Expanding Access to Palliative Care Act
Expanding Access to Palliative Care Act
Plain Language Summary
# Expanding Access to Palliative Care Act — Summary **What the Bill Would Do** This bill would require Medicare's innovation center to test a new program providing palliative care (comfort-focused medical care for serious illnesses) to Medicare patients. Under the program, teams of healthcare professionals would offer coordinated care available 24/7 to Medicare beneficiaries with serious conditions like cancer. The bill would replace an earlier palliative care program that ended in 2021. **Who It Affects** The primary beneficiaries would be Medicare patients—primarily seniors and some younger disabled individuals—who have serious illnesses or injuries.
The bill could also affect healthcare providers and Medicare itself by potentially changing how care is delivered and paid for. **Key Provisions** The program would require multidisciplinary teams (doctors, nurses, social workers, etc.) to provide coordinated care. Medicare's innovation center would need to evaluate whether the new model improves patient outcomes compared to standard care, measuring factors like hospice care usage and patient outcomes. **Current Status** The bill is currently in committee (S 1935, 119th Congress), sponsored by Senator Jacky Rosen (D-NV), meaning it has not yet been debated or voted on by the full Senate.
CRS Official Summary
Expanding Access to Palliative Care Act This bill requires the Center for Medicare and Medicaid Innovation (CMMI) to test a model that provides community-based palliative care and care coordination for high-risk Medicare beneficiaries and that may replace the Medicare Care Choices Model (which ended on December 31, 2021). Under the new model, multi-disciplinary teams must provide coordinated, palliative care that is available 24-7 for Medicare beneficiaries with serious illnesses or injuries, such as cancer. The CMMI must evaluate the model by comparing patients participating in the model with those outside of the model in relation to specified metrics, including the election and duration of hospice care.
Latest Action
Read twice and referred to the Committee on Finance.