Does the new law mandate end-of-life counseling?
No. One of the earlier versions of the bill allowed Medicare to pay for end-of-life counseling, but did not require it. Nevertheless, Congress removed the provision from the final bill. It remains to be seen whether end-of-life counseling will be considered an essential service that insurance companies would be required to include in order to participate in the insurance exchanges. However, even if that were to happen, it would just be a reimbursable service, not a mandate.