There are emerging data revealing disparities in serious illness care for patients with advanced liver disease. Although liver disease is the 11th leading cause of death overall in adults in the United States, it is the 4th and 7th leading cause of death among American Indian/Alaska Native and Hispanic individuals, respectively.1 Despite the benefits of specialty palliative care and hospice care services in improving the quality of care for patients with serious illnesses, Black, Asian, American Indian/Alaska Native, and Hispanic adults with advanced liver disease are less likely to use these services or to die at home.