This legislation, known as the Hospice Recertification Flexibility Act, aims to prolong certain telehealth provisions within the Medicare hospice program. It extends the current flexibility for telehealth encounters in hospice care from March 31, 2025, to December 31, 2027 . However, starting January 1, 2026, these telehealth flexibilities will not apply under specific circumstances, such as when an individual is located in an area subject to a hospice enrollment moratorium for at least six months, or if the hospice provider is under enhanced oversight. Furthermore, the bill requires that any hospice claim for a recertification encounter conducted via telehealth on or after January 1, 2026, must include specific modifiers or codes as determined by the Secretary. This ensures proper tracking and oversight of telehealth services in hospice care.