administrative action as the Secretary determines appropriate. 3. Increasing compliance of quality standards for hospice care (a) Increasing payment reductions for failing To report quality measures Section 1814(i)(5)(A)(i) of the Social Security Act ( 42 U.S.C. 1395f(i)(5)(A)(i) ) is amended by inserting or, for fiscal year 2021 and subsequent fiscal years, 4 percentage points before the period at the end. (b) Authority To impose intermediate sanctions Section 1861(dd) of the Social Security Act ( 42 U.S.C. 1395x(dd) ) is amended by adding at the end the following paragraph: (6) Beginning 1 year after the date of enactment of the Hospice Care Improvement Act of 2019 , if the Secretary determines based on the results of a survey that a hospice program no longer meets the applicable requirements of this Act, the Secretary— (A) shall issue guidance on ways to determine the mechanisms for imposing a range of intermediate sanctions on hospice programs