Home health and hospice agencies continue to send providers to patients homes who are not providing direct medical care. Social Workers and Chaplains have the ability to support and serve their patients and families over the phone or by video so there is no need for them to be seeing patients face to face. They are being forced into facilities where there are hundreds of our most vulnerable community members without proper PPE putting all of them at risk. By doing these visits they are increasing the chances caregivers could become ill leaving no one to care for terminally ill people forcing them to fend for themselves. Agencies are adding to the potential spread and increasing the likelihood of an overburdened health care system if they do not take these immediate measures that protects patients, employees and the general public. It must be mandated that all visits that can be conducted remotely be done so regardless of what previous regulations have required. A directive needs to be issued to all home health and hospice agencies around what “essential medical care” means during the COVID-19 outbreak specifying that only visits of critical physical medical need be conducted in person.