Protecting Seniors and Stopping Fraudsters Act
Official title: To amend title XVIII of the Social Security Act to provide for additional oversight of hospice programs and home health agencies under the Medicare program, and for other purposes.
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Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 27 - 16.
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.
- Introduced in House Formatted Text PDF Formatted XML
- BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.
- AVENUE SOLUTIONS
- BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
- BLUE CROSS AND BLUE SHIELD ASSOCIATION
- BLUE CROSS BLUE SHIELD OF MICHIGAN
- GUIDEWELL MUTUAL HOLDING CORPORATION
Bodies those filers lobbied
- HOUSE OF REPRESENTATIVES
- SENATE
- Centers For Medicare and Medicaid Services (CMS)
- Office of Management & Budget (OMB)
- Health & Human Services, Dept of (HHS)
- Executive Office of the President (EOP)
- Labor, Dept of (DOL)
- White House Office
Cite this page
U.S. Congress. (2026). H.R. 8883: Protecting Seniors and Stopping Fraudsters Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-8883/
"H.R. 8883: Protecting Seniors and Stopping Fraudsters Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-8883/.
H.R. 8883, 119th Cong. (2026), https://openamerica.io/bill/119-HR-8883/.
[H.R. 8883: Protecting Seniors and Stopping Fraudsters Act](https://openamerica.io/bill/119-HR-8883/)