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Federal hospice survey and enforcement authority

Federal law and CMS survey guidance anchor hospice oversight through standard surveys, public transparency, remedies for noncompliance, and fraud-referral signals.

Federal · Effective · Effective Jul 4, 2026

What it is

What changed
42 U.S.C. 1395i-6 sets hospice survey frequency, public transparency, special-focus-program, and enforcement-remedy authority. CMS QSO-25-06-Hospice reinforces survey consistency and fraud-referral indicators, while CMS has separately ceased CY 2025 Hospice Special Focus Program implementation pending further evaluation.
Why it matters
Hospice is often delivered in the home with family caregivers as the daily safety net. The corpus needs a federal enforcement anchor for complaints, surveys, public transparency, and quality-of-care concerns without overstating the paused CY 2025 special-focus implementation.
Who it touches
Family caregivers, Care providers and plans, People receiving care, Businesses and agencies that must complyMedicare hospice patients, family caregivers, hospice providers, state survey agencies, accrediting organizations

Sources

Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.