The Hospice Care Accountability, Reform, and Enforcement Act of 2026 aims to enhance the quality and integrity of hospice care under the Medicare program, addressing concerns about the enrollment and oversight of hospice programs to ensure that patients receive high-quality end-of-life care. The legislation introduces a five-year moratorium on the enrollment of new hospice programs, with exemptions for those demonstrating a need in underserved areas. This moratorium allows for the evaluation of existing programs while preventing the establishment of potentially substandard services.