Introduced in House
Hospice Recertification Flexibility Act
SEC. 1. SHORT TITLETrack this section →
This Act may be cited as the Hospice Recertification Flexibility Act.
SEC. 2. EXTENSION OF CERTAIN TELEHEALTH FLEXIBILITIESTrack this section →
Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 1395f(a)(7)(D)(i)(II)) is amended— (1) by striking ending on March 31, 2025 and inserting ending on December 31, 2027; and (2) by inserting, except that this subclause shall not apply in the case of such an encounter with an individual occurring on or after January 1, 2026, if such individual is located in an area that has been subject to a moratorium on the enrollment of hospice programs under this title pursuant to section 1866(j)(7) for a period of not less than 6 months, if such individual is receiving hospice care from a provider that is subject to enhanced oversight under this title pursuant to section 1866(j)(3), or if such encounter is performed by a hospice physician or nurse practitioner who is not enrolled under section 1866(j) and is not an opt-out physician or practitioner (as defined in section 1802(b)(6)(D)) before the semicolon.
SEC. 3. ESTABLISHMENT OF MODIFIER FOR RECERTIFICATIONS OF HOSPICE CARE ELIGIBILITY CONDUCTED THROUGH TELEHEALTHTrack this section →
Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 1395f(a)(7)(D)(i)(II)), as amended by section 2, is further amended by inserting, but only if, in the case of such an encounter occurring on or after January 1, 2026, any hospice claim includes 1 or more modifiers or codes (as specified by the Secretary) to indicate that such encounter was conducted via telehealth after as determined appropriate by the Secretary.