On May 13, the Centers for Medicare & Medicaid Services (CMS) announced a nationwide enrollment moratorium on new Medicare hospice and home health agency (HHA) participants. The announcement follows the introduction of Rhode Island House Bill 8214 in February 2026, which, if enacted, would freeze new state licensure for home care, home nursing care, and hospice providers for at least five years. Though coincidentally close in time, the two actions are driven by fundamentally different policy rationales and carry very different consequences for providers, investors, and patients.