Dear John,

Senator Baldwin, a member of the Senate Comprehensive Care Caucus, joined her colleagues in introducing a pair of bipartisan bills to expand access to palliative and hospice care. The Expanding Access to Palliative Care Act and Improving Access to Transfusion Care for Hospice Patients Act would put critical care for Wisconsinites’ aging and sick loved ones within reach for more families. Palliative care focuses on relieving and preventing patients’ suffering and improving their quality of life.

“Having served as my grandmother’s primary caretaker as she got old, this issue is deeply personal for me and countless Wisconsinites who have had similar experience caring for a loved one,” said Senator Baldwin. “I know the challenges both patients and caregivers face, and we need to better support both of them. I am proud to work with Democrats and Republicans to expand and improve palliative care for American families because everyone deserves to know that if they need it, compassionate and affordable care is within reach.”

The bipartisan Expanding Access to Palliative Care Act would better allow families to access that critical service as early as possible by establishing a demonstration project through Medicare to expand access to palliative care at the time of diagnosis of serious illness or injury. Currently, patients on Medicare can only access palliative care through hospice. This legislation would provide comprehensive palliative care services much earlier in the course of illness, improving quality of life for the patient and their family and often also improving outcomes.

The bipartisan Improving Access to Transfusion Care for Hospice Patients Act would carve out payment for transfusion services within the Medicare hospice benefit, allowing for separate billing to Medicare for transfusions. Patients needing this care would be able to continue to receive it outside of the hospice bundle, while still receiving full hospice benefits. Currently, many patients needing transfusions to maintain quality of life (due to conditions such as leukemia, lymphoma, or myeloma) often wait much longer to opt into hospice because they can lose access to transfusion care when they do so, given that such care currently is paid for out of a capped hospice benefit amount. Hospices are allowed to cover transfusions, but it is very costly, so few patients can afford to do so on a regular basis when in hospice care. 

Medical research shows that palliative and hospice care have been associated with enhanced quality of life for patients, reduced hospital expenditures and lengths of stay, and longer patient survival time.

Senator Baldwin has long championed efforts to expand access to palliative care and grow our palliative care and hospice workforce. Senator Baldwin previously introduced the Palliative Care and Hospice Education and Training Act (PCHETA) to help build the palliative care workforce through enhanced training, improved education and increased funding for palliative care research.

The bipartisan Expanding Access to Palliative Care Act is led by Senator Jacky Rosen (D-NV) and co-sponsored by Senators John Barrasso (R-WY) and Deb Fischer (R-NE).

The bipartisan Improving Access to Transfusion Care for Hospice Patients Act is also led by Senator Jacky Rosen (D-NV) and co-sponsored by Senator Barrasso (R-WY). Read more here.