119th Congress · introduced in the House · Feb 27, 2025
Hospice Recertification Flexibility Act
Official title from Congress.gov
Latest action (Feb 27, 2025): Referred to the House Committee on Ways and Means.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Feb 27, 2025)
Hospice Recertification Flexibility Act
This bill extends until December 31, 2027, the ability of physicians and nurse practitioners to fulfill certain requirements for hospice care recertification under Medicare via telehealth.
Specifically, physicians and nurse practitioners may continue to fulfill the requirement of a face-to-face encounter with the hospice patient via telehealth. Such telehealth encounters must be identified with a specialized claims modifier for purposes of billing.
The bill's authorization does not apply (1) in areas in which there has been a moratorium for at least six months on the enrollment of new hospice programs under Medicare, Medicaid, or the Children's Health Insurance Program (CHIP) due to fraud, waste, or abuse; (2) to providers who are subject to enhanced oversight under Medicare, Medicaid, or CHIP; and (3) to practitioners who are not enrolled as Medicare providers and who have private contracts with Medicare patients that do not meet applicable opt-out requirements.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Referred to the House Committee on Ways and Means.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
Health care coverage and access · Health technology, devices, supplies · Long-term, rehabilitative, and terminal care · Medicare
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
44 citations; showing the 25 most recently posted.
VITAS HEALTHCARE CORPORATION · lobbying firm or registrant: VITAS HEALTHCARE CORPORATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$230,000
Spent on own lobbying
…ecial Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ATA ACTION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$86,949
Spent on own lobbying
…, Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Educ…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE · lobbying firm or registrant: THE NICKLES GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…ecial Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
THE NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: THE NICKLES GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealt…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ADVANCED POLICY CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · amended · posted Oct 14, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE CORPORATION · lobbying firm or registrant: VITAS HEALTHCARE CORPORATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$230,000
Spent on own lobbying
…ecial Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE · lobbying firm or registrant: THE NICKLES GROUP, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…ecial Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
THE NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: THE NICKLES GROUP, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealt…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ADVANCED POLICY CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ATA ACTION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 15, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…, Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Educ…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
THE NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: THE NICKLES GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealt…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE CORPORATION · lobbying firm or registrant: VITAS HEALTHCARE CORPORATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$205,000
Spent on own lobbying
…dicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues re…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
COMPASSION & CHOICES · lobbying firm or registrant: THE RABEN GROUP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720); Expanding Access to Palliative Care Act (S. 1935); Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237; PCHETA (S. 2287/H.R.4425); Improving Access to A…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
COMPASSION & CHOICES · lobbying firm or registrant: THE RABEN GROUP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: District of Columbia
$20,000
Paid to lobbying firm
Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720); Expanding Access to Palliative Care Act (S. 1935); Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237; PCHETA (S. 2287/H.R.4425); Improving Access to A…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE · lobbying firm or registrant: THE NICKLES GROUP, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…dicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues re…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ATA ACTION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…, Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Educ…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ADVANCED POLICY CONSULTING, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 14, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
COMPASSION & CHOICES · lobbying firm or registrant: THE RABEN GROUP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1 Expanding Access to Palliative Care Act: S. 1935 Hospice Inpatient Modernization Act: H.R. 4313 / S.…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
COMPASSION & CHOICES · lobbying firm or registrant: THE RABEN GROUP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: District of Columbia
$20,000
Paid to lobbying firm
Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1 Expanding Access to Palliative Care Act: S. 1935 Hospice Inpatient Modernization Act: H.R. 4313 / S.…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE CORPORATION · lobbying firm or registrant: VITAS HEALTHCARE CORPORATION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$205,000
Spent on own lobbying
…enefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues re…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE · lobbying firm or registrant: THE NICKLES GROUP, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…enefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues re…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
THE NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: THE NICKLES GROUP, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 19, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealt…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ADVANCED POLICY CONSULTING, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 17, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ATA ACTION · lobbying firm or registrant: ATA ACTION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 16, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…, Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Educ…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VITAS HEALTHCARE CORPORATION · lobbying firm or registrant: VITAS HEALTHCARE CORPORATION
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$230,000
Spent on own lobbying
…enefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues re…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing