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Providers and advocates urge pause on new hospice licensing amid co‑location and billing red flags
Summary
Hospice leaders and OIG witnesses told the Senate interim hearing that Texas has seen a sharp increase in hospice licensure since 2020, many with co‑located addresses and high live discharge and cap exceedance rates; speakers urged targeted licensing reviews and a temporary moratorium.
A coalition of hospice providers and nonprofit hospice leaders told the Senate Committee on Health and Human Services that rapid growth in hospice licenses warrants targeted licensing and Medicaid oversight.
Lisa McNair, president of Hospice Brazos Valley, told the committee she and colleagues pulled Medicare and state data and found 1,366 hospice licenses in Texas as of March 2026 — a near doubling since 2020. McNair said many new licenses are co‑located at the same street address, share administrators or medical directors across multiple licensed…
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