PalliativeCare&HospiceEducationandTrainingAct

H.R.3119/S.2748Background: Palliative care improves quality, controls cost, and enhances patient and familysatisfactionfortherapidlyexpandingpopulationofindividualswithseriousorlife-threateningillness.In2000,lessthanone-quarterofU.S.hospitalshadapalliativecareprogram,comparedwithnearlythree-

quarters in 2013. This growth comes in response to the increasing numbers and needs of Americans living with serious,complexandchronicillnessesandtherealitiesofthecareresponsibilitiesfacedbytheirfamilies.Palliativecareisarelativelynewmedicalspecialty,andmoremustbedonetoensurepatientsandprovidersunderstandthebenefitsofpalliativecareandthat an adequate palliative care workforce is available to provide the comprehensive symptom management, intensivecommunicationandlevelofcoordinationofcarethataddressestheepisodicandlong-termnatureofserious,chronicillness.

BillSummaryPalliative Care and Hospice Education Centers: Establishes Palliative Care and Hospice Education Centers to improve thetrainingofinterdisciplinaryhealthprofessionalsinpalliativecare;developanddisseminatecurricularelatingtopalliativecare;support the training and retraining of faculty; support continuing education; provide students with clinical training inappropriatesitesofcare;andprovidetraineeshipsforadvancedpracticenurses.

Physician Training: Authorizes grants or contracts to schools of medicine, teaching hospitals and GME programs to trainphysicians(includingresidents,trainees,andfellows)whoplantoteachpalliativemedicine.Suchprogramswillprovidetraininginpalliativemedicinethroughavarietyofservicerotations,suchasconsultationservices,acutecareservices,extendedcarefacilities, ambulatory care and comprehensive evaluation units, hospice, home health, and community care programs.Programswillberequiredtodevelopspecificperformance-basedmeasurestoevaluatethecompetencyoftrainees.

AcademicCareerAwards:EstablishesaprogramtopromotethecareerdevelopmentofphysicianswhoareboardcertifiedorboardeligibleinHospiceandPalliativeMedicineandhaveajunior(non-tenured)facultyappointmentatanaccreditedschoolofmedicine.Eligible individualsmustprovideassuranceofa full-timefacultyappointment inahealthprofessions institutionandcommittospendamajorityoffundedtimeteachinganddevelopingskillsininterdisciplinaryeducationinpalliativecare.

WorkforceDevelopment:Establishes fellowship programswithin thenewPalliative Care andHospice Education Centers toprovide short-term intensive courses focused on palliative care. Supporting the team approach to palliative care, thefellowshipswill provide supplemental training for facultymembers inmedical schoolsandotherhealthprofessions schools,including pharmacy, nursing, social work, chaplaincy and other allied health disciplines in an accredited health professionsschoolorprogram(suchasaphysicianassistanteducationprogram)soproviderswhodonothaveformaltraininginpalliativecarecanupgradetheirknowledgeandskillsforthecareofindividualswithseriousorlife-threateningillnessaswellasenhancetheirinterdisciplinaryteachingskills.

Career IncentiveAwards:Providesgrantsorcontracts foreligiblehealthprofessionalswhoagreetoteachorpractice inthefield of palliative care for at least 5 years. Eligible individuals include: advanced practice nurses, social workers, physicianassistants,pharmacists,orstudentsofpsychologywhoarepursuingadoctorate,masters,orotheradvanceddegreewithafocusinpalliativecareorrelatedfieldsinanaccreditedhealthprofessionsschool.

NurseTraining: Createsspecialpreferences inexistingnurseeducation law forhospiceandpalliativenursing, ineducation,practiceandqualitygrants,workforcedevelopment,andnurseretentionprojects.

PalliativeCareEducationandAwareness: Providesfortheestablishmentofanationalcampaignto informpatients,familiesand health professionals about the benefits of palliative care and the services that are available to support patients withserious or life-threatening illness. Directs the dissemination of information, resources and materials about palliative careservices to health professionals and the public in a variety of formats, in consultation with professional and patientstakeholders.

EnhancedResearch:Usingexistingauthoritiesandfunds,directsNIHtoexpandnationalresearchtoexpandandimprovethedeliveryofpalliativecaretopatientswithseriousillness.

PatientQualityOfLife.org

PalliativeCare&HospiceEducationandTrainingAct(H.R.3119)Sponsors: Congressman Eliot Engel (D-NY-16) & Congressman Tom Reed (R-NY-23)

Rep. Amodei, Mark E. [R-NV-02] Rep. Ashford, Brad [D-NE-02] Rep. Barletta, Lou [R-PA-11] Rep. Barr, Andy [R-KY-06] Rep. Beatty, Joyce [D-OH-03] Rep. Benishek, Dan [R-MI-1] Rep. Bera, Ami [D-CA-7] Rep. Bishop, Sanford D., Jr. [D-GA-2] Rep. Blum, Rod [R-IA-1] Rep. Blumenauer, Earl [D-OR-02] Rep. Bonamici, Suzanne [D-OR-1] Rep. Bordallo, Madeleine Z. [D-GU] Rep. Boustany, Charles W., Jr. [R-LA-3] Rep. Brady, Robert A. [D-PA-1] Rep. Brooks, Susan W. [R-IN-5] Rep. Brownley, Julia [D-CA-26] Rep. Bustos, Cheri [D-IL-17] Rep. Cardenas, Tony [D-CA-29] Rep. Carson, Andre [D-IN-7] Rep. Cartwright, Matthew [D-PA-17] Rep. Castor, Kathy [D-FL-14] Rep. Clarke, Yvette D. [D-NY-06] Rep. Clay, Wm. Lacy [D-MO-1] Rep. Cleaver, Emanuel [D-MO-05] Rep. Coffman, Mike [R-CO-06] Rep. Cohen, Steve [D-TN-09] Rep. Collins, Chris [R-NY-27] Rep. Conyers, John, Jr. [D-MI-13] Rep. Cook, Paul [R-CA-08] Rep. Costello, Ryan A. [R-PA-6] Rep. Cramer, Kevin [R-ND-At Large] Rep. Cummings, Elijah E. [D-MD-07] Rep. Curbelo, Carlos [R-FL-26] Rep. Davis, Rodney [R-IL-13] Rep. Davis, Susan A. [D-CA-53] Rep. DeGette, Diana [D-CO-1] Rep. Delaney, John K. [D-MD-6] Rep. DeLauro, Rosa L. [D-CT-03] Rep. DelBene, Suzan K. [D-WA-1] Rep. DeSaulnier, Mark [D-CA-11] Rep. Dent, Charles [R-PA-15] Rep. Deutch, Theodore E. [D-FL-21] Rep. Dingell, Debbie [D-MI-12] Rep. Doggett, Lloyd [D-TX-35] Rep. Dold, Robert J. [R-IL-10] Rep. Doyle, Michael F. [D-PA-14] Rep. Duncan, John J., Jr. [R-TN-2] Rep. Edwards, Donna F. [D-MD-04] Rep. Ellmers, Renee L. [R-NC-2] Rep. Emmer, Tom [R-MN-06] Rep. Eshoo, Anna G. [D-CA-18] Rep. Esty, Elizabeth H. [D-CT-5] Rep. Farenthold, Blake [R-TX-27] Rep. Farr, Sam [D-CA-20] Rep. Fattah, Chaka [D-PA-2] Rep. Fitzpatrick, Michael G. [R-PA-08] Rep. Flores, Bill [R-TX-17] Rep. Fortenberry, Jeff [R-NE-1] Rep. Foster, Bill [D-IL-11] Rep. Frankel, Lois [D-FL-22] Rep. Frelinghuysen, Rod P. [R-NJ-11] Rep. Garamendi, John [D-CA-03] Rep. Gibbs, Bob [R-OH-07] Rep. Gibson, Chris [R-NY-19]

Rep. Graves, Sam [R-MO-06] Rep. Grayson, Alan [D-FL-09] Rep. Green, Gene [D-TX-29] Rep. Grijalva, Raul M. [D-AZ-3] Rep. Guinta, Frank C. [R-NH-01] Rep. Guthrie, Brett [R-KY-02] Rep. Hanna, Richard [R-NY-22] Rep. Harper, Gregg [R-MS-03] Rep. Hastings, Alcee L. [D-FL-20] Rep. Heck, Joseph J. [R-NV-3] Rep. Higgins, Brian [D-NY-26] Rep. Honda, Michael M. [D-CA-17] Rep. Huffman, Jared [D-CA-2] Rep. Israel, Steve [D-NY-3] Rep. Jackson Lee, Sheila [D-TX-18] Rep. Jeffries, Hakeem S. [D-NY-8] Rep. Jenkins, Evan H. [R-WV-3] Rep. Jenkins, Lynn [R-KS-02] Rep. Johnson, Eddie Bernice [D-TX-30] Rep. Jolly, David [R-FL-13] Rep. Jones, Walter B., Jr. [R-NC-03] Rep. Joyce, David P. [R-OH-14] Rep. Katko, John [R-NY-24] Rep. Keating, William R. [D-MA-09] Rep. Kelly, Robin L. [D-IL-2] Rep. Kennedy, Joseph P., III [D-MA-4] Rep. Kildee, Daniel T. [D-MI-5] Rep. Kind, Ron [D-WI-03] Rep. King, Pete [R-NY-02] Rep. Kinzinger, Adam [R-IL-16] Rep. Kirkpatrick, Ann [D-AZ-1] Rep. Knight, Stephen [R-CA-25] Rep. Kuster, Ann M. [D-NH-02] Rep. Lamborn, Doug [R-CO-05] Rep. Lance, Leonard [R-NJ-07] Rep. Langevin, James R. [D-RI-2] Rep. Larson, John B. [D-CT-01] Rep. Ros-Lehtinen, Ileana [R-FL-27] Rep. Lewis, John [D-GA-5] Rep. Lieu, Ted [D-CA-33] Rep. Lipinski, Daniel [D-IL-03] Rep. LoBiondo, Frank A. [R-NJ-02] Rep. Loebsack, David [D-IA-02] Rep. Lofgren, Zoe [D-CA-19] Rep. Lowenthal, Alan [D-CA-47] Rep. Lujan Grisham, Michelle [D-NM-01] Rep. Lujan, Ben Ray [D-NM-03] Rep. MacArthur, Thomas [R-NJ-03] Rep. Marchant, Kenny [R-TX-24] Rep. Matsui, Doris O. [D-CA-6] Rep. McCaul, Michael T. [R-TX-10] Rep. McCollum, Betty [D-MN-04] Rep. McGovern, James P. [D-MA-2] Rep. McKinley, David B. [R-WV-1] Rep. McNerney, Jerry [D-CA-9] Rep. Meehan, Patrick [R-PA-7] Rep. Meeks, Gregory W. [D-NY-5] Rep. Miller, Candice S. [R-MI-10] Rep. Moore, Gwen [D-WI-4] Rep. Murphy, Patrick [D-FL-18] Rep. Murphy, Tim [R-PA-18] Rep. Napolitano, Grace F. [D-CA-32] Rep. Nolan, Richard M. [D-MN-08] Rep. Norcross, Donald [D-NJ-1]

Rep. Olson, Pete [R-TX-22] Rep. O’Rourke, Beto [D-TX-16] Rep. Pascrell, Bill, Jr. [D-NJ-09] Rep. Paulsen, Erik [R-MN-03] Rep. Payne, Donald M., Jr. [D-NJ-10] Rep. Peterson, Collin C. [D-MN-07] Rep. Pingree, Chellie [D-ME-01] Rep. Pocan, Mark [D-WI-02] Rep. Polis, Jared [D-CO-2] Rep. Pompeo, Mike [R-KS-4] Rep. Price, David E. [D-NC-04] Rep. Radewagen, Aumua Amata Coleman [R-

AS-At Large] Rep. Rangel, Charles B. [D-NY-13] Rep. Reichert, David [R-WA-08] Rep. Ribble, Reid J. [R-WI-08] Rep. Rice, Kathleen M. [D-NY-4] Rep. Rigell, E. Scott [R-VA-02] Rep. Roe, David P. [R-TN-01] Rep. Ross, Dennis A. [R-FL-15] Rep. Rouzer, David [R-NC-7] Rep. Roybal-Allard, Lucille [D-CA-40] Rep. Ruppersberger, Dutch [D-MD-2] Rep. Rush, Bobby L. [D-IL-1] Rep. Ryan, Tim [D-OH-13] Rep. Schakowsky, Janice D. [D-IL-09] Rep. Schiff, Adam B. [D-CA-28] Rep. Schrader, Kurt [D-OR-05] Rep. Scott, David [D-GA-13] Rep. Sensenbrenner, Jim, Jr. [R-WI-05] Rep. Slaughter, Louise [D-NY-25] Rep. Smith, Jason [R-MO-08] Rep. Speier, Jackie [D-CA-14] Rep. Stefanik, Elise M. [R-NY-21] Rep. Stivers, Steve [R-OH-15] Rep. Swalwell, Eric [D-CA-15] Rep. Takai, Mark [D-HI-1] Rep. Takano, Mark [D-CA-41] Rep. Thompson, Bennie G. [D-MS-02] Rep. Thompson, Glenn [R-PA-5] Rep. Thompson, Mike [D-CA-05] Rep. Titus, Dina [D-NV-01] Rep. Tonko, Paul D. [D-NY-20] Rep. Trott, David A. [R-MI-11] Rep. Tsongas, Niki [D-MA-3] Rep. Vargas, Juan [D-CA-51] Rep. Veasey, Marc A. [D-TX-33] Rep. Vela, Filemon [D-TX-34] Rep. Visclosky, Peter [D-IN-01] Rep. Walden, Greg [R-OR-02] Rep. Walz, Timothy J. [D-MN-01] Rep. Wasserman Schultz, Debbie [D-FL-23] Rep. Welch, Peter [D-VT-At Large] Rep. Whitfield, Ed [R-KY-01] Rep. Wilson, Joe [R-SC-02] Rep. Wittman, Robert J. [R-VA-01] Rep. Yarmuth, John A. [D-KT-03] Rep. Yoder, Kevin [R-KS-3] Rep. Young, David [R-IA-3] Rep. Young, Don [R-AK-At Large] Rep. Zeldin, Lee M. [R-NY-1] Rep. Zinke, Ryan K. [R-MT-At Large]

191supporters

Democrats:113 Republicans:78

August23,2016

PalliativeCare&HospiceEducationandTrainingAct(S.2748)

Sponsor: Senator Tammy Baldwin (D-WI)

Sen. Ayotte, Kelly [R-NH] Sen. Capito, Shelley Moore [R-WV]

Sen. Collins, Susan [R-ME] Sen. Gillibrand, Kristen [D-NY]

Sen. Murphy, Christopher S. [D-CT] Sen. Wyden, Ron [D-OR]

6supporters

Democrats:4 Republicans:3

August23,2016