119th Congress · introduced in the House · May 19, 2026
Protecting Seniors and Stopping Fraudsters Act
Official title from Congress.gov
Latest action (May 21, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 27 - 16.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (May 19, 2026)
Protecting Seniors and Stopping Fraudsters Act
This bill establishes additional requirements for hospice programs and home health agencies under Medicare, particularly in relation to oversight and transparency.
Specifically, the bill subjects hospice programs to revalidation within one year if the program (1) is located in a state in which new hospice programs are subject to enhanced oversight, as determined by the Centers for Medicare & Medicaid Services (CMS); and (2) has not been subject to revalidation over the previous 18 months.
Additionally, hospice programs and home health agencies that are newly enrolled, have undergone a change in ownership, or have had billing privileges reactivated must undergo surveys at least once every 12 months over the 36-month period following their change in status. The bill also requires hospice programs and home health agencies that do not submit required data to the CMS or that have an unusual rate of admissions or discharges to undergo additional surveys. The bill also subjects hospice programs and home health agencies that fail to submit required data to the CMS to larger payment reductions beginning in FY2029.
The CMS must identify hospice programs and home health agencies that are located in a state or county for which the total number of such programs and agencies significantly exceeds the totals for the previous year. The CMS must flag these programs and agencies as being at extreme risk of fraud and institute additional screening requirements, including fingerprinting requirements for certain personnel.
No cosponsors.
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.
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 27 - 16.
Committee Consideration and Mark-up Session Held
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
Congressional oversight · Employment and training programs · Fraud offenses and financial crimes · Government trust funds · Health care coverage and access · Health programs administration and funding · Home and outpatient care · 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 23, 2026.
24 citations.
BLUE CROSS AND BLUE SHIELD OF KANSAS INC · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…ocial Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: AVENUE SOLUTIONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
H.R. 8883, Protecting Seniors and Stopping Fraudsters Act; Medicare Home Health benefit; Medicaid Home and Community-Based Services (HCBS) benefits; Medicare Hospice ben…
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
BLUE CROSS AND BLUE SHIELD OF FLORIDA INC · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$100,000
Spent on own lobbying
…ocial Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
BLUE CROSS AND BLUE SHIELD ASSOCIATION · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$1,240,000
Spent on own lobbying
…ocial Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
BLUE CROSS BLUE SHIELD OF MICHIGAN · lobbying firm or registrant: BLUE CROSS BLUE SHIELD OF MICHIGAN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$276,347
Spent on own lobbying
…ocial Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
GUIDEWELL MUTUAL HOLDING CORPORATION · lobbying firm or registrant: GUIDEWELL MUTUAL HOLDING CORPORATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
Amount not reported
…ocial Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. View filing
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
…26, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966,Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI)…
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
ADDUS HOMECARE · lobbying firm or registrant: MEHLMAN CONSULTING, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…Issues related to the rule issued by the Centers for Medicare & Medicaid Services titled "Medicaid Program Ensuring Access to Medicaid Services (CMS-2442-F)". H.R.8883 - Protecting Seniors and Stopping Fraudsters Act. Issues related to Medicare and Medicaid program integrity related to home care, hospice, and personal care se…
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
…6, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Final Rule including the Service and Spending Variation Index (SSVI)…
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
…6, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Final Rule including the Service and Spending Variation Index (SSVI)…
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
NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATL ASSN FOR HOME CARE & HOSPICE) · lobbying firm or registrant: NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$620,000
Spent on own lobbying
…Care and Hospice Education and Training Act S. 1935 - Expanding Access to Palliative Care Act H.R. 8375 / S. 4384 - Medicare Advantage Improvement Act of 2026 H.R. 8883 - Protecting Seniors and Stopping Fraudsters Act Home Health and Hospice Nationwide Moratoria Hospice Service and Spending Variation Index (SSVI) CY 2027 Home…
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: I STREET ADVOCATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 6, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…counter required during recertification of hospice eligibility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters Act; H.R.7966/S. 4118 - Hospice CARE Act of 2026
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
BLUE CROSS AND BLUE SHIELD OF FLORIDA INC · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$80,000
Spent on own lobbying
…To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATL ASSN FOR HOME CARE & HOSPICE) · lobbying firm or registrant: NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE)
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$610,000
Spent on own lobbying
…Care and Hospice Education and Training Act S. 1935 - Expanding Access to Palliative Care Act H.R. 8375 / S. 4384 - Medicare Advantage Improvement Act of 2026 H.R. 8883 - Protecting Seniors and Stopping Fraudsters 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
NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: AVENUE SOLUTIONS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
H.R. 8883, Protecting Seniors and Stopping Fraudsters Act; Medicare Home Health benefit; Medicaid Home and Community-Based Services (HCBS) benefits; Medicare Hospice ben…
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
BLUE CROSS AND BLUE SHIELD ASSOCIATION · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$990,000
Spent on own lobbying
…To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
GUIDEWELL MUTUAL HOLDING CORPORATION · lobbying firm or registrant: GUIDEWELL MUTUAL HOLDING CORPORATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$20,000
Spent on own lobbying
…To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
…6, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
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
BLUE CROSS BLUE SHIELD OF MICHIGAN · lobbying firm or registrant: BLUE CROSS BLUE SHIELD OF MICHIGAN
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$276,347
Spent on own lobbying
…To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R.8883 - Protecting Seniors and Stopping Fraudsters Act To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and ho…
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
…6, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.
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
…6, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.
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
ADDUS HOMECARE · lobbying firm or registrant: MEHLMAN CONSULTING, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…Issues related to the rule issued by the Centers for Medicare & Medicaid Services titled "Medicaid Program Ensuring Access to Medicaid Services (CMS-2442-F)". H.R.8883 - Protecting Seniors and Stopping Fraudsters Act. Issues related to Medicare and Medicaid program integrity related to home care, hospice, and personal care se…
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: I STREET ADVOCATES
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 9, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
…bility - H.R.4206/S. 1261 - CONNECT for Health Act of 2025; issues around hospice payment and benefits legislation; H.R. 3467 a bill concerning hospice and MA; H.R. 8883 The Protecting Seniors and Stopping Fraudsters 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
BAYADA HEARTS FOR HOMECARE · lobbying firm or registrant: BAYADA HEARTS FOR HOMECARE
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 9, 2026 · issue area: Medicare/Medicaid
$50,000
Spent on own lobbying
…pment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates. H.R.5142 - Home Health Stabilization Act of 2025. Advocacy on CMS legislation. H.R.8883 - Protecting Seniors and Stopping Fraudsters 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