S. 2287 (119th)Bill Overview

Palliative Care and Hospice Education and Training Act

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Jul 15, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill creates a new, permanent palliative care and hospice education and training program within the Public Health Service Act to expand workforce capacity, faculty careers, fellowships, and interprofessional training across medicine, nursing, social work, physician assistant, chaplaincy, pharmacy, psychology, and related programs. It authorizes grant and contract awards for clinical training, community-based programs, faculty development, retraining of physicians, short intensive fellowships for faculty, career incentive awards with service obligations, and targeted priorities for rural, underserved, pediatric, and racial/ethnic minority populations.

Why people may split

Scale and scope of federal spending: liberals view funding as necessary and beneficial; conservatives worry about new federal expenditures and recurring obligations.

Watch point

Relative to its intended legislative type, this bill is a substantive statutory package that establishes new grant and award authorities, funding authorizations, NIH research strategy obligations, and information-dissemination responsibilities tied to palliative care and hospice education and workforce development.

The bill creates a new, permanent palliative care and hospice education and training program within the Public Health Service Act to expand workforce capacity, faculty careers, fellowships, and interprofessional training across medicine, nursing, social work, physician assistant, chaplaincy, pharmacy, psychology, and related programs.

It authorizes grant and contract awards for clinical training, community-based programs, faculty development, retraining of physicians, short intensive fellowships for faculty, career incentive awards with service obligations, and targeted priorities for rural, underserved, pediatric, and racial/ethnic minority populations.

The measure also directs federal dissemination of information about palliative care benefits and requires the NIH to develop a cross‑institute research strategy for palliative care; it includes a prohibition on using funds to provide or promote services for which federal funding is unavailable and states that palliative care shall not be used to cause or assist in causing a patient’s death.

Passage60/100

By content alone, the bill is narrowly focused on workforce training, research, and information dissemination in a low‑controversy area, with modest authorized funding and compromise elements that historically attract bipartisan support. The principal obstacles are procedural (competing legislative priorities, requirement for appropriations, and securing floor time in both chambers), not policy controversy.

CredibilityAligned

Relative to its intended legislative type, this bill is a substantive statutory package that establishes new grant and award authorities, funding authorizations, NIH research strategy obligations, and information-dissemination responsibilities tied to palliative care and hospice education and workforce development. It integrates cleanly into the Public Health Service Act and provides moderate operational detail while leaving customary administrative choices to the Secretary.

Contention45/100

Scale and scope of federal spending: liberals view funding as necessary and beneficial; conservatives worry about new federal expenditures and recurring obligations.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Cities · CommunitiesFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • CitiesIncreased training capacity and faculty development could expand the number of clinicians and educators with palliative…
  • CommunitiesTargeted grant priorities for rural, medically underserved, pediatric, and racial/ethnic minority populations could imp…
  • Federal agenciesFederal funding and NIH research strategy may accelerate evidence generation and dissemination about palliative care be…
Likely burdened
  • Federal agenciesThe bill authorizes new federal spending (explicitly $15 million/year for one program and $5 million/year for nursing p…
  • Potential burdenAdministrative and compliance burdens on medical, nursing, and allied programs to apply for, manage, and report on mult…
  • Potential burdenGiven the scale of the authorized funding relative to national workforce shortages, critics may argue the program is un…
03 · Why people split

Why the argument around this bill splits.

Scale and scope of federal spending: liberals view funding as necessary and beneficial; conservatives worry about new federal expenditures and recurring obligations.
Progressive90%

This persona is likely to view the bill positively as a targeted federal investment to expand access to quality palliative and hospice care, strengthen interdisciplinary training, and support diversity and equity priorities (rural, pediatric, and racial/ethnic minority populations).

They will welcome faculty career awards and incentives that build a sustainable academic workforce and the NIH strategy to expand palliative care research.

They may consider the authorized funding modest relative to need and want stronger guarantees that programs reach underserved communities and that funds promote equitable access.

Leans supportive
Centrist70%

A pragmatic centrist will generally support the bill’s aims—building workforce capacity, encouraging interprofessional training, and expanding research—while seeking assurances about cost-effectiveness, oversight, and nonduplication with existing programs.

They will note the bill includes prioritization and maintenance-of-effort language, caps on award amounts, and some performance expectations, but will want clearer metrics, reporting requirements, and evaluation of outcomes.

They will view the NIH research strategy and public dissemination as sensible complements but expect careful implementation to avoid waste or overlapping federal efforts.

Leans supportive
Conservative30%

A mainstream conservative will be cautious about expanding federal grant programs into medical education and workforce development, expressing concerns about increased federal spending, new bureaucracy, and long-term obligations for appropriations.

They may accept the general goal of better palliative care training but prefer state, private, or philanthropic solutions and tighter limits on federal involvement.

The explicit prohibition on using funds to cause or assist in causing a patient’s death will be reassuring on end-of-life controversy, but questions about ongoing cost, federal micromanagement of curricula, and potential mission creep will weigh against strong support.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood60/100

By content alone, the bill is narrowly focused on workforce training, research, and information dissemination in a low‑controversy area, with modest authorized funding and compromise elements that historically attract bipartisan support. The principal obstacles are procedural (competing legislative priorities, requirement for appropriations, and securing floor time in both chambers), not policy controversy.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Whether and when Congress will provide the authorized appropriations — authorization does not guarantee funding; actual implementation depends on appropriations decisions.
  • No CBO cost estimate is included in the bill text provided; other budgetary offsets or administrative resource needs (e.g., for NIH coordination) are not specified.
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Scale and scope of federal spending: liberals view funding as necessary and beneficial; conservatives worry about new federal expenditures…

By content alone, the bill is narrowly focused on workforce training, research, and information dissemination in a low‑controversy area, wi…

Unlocked analysis

Relative to its intended legislative type, this bill is a substantive statutory package that establishes new grant and award authorities, funding authorizations, NIH research strategy obligations, and information-dissem…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis