119th Congress · introduced in the Senate · Jun 3, 2025
Expanding Access to Palliative Care Act
Official title from Congress.gov
Latest action (Jun 3, 2025): Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Jun 3, 2025)
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.
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.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Actions from Congress.gov, newest first.
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.
47 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
…ation Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medica…
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
…ation Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medica…
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
…tion Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medica…
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
…26 H.R. 7199 - Gerald's Law Act S. 3898 - Gerald's Law Reauthorization Act of 2026 H.R. 4425 / S. 2287 - Palliative 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 Fraudste…
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
AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$40,000
Spent on own lobbying
…ation Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to C…
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
AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$40,000
Spent on own lobbying
…ation Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to C…
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
AMERICAN COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$230,000
Spent on own lobbying
…ation Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to C…
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
AMERICAN COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$230,000
Spent on own lobbying
…ation Deferred Interest (REDI) Act S. 1380 - Specialty Physicians Advancing Rural Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S.1816/H.R.3514 - Improving Seniors Timely Access to C…
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
…26 H.R. 7199 - Gerald's Law Act S. 3898 - Gerald's Law Reauthorization Act of 2026 H.R. 4425 / S. 2287 - Palliative 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 Fraudste…
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
…ation Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medica…
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
…ation Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medica…
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
…tion Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medica…
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
AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Medicare/Medicaid
$30,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$30,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
AMERICAN COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
AMERICAN COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$240,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
…tion Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 11…
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
…es to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025;H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026,as it relates to Medicare extenders. H.R. 7148 (P.L. 119…
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 Advance Care Planning Act (S.2865)
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 Advance Care Planning Act (S.2865)
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
…s to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 11…
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
AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Medicare/Medicaid
$20,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Health Issues
$20,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
AMERICAN COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Medicare/Medicaid
$260,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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
AMERICAN COLLEGE OF SURGEONS · lobbying firm or registrant: AMERICAN COLLEGE OF SURGEONS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Health Issues
$260,000
Spent on own lobbying
…Care (SPARC) Act S. 2031 - Workforce Mobility Act S. 1595 - Improving Police Critical Aid for Responding to Emergencies (CARE) Act S. 1410 - Find it Early Act S. 1935 - Expanding Access to Palliative Care Act H.R. 2191 - Physician Led and Rural Access to Quality Care Act S. 106/H.R. 539 - Chiropractic Medicare Coverage Moder…
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