LeadingAge’s August 24, 2026 comment to the Centers for Medicare and Medicaid Services (CMS) responds to the Request for Information (RFI) on advancing palliative care for dialysis patients included in the calendar year (CY) 2027 End-Stage Renal Disease (ESRD) proposed rule. Our responses are shaped by members’ responsibility for operationalizing, in their care for beneficiaries, the agency’s final palliative dialysis policy.