal funding freeze is impacting Kodiak organizations KMXT, Kodiak, AL; by Davis Hovey; 2/28/25 Billions of dollars in federal funding going to Alaska nonprofits and other entities are in jeopardy after a funding freeze implemented by the Trump administration. The fallout in Kodiak is impacting domestic violence shelters, agriculture programs and many other organizations. ... And then there are indirect impacts. For example, Hospice & Palliative Care of Kodiak relies partially on money from entities who have had their funding frozen. Hospice is a non-medical entity and the only one providing end-of-life services for those experiencing serious illness, death and bereavement in Kodiak. Executive director Diane Ibarra explained the organization’s funding structure during a local public affairs show, ... "So although we’re not directly reliant on federal funds, the people that often donate to us are. So if federal funding goes out the window, there goes our funding," Ibarra explained.

The Alliance commends introduction of legislation to extend hospice telehealth flexibilities  National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 2/28/25 The National Alliance for Care at Home (the Alliance) is pleased to support the reintroduction of the Hospice Recertification Flexibility Act in the House of Representatives. This bipartisan legislation, H.R.1720, would extend telehealth flexibilities for hospice face-to-face (F2F) recertification. The F2F encounter is performed by a physician or nurse practitioner to evaluate the patient and collect clinical information used in determining continued eligibility for hospice. Introduced by Representatives Carol Miller (R-WV) and Jared Golden (D-ME), the bill would extend the F2F recertification flexibility for providers until December 31, 2027. Beginning January 1, 2026, the legislation also includes important guardrails to ensure appropriate use and requires the Centers for Medicare & Medicaid Services (CMS) to create a modifier to collect data on when the F2F encounter is conducted via telehealth. The Alliance, then through its legacy organizations, worked with lawmakers to ensure continued care transformation and access to care for high-quality providers. [Click on the title's link to continue reading.]

House sets up potential Medicaid cuts with budget bill passage Modern Healthcare; by Michael McAliff; 2/25/25 Republicans in the House took the first step Tuesday [2/25] toward steep potential healthcare cuts, passing a budget resolution that aims to trim spending by at least $1.5 trillion while also adding trillions to the debt to fund tax cuts. The House voted 217-215 on nearly party lines to begin what is known as budget reconciliation, passing a budget resolution that instructs committees to come up with cuts or extend tax cuts that largely benefit the wealthy. The bill mandates the House Energy and Commerce Committee, which oversees Medicaid and Medicare, come up with the majority of the savings, and cut $880 billion.

[Argentina] Government dismantles National Cancer Institute’s Palliative Care Program Time.News; 2/24/25 As Javier Milei’s administration embarks on a controversial agenda aimed at reshaping Argentina’s public health system, a profound and alarming shift has taken place: the dismantling of the National Cancer Institute’s Palliative Care Program. This strategic move threatens the welfare of thousands of cancer patients and poses dire implications for the healthcare system at large.

Pennsylvania lawmaker introduces ‘No Patient Left Behind Act’ WHTM - PA Homepage; by Brady Doran; 2/19/25 A Pennsylvania lawmaker introduced a bill that would ensure hospitals have visitation policies that balance patient needs with public health protocol. According to Sen. Doug Mastriano (R-33), elderly patients left alone in hospitals experience faster physical and cognitive decline. The No Patient Left Behind Act, introduced by Mastriano, would ensure Pennsylvanians with medical treatment or end-of-life care have support by their sides. “Hospitals should be places of healing. However, for far too many, they have become places of loneliness, despair, and unnecessary suffering,” Mastriano said.

House budget resolution draft includes massive cuts to Medicaid spending McKnights Home Care; by Foster Stubbs and Liza Berger; 2/12/25As Republicans on Wednesday put forth a draft House budget resolution that includes reductions of at least $880 billion over 10 years to Medicaid, healthcare providers and advocates cried foul.  “This budget resolution is a five-alarm fire alert for our healthcare,” Families USA said in a statement. ... Katie Smith Sloan, the CEO and president of LeadingAge, issued in a statement earlier in the day about the need to protect services for older adults in maneuvering over budget reconciliation. She warned about the effects of trimming the federal government’s Medicaid share.  

New House resolution would throw out 2025 home health rule McKnights Home Care; by Liza Berger; 2/14/25 Rep. Andrew Clyde (R-GA) on Wednesday introduced a resolution for Congress to disapprove of the 2025 home health payment rule. The resolution was referred to the Committee on Ways and Means in addition to the Committee on Energy and Commerce. Home health providers and advocates have  been pushing for Congress to stop the rule, which gives an aggregate 0.5% bump for home health providers but inflicts a permanent behavioral adjustment of -1.975%. ...  In 2023, the National Association for Home Care & Hospice (now the National Alliance for Care at Home) sued the Department of Health and Human Services to block Medicare rate cuts. 

Mandated time off for bereavement gaining ground Altoona, PA; by Sarah Boden; 2/10/25 When his father died from COVID-19 in 2020, James Gerraughty didn’t have to choose between working and grieving. That’s because his employer provides three days of paid bereavement for the death of a parent. This gave Gerraughty enough time to drive from the Altoona area to Buffalo, New York, to collect his dad’s remains. ... Not everyone is so lucky. Pennsylvania doesn’t have a universal bereavement leave policy. Employers offer it at their discretion, meaning many workers can experience the death of a loved one but not get time off. Other states have filled this gap in labor law, to varying degrees. California, Colorado, Illinois, Maryland, Minnesota, Oregon and Washington all mandate some form of bereavement leave. ... It takes time to process a death. So not being able to take off work can threaten a person’s mental health and livelihood, said Nisha Bowman, a social worker in Pittsburgh for Monarch Hospice.[Click on the title's link to continue reading.] Editor's note: For national advocacy for bereavement care, examine Evermore.org.

Access tops list of Americans' healthcare concerns: 4 survey findings Becker's Clinical Leadership; by Erica Carbajal; 2/5/25A quarter of Americans rank healthcare access and affordability as the top public health priority they want government leaders to focus on, according to poll findings from Gallup and Emory University's Rollins School of Public Health. ... Four key findings:

UnitedHealth drops dismissal bid in US suit over Amedisys deal Bloomberg Law; by Justin Wise; 2/6/25 (additional subscription may be required)UnitedHealth Group Inc. is withdrawing its motion to dismiss the Justice Department’s lawsuit seeking to block its $3.3 billion acquisition of home-health and hospice services provider Amedisys Inc. and planning to fight the case at trial. In a Wednesday [2/5/25] filing in the US District Court for the District of Maryland, UnitedHealth and Amedisys said that new information provided by the Justice Department eliminated the basis for its request to toss the case at a preliminary stage. The firms previously argued the DOJ was withholding key geographic market information integral to its claim that the tie-up would stifle competition ...

DEA proposed telemedicine prescribing rule could burden hospice physicians and hospice operations Morgan Lewis, Washington, DC; by Howard J. Young, Jacob J. Harper, and Roshni Edalur; 1/27/25 Signaling a possible future approach to regulating Schedule II-V prescribing via telemedicine in lieu of in-person examinations, on January 17 the DEA issued a notice of proposed rulemaking regarding its next iteration of controlled substance prescribing controls. With comments due March 18, 2025, the Proposed Rule is not subject to the Trump administration’s executive order freeze on new proposed regulations. [Click on the title's link to continue reading.]

AHHC joins other state hospice advocates in legal challenge to Special Focus Program The Association for Home and Hospice Care of North Carolina (AHHCNC); Press Release; 1/23/25The Association for Home and Hospice Care of North Carolina (AHHCNC) has joined a multi-state coalition of hospices and hospice associations in challenging the federal government's implementation of the Hospice Special Focus Program (SFP), deeming it unlawful and arbitrary. The challengers are seeking a preliminary injunction to halt the SFP, citing patient safety concerns, misrepresentation of compliance records, and jeopardized access to high-quality end-of-life care. Congress directed CMS to establish the SFP to enhance enforcement for noncompliance hospices, but the Final Rule includes unrelated measures, heavily relying on survey data and other information not related to hospices’ compliance with Medicare requirements. Tim Rogers, President and CEO of AHHCNC, states:  "The approach CMS uses disadvantages well-established hospices and ignores Congress’s intent." [Click on the title's link to continue reading.] 

Health policy at a crossroads: What to watch in 2025Health Affairs; by Katie Keith; 1/21/25This article is the first in a new Health Affairs Forefront featured topic, “Health Policy at a Crossroads.” Articles in this topic will offer timely analysis of prominent regulatory, legislative, and judicial developments in health policy... 2025 could mark a major inflection point in health policy. Over the past four years, among many other changes, the nation rebounded from a once-in-a-generation pandemic; the uninsured rate reached a record low—with record enrollment across Medicare, Medicaid, and the Affordable Care Act marketplaces; Medicare beneficiaries began to see savings on prescription drugs; overdose deaths dropped; and women lost the right to reproductive choice under the US Constitution, leading to abortion bans in more than 20 states less than three years since the Supreme Court overturned Roe v. Wade.