Federal Bills That ​Address P.A.'s In Palliative Care And Hospice Legislation​ (2017)


HR2797 - P​atient C​hoice and Q​uality C​are A​ct of 2017 (Blumenauer,  D-OR)

This is in the Senate as well, S.1334 which has identical wording regarding PAs:

 “To amend title XVIII of the Social Security Act to provide for advanced illness care coordination services for Medicare beneficiaries, and for other purposes. It defines INTERDISCIPLINARY TEAM: “includes at least one physician who is board certified in geriatrics, internal medicine, or family medicine advance practice registered nurse, or physician assistant, who is a palliative specialist (defined as having a certification in hospice and palliative care) or who has at least one year’s experience providing hospice or palliative care; and one social worker; may include a chaplain, minister, or pastoral counselor; other direct care personnel (including pharmacists, dieticians, physical therapists, occupational therapists, and psychotherapists).”

H.R.3119 - Palliative Care and Hospice Education and Training Act  (PCHETA)

(https://www.congress.gov/bill/115th-congress/house-bill/3119/text) )
This is in the Senate as well, S.693 which has similar wording  for PA advanced training:

To amend the Public Health Service Act to increase the number of permanent faculty in palliative care at accredited allopathic and osteopathic medical schools, nursing schools, social work schools, and other programs, including physician assistant education programs, to promote education and research in palliative care and hospice, and to support the development of faculty careers in academic palliative medicine.​

HR 1284 - ​Medicare Patient Access to Hospice Act of 2017  PASSED FEBRUARY, 2018!!


To amend title XVIII of the Social Security Act to provide “for the recognition of attending physician assistants as attending physicians to serve hospice patients, and to amend the bill by inserting “or a physician assistant” after “a nurse practitioner”.


PAs Invited to Help Draft Updated Guidelines for Palliative Care

National Consensus Project for Quality Palliative Care Invites PAs 

to Help Set Palliative Care Standards

May 12, 2017 – PAHPM (Physician Assistants in Hospice and Palliative Medicine), with the support of AAPA, have been unanimously accepted as the 9th collaborative partner within the National Consensus Project (NCP). The NCP is a task force of the National Coalition of Hospice and Palliative Care (NCHPC); its objective is to “heighten awareness of palliative care as an option for treating those with a life-limiting or debilitating illness, condition, or injury, and to raise public understanding of the growing need for such care.”

The NCP Task Force work began in 2002 with four original Coalition Organizations and over that time has developed and disseminated three versions of the Clinical Practice Guidelines for Quality Palliative Care (2004, 2009, and 2013). These guidelines have served as a framework for the National Quality Forum Preferred Practices and have become the hallmark document within the field guiding policy makers, providers, practitioners, and consumers in understanding the principles of quality palliative care.

The Guidelines will be updated to reflect the growing role of palliative care in serving patients and their families in non-acute care settings; home-based, skilled nursing facilities, and via video/telehealth models, among other milieus. By having PAs represented in the coalition updating the guidelines, the role PAs can and do play in providing quality palliative care to our patients throughout the lifespan and in all practice settings will be recognized and validated. This will not only help advocate for our profession within the specialty, but will also improve the health and quality of life for our patients.

For more details and information on the National Consensus Project, please go to www.nationalcoalitionhpc.org.