What does Preamble of Protecting Seniors and Stopping Fraudsters Act do?

This bill aims to amend title XVIII of the Social Security Act The amendment provides for additional oversight of hospice programs The amendment also provides for additional oversight of home health agencies under the Medicare program

What does SHORT TITLE. of Protecting Seniors and Stopping Fraudsters Act do?

This bill is formally titled the Protecting Seniors and Stopping Fraudsters Act

What does REVALIDATING ENROLLMENT OF HOSPICE PROGRAMS IN CERTAIN STATES. of Protecting Seniors and Stopping Fraudsters Act do?

This section amends Section 1866(j) of the Social Security Act to add a new paragraph regarding the revalidation of hospice programs in certain states. If the Secretary determines new hospice programs in a state are subject to enhanced oversight, the Secretary must revalidate the enrollment of existing hospice programs in that state. Revalidation must occur no later than one year after a specified date, which is either the date of enactment of this paragraph or the effective date of the enhanced oversight requirement, whichever is later. The section also includes a technical correction to Section 1866(j)(3)(A) of the Social Security Act, amending a reference to 'title XIX. and' to 'title XIX, and'.

What does ADDITIONAL OVERSIGHT PROVISIONS FOR HOSPICE PROGRAMS. of Protecting Seniors and Stopping Fraudsters Act do?

This section amends the Social Security Act to increase oversight frequency for certain hospice programs. Newly enrolled, changed ownership, or reactivated hospice programs will be subject to surveys at least once every 12 months for the 36 months following those events, starting one year after enactment. Hospice programs failing to submit quality data or exhibiting aberrant behavior may also be subject to surveys within 18 months of the last survey. The Secretary has the authority to determine aberrant behavior through consultation with stakeholders and update those criteria every three years. To prevent duplicative surveys, a hospice program cannot be surveyed more than once every 18 months under this clause. The section modifies payment adjustments for hospice programs that do not submit quality data, extending the 4 percentage point reduction through fiscal years 2024-2028 and increasing it to 15 percentage points for fiscal years 2029 and beyond. Hospice programs demonstrating a good faith effort to submit data may be granted up to 30 days of additional time by the Secretary.

What does ADDITIONAL OVERSIGHT PROVISIONS FOR HOME HEALTH AGENCIES. of Protecting Seniors and Stopping Fraudsters Act do?

This section amends the Social Security Act to increase survey frequency for certain home health agencies. A standard survey of an agency shall be conducted not less frequently than once every 12 months during the 36-month period following enrollment, change of ownership, or reactivation of billing privileges. Agencies that do not submit quality data or display characteristics of fraudulent behavior may be subject to more frequent surveys. Payment adjustments will be made for agencies that do not submit quality data, with a reduction of 15 percentage points for 2029 and subsequent years.

What does ENHANCING ENROLLMENT SCREENING FOR HOSPICE PROGRAMS AND HOME of Protecting Seniors and Stopping Fraudsters Act do?

This section amends Section 1866(j)(2) of the Social Security Act. It adds requirements for hospice programs and home health agencies applying for enrollment, particularly those deemed at an extreme risk of fraud. Beginning one year after enactment, agencies at extreme risk of fraud must, in addition to existing screenings, require fingerprinting of the administrator and medical director (if fingerprinting is already included in screening) and provide evidence of a comprehensive liability insurance policy. The Secretary will determine if an agency is at extreme risk of fraud based on a determination made under clause (ii) and other factors the Secretary may specify. The Secretary will also determine if an agency is located in a high-risk area based on a significant increase in the number of hospice programs or home health agencies in a state or county compared to the preceding year.

What does ADDITIONAL SURVEY AND TRAINING REQUIREMENTS FOR ACCREDITATION of Protecting Seniors and Stopping Fraudsters Act do?

This section amends Section 1865 of the Social Security Act It adds requirements for national accreditation bodies to meet certain standards for survey procedures Surveyors must complete relevant training courses before serving on a survey team The Secretary must establish a mechanism to assess the performance of accredited bodies Deficient performance may result in corrective action, monitoring, or termination of approval

What does EXTENDING ADJUSTMENT TO CALCULATION OF HOSPICE CAP AMOUNT UNDER of Protecting Seniors and Stopping Fraudsters Act do?

This section amends Section 1814(i)(2)(B) of the Social Security Act. The amendment changes the year '2035' to '2036' in clause (ii) of the section. The amendment also changes the year '2035' to '2036' in clause (iii) of the section.

What does REQUIRING NOTICE REGARDING REVOCATION OF HOSPICE PROGRAM of Protecting Seniors and Stopping Fraudsters Act do?

This section amends the Social Security Act to require notice regarding revocation of hospice program election under Medicare. The Secretary must provide written notice to individuals within 15 calendar days after the effective date of such election. The notice must include the name, address, and telephone number of the hospice program and a description of the waiver of rights applicable.

What does REPORT ON PROGRAM INTEGRITY ACTIVITIES. of Protecting Seniors and Stopping Fraudsters Act do?

The Secretary of Health and Human Services must report to Congress on program integrity activities for hospice programs and home health agencies. The report must include information on reviews, audits, and trends related to improper payments. The report must also include enforcement actions taken and actions to reduce duplication of efforts.

Back to bills

Protecting Seniors and Stopping Fraudsters Act

Last updated: 5/21/2026 · Introduced: 5/19/2026

Author: Beth Van Duyne (R-TX)

TL;DR (AI)

The bill increases oversight frequency for certain hospice programs, requiring surveys at least once every 12 months for 36 months after enrollment, change of ownership, or reactivation.
Home health agencies will also face increased survey frequency, with standard surveys conducted at least once every 12 months during the 36-month period following enrollment or change of ownership.
Hospice programs and home health agencies deemed at extreme risk of fraud will be subject to enhanced enrollment screening, including fingerprinting and liability insurance requirements.
The bill establishes additional training requirements for accreditation surveyors and a mechanism to assess the performance of accredited bodies, with potential corrective action for deficient performance.
The bill allocates $100,000,000 from the Federal Hospital Insurance Trust Fund to support program integrity activities for hospice programs and home health agencies.

119th Congressin committeeOfficial page

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Includes provisions on preamble, short title., and 9 more.

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