The Hospice Care Accountability, Reform, and Enforcement Act of 2026 is designed to enhance the quality and integrity of hospice care under the Medicare program, ensuring that patients receive high-quality end-of-life care while preventing fraud and abuse within the system. The legislation introduces a five-year nationwide moratorium on new hospice program enrollments, allowing exceptions only for programs that demonstrate a need in underserved areas. The Secretary of Health and Human Services can lift this moratorium in regions with inadequate services.