The Hospice and Palliative Nurses Association (HPNA) asserts that clinicians have a responsibility and obligation to address hospice and palliative care public policy and regulatory issues. These issues impact the health-related quality of life of patients and caregivers living with serious illness across the lifespan. HPNA acts independently and with collaborating organizations through advocacy to address hospice and palliative care issues at the national, state, local, and regional levels. HPNA currently serves on the board of the National Coalition for Hospice and Palliative Care; HPNA regularly works with other national coalitions in a collaborative environment. The following statements serve as HPNA’s guiding principles.
View the Guiding Principles
State Ambassador Program
HPNA State Ambassadors are members with experience in hospice and palliative nursing who have the desire to learn about the policy-making process at the local, state, and federal levels. These individuals serve as a general resource for HPNA members regarding legislative and regulatory issues at the state level. They provide information about state/regional policy issues on a quarterly basis. HPNA State Ambassadors also disseminate information about national policy issues as directed by HPNA. Additionally, they encourage HPNA nurses at the state and local levels to participate in HPNA public policy activities.
Learn moreAdvocacy Action Center
HPNA has an Advocacy Action Center available with updates and resources.
Recent Activity
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Advocacy Update: Congress Passes Legislation to Reopen Government through January, Including Telehealth Flexibilities
Congress passed legislation Wednesday to end the weeks-long government shutdown, funding the government through January 30, 2026, and reinstating telehealth flexibilities among other healthcare extenders. The final vote in the House was 222-209 with two Republicans opposed to the legislation and six Democrats voting for it, and the bill was signed into law soon after. The bill includes a continuing resolution (CR) to fund the government through January 30 and provides full fiscal year (FY) 2026 appropriations for Military Construction, Veterans Affairs, Legislative Branch, and Agriculture, and the Food and Drug Administration. It also reinstates through the end of January all healthcare extenders, including: Medicare telehealth flexibilities, the Acute Hospital at Home waiver, Medicare-dependent hospital program, community health centers, prevention of Medicaid disproportionate share hospital (DSH) cuts, and low-income Medicare programs.
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Alliance Leads 450 Stakeholders in Request for Long-Term Fix to Medicare Telehealth
HPNA joined a broad alliance of health care providers this week in urging federal policymakers to enact a long-term extension of telehealth flexibilities, restore telehealth services that expired in October, and work with the Centers for Medicare and Medicaid Services (CMS) to ensure retroactive payment to clinicians who continued providing telehealth services during this funding lapse. For more information on HPNA’s advocacy work, please join the HPNA Advocacy Network here.
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Telehealth Flexibilities Expire Under Lapse in Federal Funding
Congressional leaders were unable to negotiate a federal funding bill this week, and a government shutdown is now in effect. It is unclear how long this lapse in funding will last; historically, some shutdowns have lasted a few days, and the longest, in 2018, was for 34 days. Among the programs impacted by the funding lapse is one of HPNA’s policy priorities: the extension of pandemic-era telehealth flexibilities, which are expired as of September 30 and will only be renewed if Congress provides funding for the extension in the next appropriations bill. The Centers for Medicare and Medicaid Services (CMS) has provided some guidance for providers during this time, but it has not indicated whether claims for telehealth services delivered outside rural areas and other settings will be covered retroactively after the government reopens. HPNA’s advocacy team continues to monitor the funding lapse and telehealth extension. Please join the Advocacy Network for frequent updates and advocacy engagement opportunities, or reach out to the advocacy team with any questions.