ad · vo · ca · cy
Noun. Public support for or recommendation of a particular cause or policy.

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PA's Can Now Serve as Hospice Attendings--

But the Centers for Medicare & Medicaid Services (CMS) Did Not go Far Enough!

PAHPM needs your support!

Thanks to our partners at AAPA and the National Coalition for Hospice and Palliative Care, CMS heard our concerns about limits to our ability to prescribe medications to our patients on hospice.

CMS has revised a rule to allow PAs to prescribe medications to our patients on hospice!

Click Here for PAHPM’s Official Comment and Response to the Rule

Click Here to see the specific CMS text addressing the rule change and the points on which CMS is asking the public to comment.

We are asking all to take time to comment by 9/27/19 and offer your support for the rule change, but also identify practical ways PAs can and are working with hospices every day, even with the regulatory limits we have faced for decades.

  • PAHPM agrees with CMS’s proposal “to revise § 418.106(b)(1) to permit a hospice to accept drug orders from a physician, NP, or PA. We propose that the PA must be an individual acting within his or her state scope of practice requirements and hospice policy.”
  • PAHPM respectfully disagrees, however, with the proposal to specifically limit reimbursing PAs with whom hospices may want to employ or contract
  •  PAHPM believes that PAs can provide meaningful involvement with hospice by providing complex symptom management and care for patients and families
  •  PAHPM believes PAs can be integral members to help run hospice interdisciplinary teams
  • PAHPM believes PAs should be allowed to do face-to-face visits for recertification just as our NP colleagues currently do

PAHPM has heard from hospices themselves that they would like to employ us to do the above--both in urban and rural areas where they are short clinical providers.

CMS wants to hear practical ways we can work for hospice and with hospice. 

They need to redefine the role of advance practice providers (APPs) on hospice teams, and this is our opportunity to be heard!

Again—review our PAHPM response, review the rule change itself, and see the comment links on the webpage!

Want to help more?!?

Forward PAHPM’s response to your PA colleagues, your organization/institution, local hospices and palliative care programs and encourage them to comment in support of PAs!

COMMENT by September 27th, 2019 !

PAHPM Needs your support in advancing our profession. 

This survey will collect vital data for support and advocacy of educational initiatives and policy issues – such as the proposed bipartisan federal legislation in both houses of Congress. Now that Hospice legislation has passed, the need to address education and further policy to address workforce issues is more paramount. We are on our way to success! 

In particular, the Public Health bill PCHETA (Palliative Care and Hospice Education and Training Act) in which PAs are explicitly named, is supported by both Houses of Congress. In addition to contacting your Senators and Representatives, add fuel to our initiative by filling out the survey.  Here is the link:

Over 600 responses so far: ADD YOUR VOICE TO OTHER PAS!

Please forward this needs-assessment survey to your peers, students, educators, and colleagues.

Board of Directors


The purpose of the guidelines is to improve access to quality palliative care by fostering consistent standards and continuity of care across settings. PAHPM is an endorsing organization of the guidelines so please join us in this national effort so that all people living with serious illness and their families will receive the best care possible.  

Learn more at and follow us @CoalitionHPC (#NCPGuidelines)

PAHPM is a Member of the: