Federal Register Notices Relevant to Rural Health
Selected Federal Register notices of interest to the rural health community from the past 90 days.
Dec 31, 2025 - The Drug Enforcement Administration (DEA) and the U.S. Department of Health and Human Services (HHS) is issuing a temporary rule to extend certain exceptions to existing DEA regulations implemented in March 2020 because of the COVID-19 Public Health Emergency (COVID-19 PHE). The full set of telemedicine flexibilities regarding the prescription of controlled medications that were in place during the COVID-19 PHE as outlined in the Third Temporary Rule will remain in place through December 31, 2026. This rule is effective January 1, 2026, through December 31, 2026.
Source: Federal Register
Dec 31, 2025 - The U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR) is seeking comments on proposed revisions to an information collection titled "Civil Rights and Conscience Complaint and Health Information Privacy, Security, and Breach Notification Complaint." The revisions omit certain questions to reduce the burden on the complainant, clarify terms, update statutory and regulatory authorities, and conform the forms to E.O. 14168 on "Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government" and the court order in Texas v. Becerra, No. 6:24-CV-211-JDK, 2024 WL 4490621, at *2 (E.D. Tex. Aug. 30, 2024). Comments are due by March 2, 2026.
Source: Federal Register
Dec 31, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on proposed revisions to an information collection request titled "Bureau of Health Workforce Health Workforce Connector OMB No. 0906-0031-Revision." The Health Workforce Connector (HWC) provides a central platform to connect participants, including but not limited to those in the National Health Service Corps (NHSC), Nurse Corps Scholarship and Loan Repayment Programs (Nurse Corps), Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program, Pediatric Specialty (PS) Loan Repayment Program, Nursing Training, and Teaching Health Center Graduate Medical Education (THCGME) programs with facilities that are approved for their programs. Comments are due by March 2, 2026.
Source: Federal Register
Dec 30, 2025 - Notice from the Agency for Healthcare Research and Quality (AHRQ) seeking comments on proposed revisions to an information collection titled "Medical Expenditures Panel Survey—Household Component, OMB No. 0935-0118." Proposed changes include revising the wording of 24 questions for clarity and to improve the response rate; replacing two exercise items on the 2022 MEPS Preventive Care Self-Administered Questionnaire (PSAQ) with five new items for exercise and strength training; adding questions to the PSAQ about use of sleep medication, trouble getting to sleep, screen time, use of wearable devices, self-assessed diet quality, fruit and vegetable consumption, meals eaten away from home, former smoking, and weight loss attempt; and more. Comments are due by March 2, 2026.
Source: Federal Register
Dec 30, 2025 - Notice from the U.S. Census Bureau allowing an additional 30 days for comments on the July 30, 2025, notice regarding the proposed extension of an information collection titled "Generic Clearance for Questionnaire Pretesting Research." The clearance will be used to conduct pretesting of decennial, demographic, and economic census and survey questionnaires prior to fielding them. Comments are due within 30 days of this notice.
Source: Federal Register
Dec 29, 2025 - Notice of proposed rule from the Assistant Secretary for Technology Policy (ASTP)/Office of the National Coordinator for Health Information Technology (ONC) proposing deregulatory actions identified in HHS regulations regarding health information technology standards, implementation specifications, and certification criteria and certification programs for health information technology, as well as information blocking. ASTP/ONC intends for the revisions and removal of select regulations to streamline and reduce administrative burdens on healthcare providers, health information technology (IT) developers, and the health IT community overall. Comments are due by February 27, 2026.
Source: Federal Register
Dec 29, 2025 - Notice from the Assistant Secretary for Technology Policy (ASTP)/Office of the National Coordinator for Health Information Technology (ONC) withdrawing non-finalized provisions of the August 5, 2024, proposed rule titled "Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability." The withdrawal of the non-finalized provisions of the August 5, 2024, proposed rule is effective December 29, 2025.
Source: Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Global Benchmark for Efficient Drug Pricing Model ("GLOBE Model"), a new Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model would test whether a payment model that uses an alternative method for calculating Part B inflation rebate amounts for certain separately payable Part B drugs and biological products reduces costs for Medicare fee-for service (FFS) beneficiaries and the Medicare program while preserving quality of care. Comments are due by February 23, 2026.
Source: Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model to test a new Medicare payment model under section 1115A of the Social Security Act. The model proposes a test of an alternative payment method for calculating inflation rebates for certain Part D drugs and biological products. The proposed GUARD Model would test whether changing the calculation of the Part D inflation rebate would reduce costs for the Medicare program while preserving or enhancing quality of care for Part D enrollees. Comments are due by February 23, 2026.
Source: Federal Register
Dec 23, 2025 - Notice of a request for information on what the U.S. Department of Health and Human Services can do to accelerate the adoption and use of artificial intelligence (AI) in clinical care. Feedback is requested on how the technology can be most effectively applied, to foster public trust, to reduce uncertainty that impedes innovation, and align federal incentives to deploy AI in a way that enhances productivity, reduces burden, lowers healthcare costs, and improves health outcomes. Comments will be used to inform regulations, reimbursement, and research and development. Comments are due by February 23, 2026.
Source: Federal Register
Dec 23, 2025 - Notice from the Internal Revenue Service (IRS), Department of the Treasury, Employee Benefits Security Administration (EBSA), Department of Labor (DOL), Centers for Medicare & Medicaid Services (CMS), and Department of Health and Human Services (HHS) seeking comments on a proposed rule amending regulations under the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code regarding price transparency reporting requirements for non-grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance coverage. These proposed rules would improve the standardization, accuracy, and accessibility of public pricing disclosures in line with the goals of the Executive Order 14221. Comments are due by February 23, 2026.
Source: Federal Register
Dec 22, 2025 - The Centers for Medicare & Medicaid Services (CMS) is allowing an additional 30 days for comments on a proposed information collection project titled "National Healthcare Safety Network (NHSN) Respiratory Data." This information collection is designed to standardize the data elements collected from across the country regarding the impact of respiratory viruses on healthcare facilities. Comments are due within 30 days of this notice.
Source: Federal Register
Dec 22, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) External Quality Review (EQR) of Medicaid and Children's Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations; and 2) Medicaid Drug Program. Comments are due by February 20, 2026.
Source: Federal Register
Dec 22, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) CMS Plan Benefit Package (PBP) and Formulary CY 2027; and 2) Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols. Comments are due by February 20, 2026.
Source: Federal Register
Dec 22, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on an information collection titled "Medical Necessity and Contract Amendments Under Mental Health Parity." CMS uses the information collected and reported in an oversight role of State Medicaid managed care programs. Comments are due by January 21, 2026.
Source: Federal Register
Dec 22, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) regarding the establishment of the Office of Rural Health Transformation within the Center for Medicaid and CHIP Services (CMCS). Functions include administration of the Rural Health Transformation Program (RHTP). The Office of Rural Health Transformation took effect on December 18, 2025.
Source: Federal Register
Dec 22, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on an information collection titled "Ending the HIV Epidemic (EHE) Initiative in the U.S. Triannual Report OMB No. 0906-0051—Revision." HRSA proposes to revise a footnote to provide clarity on existing instruction. Comments are due January 21, 2026.
Source: Federal Register
Dec 22, 2025 - Notice from the Health Resources and Services Administration (HRSA)is allowing an additional 30 days for comments on an information collection related to the Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) and the Pediatric Specialty LRP. The information collected is used to assess an applicant's eligibility and qualifications for the STAR and Pediatric Specialty LRPs. Summarizes a comment already received. Comments are due by January 21, 2026.
Source: Federal Register
Dec 19, 2025 - Notice from the U.S. Census Bureau seeking comments on the extension of forms related to the American Community Survey (ACS) and Puerto Rico Community Survey. Comments are due by February 17, 2026.
Source: Federal Register
Dec 19, 2025 - Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) prohibiting the use of Medicaid funds for procedures identified as gender-affirming care for children under 18. Additionally the rule prohibits the use of federal Children's Health Insurance Program (CHIP) funds for procedures identified as gender-affirming care for children under 19. Comments are due February 17, 2026.
Source: Federal Register
Dec 19, 2025 - A notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) revising the requirements of participation for Medicare and Medicaid certified hospitals. The proposed rule prohibits Medicare-participating hospitals from performing certain procedures associated with gender dysphoria on children. Comments are due February 17, 2026.
Source: Federal Register
Dec 19, 2025 - Notice of proposed rule from the U.S. Department of Health and Human Services (HHS) revising 45 CFR 84.4(g) in the regulation implementing section 504 of the Rehabilitation Act of 1973 (section 504) as it applies to recipients of HHS funding to exclude gender dysphoria from the definition of "disability" and "individual with a disability." This proposed rule intends to clarify the May 9, 2024, final rule titled, "Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance." HHS seeks comments on the impact of the proposed rule, the impact of the May 9, 2024 rule, and regulatory alternatives as described in Section IV of this notice. Comments are due January 20, 2026.
Source: Federal Register
Dec 18, 2025 - The Centers for Disease and Prevention (CDC) is seeking nominations for membership on the Board of Scientific Counselors, National Center for Injury Prevention and Control (BSC, NCIPC). BSC, NCIPC consists of up to 18 experts in pertinent disciplines involved in injury and violence prevention, including epidemiology, statistics, trauma surgery, rehabilitation medicine, behavioral science, health economics, and more. Nominations are due by February 28, 2026.
Source: Federal Register
Dec 18, 2025 - The Department of Veterans Affairs (VA) will hold a public meeting of the Advisory Committee on Minority Veterans from January 14, 2026. The Committee will provide advice and guidance to the Secretary of Veterans Affairs on all matters relating to minority veterans through review of reports and studies on compensation, healthcare, rehabilitation, outreach, and other benefits and services. The agenda will include updates from the Office of Health Equity, Veterans Benefits Administration, National Cemetery Administration, Veterans Experience Office, Office of Rural Health, and Office of Survivor Assistance.
Source: Federal Register
Dec 17, 2025 - The Centers for Medicare & Medicaid Services is seeking comments on an information collection titled "Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA-PD Plan." The EPCS exception requires a waiver if a prescriber is unable to conduct EPCS due to circumstances outside the prescribers control. Comments are due January 16, 2026.
Source: Federal Register
Dec 17, 2025 - Notice from the Centers for Medicare & Medicaid Services
(CMS) making technical and typographical corrections to the
August 5, 2025, final rule titled "
Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program."
Source: Federal Register
Dec 17, 2025 - The Health Resources and Services Administration (HRSA) is seeking comments on an information collection titled "Shortage Designation Management System OMB No. 0906-0029-Extension." The Shortage Designation Management System (SDMS) is used to accept applications for determining Health Professional Shortage Areas and Medically Underserved Area/Medically Underserved Population (MUA/P) designations. Comments are due January 16, 2026.
Source: Federal Register
Dec 16, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on an information collection titled "Medicare Enrollment Application for Physician and Non-Physician Practitioners." The Form CMS-855I is the enrollment application submitted by physicians and non-physician practitioners to ensure the applicant has the necessary credentials to provide the healthcare services for which they intend to bill Medicare. Comments are due by February 17, 2026.
Source: Federal Register
Dec 16, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the following information collections: 1) Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form; and 2) Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials. Comments are due by January 15, 2026.
Source: Federal Register
Dec 16, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on revisions to an information collection regarding forms used by the National Health Service Corps (NHSC) and the Nurse Corps Scholarship and Loan Repayment Programs. The NHSC and Nurse Corps Interest Capture Form is an optional form that a health profession student, licensed clinician, faculty member, clinical site administrator, or other interested individual can complete and submit to HRSA online. Comments are due by January 15, 2026.
Source: Federal Register
Dec 16, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on an information collection titled "Application and Other Forms Used by the National Health Service Corps (NHSC) Scholarship Program, the NHSC Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program, OMB No. 0915-0146-Revision." Revisions include adding a proof of citizenship document and an essay to the application packet for both the National Health Service Corps (NHSC) Scholarship Program (SP) and NHSC Students to Service Loan Repayment Program (S2S LRP). Comments are due by January 15, 2026.
Source: Federal Register
Dec 15, 2025 - The Health Resources & Services Administration (HRSA) is seeking comments on an information collection regarding modifications to multiple forms used for management of the Health Center Program. Comments are due February 13, 2026.
Source: Federal Register
Dec 15, 2025 - The National Institutes of Health is seeking comments on an information collection regarding usability testing for NIH communication and education resources. Comments will receive full consideration if received within 60 days of this notice.
Source: Federal Register
Dec 12, 2025 - Notice of final rule from the U.S. Department of Agriculture (USDA) Rural Business-Cooperative Service (RBS), Rural Housing Service (RHS), and Rural Utilities Service (RUS) confirming the September 30, 2024, final rule with comment period making revisions to the policy and procedures to strengthen oversight and management of the growing Community Facilities (CF), Water and Waste Disposal (WWD), Business and Industry (B&I), and Rural Energy for America (REAP) guarantee portfolios. This rule also responds to comments received in response to the final rule. The final rule is effective and confirmed as of November 29, 2024.
Source: Federal Register
Dec 11, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the Increasing Organ Transplant Access Model (IOTA Model) for Performance Year (PY) 2, which will begin on July 1, 2026. The IOTA Model tests whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. Comments are due by February 9, 2026.
Source: Federal Register
Dec 11, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Hospital Notices: IM/DND; 2) Marketplace Operations; and 3) Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers. Comments are due by January 12, 2026.
Source: Federal Register
Dec 11, 2025 - Notice from the U.S. Department of Agriculture (USDA) Rural Business-Cooperative Service (RBS), Rural Housing Service (RHS), and Rural Utilities Service (RUS) making corrections to the September 30, 2024, final rule. This rule is effective December 11, 2025.
Source: Federal Register
Dec 10, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on updates to the Uniform Data System (UDS) for performance year 2026. Updates include changes to patient-level reporting and tables on selected diagnoses and services rendered, quality of care measures, health outcomes, patient service revenue, and more. Comments are due by February 9, 2026.
Source: Federal Register
Dec 9, 2025 - The Office of Inspector General (OIG) in the Department of Health and Human Services (HHS) requests proposals and recommendations for developing new or modifying existing safe harbor provisions of the Federal anti-kickback statute or Special Fraud Alerts. Criteria for modifying and establishing safe harbor provisions or Special Fraud Alerts include the extent to which the proposal impacts access to healthcare, the ability of healthcare facilities to serve medically underserved patients, and more. Comments are due February 9, 2026.
Source: Federal Register
Dec 8, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the extension of an information collection titled "Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations." Physicians must document that there was a face-to-face encounter with the Medicaid beneficiary prior to the physician certifying that home health services are required. The Coronavirus Aid, Relief, and Economic Security (CARES) Act permits nurse practitioners (NPs), clinical nurse specialists (CNSs), and physician assistants (PAs) to certify the need for home health services and to order services in the Medicare and Medicaid programs. Comments are due by February 6, 2026.
Source: Federal Register
Dec 8, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Health Outcomes Survey Field Test; and 2) Hospital Notice: Medicare Outpatient Observation Notice (MOON). Comments are due by January 7, 2026.
Source: Federal Register
Dec 8, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of American Association for Accreditation of Ambulatory Surgery Facilities, dba QUAD A, for continued recognition as a national accrediting organization for Rural Health Clinics that wish to participate in the Medicare or Medicaid programs. Comments are due by January 7, 2026.
Source: Federal Register
Dec 8, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the DNV Healthcare, Inc., for initial recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. This approval is applicable from December 8, 2025, through December 10, 2029.
Source: Federal Register
Dec 8, 2025 - The Food and Drug Administration (FDA) has revoked an Emergency Use Authorization issued to Genentech, Inc. (Genentech) for Actemra (tocilizumab). The revocation is effective August 8, 2025.
Source: Federal Register
Dec 5, 2025 - The U.S. Census Bureau is seeking comments on proposed revisions to the National Survey of Children's Health (NSCH). NSCH is designed to collect data on the physical and emotional health of children age 18 and younger, including information related to access to healthcare, family interactions, and school and after-school experiences, among other things. Comments are due by February 3, 2026.
Source: Federal Register
Dec 4, 2025 - Notice from the Centers for Medicare and Medicaid Services announcing the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process. The calendar year 2026 AIC threshold amounts are $200 for ALJ hearings and $1,960 for judicial review. These adjustments will be effective on January 1, 2026.
Source: Federal Register
Dec 3, 2025 - Notice of interim final rule with comment from the Centers for Medicare & Medicaid Services (CMS) repealing provisions of the May 10, 2024, final rule titled "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting." This interim final rule removes the minimum staffing requirements outlined in the May 10, 2024, final rule and reinstates nurse staffing requirements set forth in the October 4, 2016, final rule. These regulations are effective on February 2, 2026. Comments are due by February 2, 2026.
Source: Federal Register
Dec 3, 2025 - Notice from the Centers for Medicare and Medicaid Services announcing the application fee for providers initially enrolling in the Medicare or Medicaid programs, or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. The new fee is $750 and is required for applications submitted January 1, 2026, through December 31, 2026.
Source: Federal Register
Dec 2, 2025 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2026. This rule also finalizes changes to the face-to-face encounter policy, Home Health Quality Reporting Program (HH QRP), and the expanded Health Value-Based Purchasing (HHVBP) Model requirements; updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP); and makes a technical change to the home health conditions of participation. Among other things, this rule also finalizes permanent and temporary behavior adjustments and recalibrates the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. These regulations are effective January 1, 2026.
Source: Federal Register
Dec 1, 2025 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from July through September 2025, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Dec 1, 2025 - Notice of a proposed rule from the Federal Communications Commission (FCC) that would clarify and modify existing regulations impacting the deployment of wireless infrastructure with particular focus on state and local regulations. Comments are due December 31, 2025.
Source: Federal Register
Dec 1, 2025 - The National Council on Disability (NCD) is requesting information to inform a policy brief discussing disability clinical care and competency training of medical professionals. Questions for consideration include challenges in incorporating disability clinical care in formal training, application of disability clinical care training to other populations, behavior and attitudes of trained healthcare providers, and existing resources and standards of learning to inform required standards of learning development. Comments are due January 6, 2026.
Source: Federal Register
Nov 28, 2025 - The Centers for Medicare & Medicaid Services (CMS) is
seeking comments on the following information collections:
1) Medicaid Program; Eligibility Changes under the
Affordable Care Act of 2010 and 2) Solicitation for
Applications for Medicare Prescription Drug Plan 2027
Contracts. Comments are due by December 29, 2025.
Source: Federal Register
Nov 28, 2025 - The Centers for Medicare & Medicaid Services (CMS) is
seeking comments on the following information collections:
1) National Implementation of the Outpatient and Ambulatory
Surgery Consumer Assessment of Healthcare Providers and
Systems (OAS CAHPS) and 2) Elimination of Cost-Sharing for
Full Benefit Dual-Eligible Individuals Receiving Home and
Community-Based Services. Comments are due by January 27,
2026.
Source: Federal Register
Nov 28, 2025 - Notice from the Centers for Medicare & Medicaid Services
(CMS) making technical corrections to the
November 5, 2025, final rule. This correction is
effective January 1, 2026.
Source: Federal Register
Nov 28, 2025 - Notice of a proposed rule from the Centers of Medicare & Medicaid Services (CMS) that would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations. Proposed revisions would implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas for contract year 2027. Among other things, this proposed rule also includes a request for information regarding changes to the Medicare Advantage (MA) that would modernize and improve the MA program and could be implemented through either programmatic changes or through a CMS Innovation Center (CMMI) model. Comments are due by January 26, 2026.
Source: Federal Register
Nov 28, 2025 - Notice from the Centers for Medicare & Medicaid Services
(CMS) making corrections to the
November 18, 2025, notice titled "Determining
Eligibility for Enrollment in Applicable State Health
Subsidy Programs Under the Patient Protection and
Affordable Care Act."
Source: Federal Register
Nov 28, 2025 - Notice from the Department of Health and Human Services
releasing the Federal Medical Assistance Percentages (FMAP)
rates for the period of October 1, 2026, through September
30, 2027. The rates are used to determine the amount of
Federal matching for state Medicaid, Temporary Assistance
for Needy Family (TANF) Contingency Funds, and Enhanced
Federal Medical Assistance Percentages (eFMAP) rates for
the Children's Health Insurance Program (CHIP)
expenditures, among other federal assistance programs.
Source: Federal Register
Nov 25, 2025 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) making changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026, including changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. Among other things, this rule also updates the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. This rule also announces the closure of a teaching hospital and the opportunity to apply for available slots. This rule is effective January 1, 2026. Applications for available resident spots are due by February 19, 2026.
Source: Federal Register
Nov 25, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing that CMS will share certain information with the U.S. Department of Homeland Security (DHS), and its component agency, U.S. Immigration and Customs Enforcement (ICE) upon request. The information shared may include Medicaid information or data shared with CMS by states. This notice is applicable immediately.
Source: Federal Register
Nov 24, 2025 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2026 and updating the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Among other things, this rule also updates requirements for the ESRD Quality Incentive Program and modifying and terminating requirements for the ESRD Treatment Choices Model. These regulations are effective January 1, 2026.
Source: Federal Register
Nov 24, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comment on the following information collections: 1) 13th SOW Quality Innovation Network—Quality Improvement Organization (QIN-QIO) and American Indian Alaskan Native (AIAN) Measure Data Collection; 2) Provider Directory Data for Medicare Plan Finder; and 3) CMS Electronic Data Interchange (EDI) Enrollment Registration, CMS EDI Enrollment Form, and CMS EDI Enrollment Attestation Form. Comments are due by January 23, 2026.
Source: Federal Register
Nov 21, 2025 - The Centers for Disease Control and Prevention (CDC) is seeking comments on an information collection titled "Pregnancy Risk Assessment Monitoring System (PRAMS)." PRAMS collects data on maternal attitudes and experiences before, during, and after pregnancy. CDC seeks to extend the approval for PRAMS data collection for 3 years. Comments are due January 20, 2026.
Source: Federal Register
Nov 21, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Advance Beneficiary Notice of Non-coverage; 2) Medicare Current Beneficiary Survey; 3) Information Collection Requirements in HSQ-110, Acquisition, Protection and Disclosure of Peer review Organization Information and Supporting Regulations; and 4) Information Collection Requirements in 42 CFR 478.18, 478.34, 478.36, 478.42, QIO Reconsiderations and Appeals. Comments are due December 22, 2025.
Source: Federal Register
Nov 21, 2025 - Notice from the Department of Veterans Affairs (VA) withdrawing the January 3, 2025, proposed rule titled "Exempting Whole Health Well-Being Services From Copayment." This withdrawal is applicable on November 21, 2025.
Source: Federal Register
Nov 20, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP); 2) Data Request and Attestation for PDP Sponsors; 3) Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges and State Partnership Exchanges; 4) Data Collection to Support Eligibility Determinations for Small Businesses in the Small Business Health Options Program; and 5) State-based Exchange Annual Reporting Tool (SMART). Comments are due by January 20, 2026.
Source: Federal Register
Nov 20, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on an information collection titled "Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges" which reinstates a previously approved information collection expanding the role of agents/brokers by permitting them to enroll qualified individuals or small employers/employees in qualified health plans through the Exchanges, and assist individuals in applying for Advance Premium Tax Credits and Cost Sharing Reductions. To participate as facilitators to enrollment, agents/brokers must register with the federally-facilitated exchanges, complete a training course covering eligibility and enrollment criteria for assisting in enrollment, and sign agreements that formalize their understanding and commitment to adhere to the rules of the program. Comments are due December 22, 2025.
Source: Federal Register
Nov 20, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Hospital Wage Index Occupational Mix Survey; 2) Medicare Enrollment Application—Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers; 3) Recognition of Pass-Through Payment for Additional (New) Categories of Devices under the Outpatient Prospective Payment System and Supporting Regulations; and 4) Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments. Comments are due December 22, 2025.
Source: Federal Register
Nov 20, 2025 - The Substance Abuse and Mental Health Services Administration (SAMHSA) is seeking comments on a proposed new project called SAMHSA Unified Performance Reporting Tool (SUPRT)—Project (P). This tool will replace the Center for Mental Health Services' (CMHS) Infrastructure Development, Prevention, and Mental Health Promotion (IPP) Indicators and will serve as a single tool to collect grant-level aggregate data on target goals, actual performance, and client demographic characteristics from CMHS, Center for Substance Abuse Treatment (CSAT), and Behavioral Health Coordinating Office (988) grantees. Comments are due by January 20, 2026.
Source: Federal Register
Nov 20, 2025 - The United States Department of Agriculture is seeking comments on an information collection titled "FNS Generic Clearance for the FNS Fast Track Clearance for the Collection of Routine Customer Feedback." The Food and Nutrition Service in the USDA is seeking approval for an extension of generic clearance to collect qualitative feedback of services. The feedback is not intended for statistical surveys that yield quantitative results that can be generalized to the population of study. Comments are due by December 22, 2025.
Source: Federal Register
Nov 19, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on an information collection titled "Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204." CMS will use the information to monitor ongoing compliance with section 1902(a)(30)(A) of the Social Security Act, and to make informed approval decisions on State plan amendments that propose to make Medicaid rate reductions or restructure payment rates. Beneficiaries, providers, and other affected stakeholders may use the information to raise access issues to state Medicaid agencies and work with agencies to address those issues. Comments are due by January 20, 2026.
Source: Federal Register
Nov 19, 2025 - The Centers for Medicare & Medicaid Services (CMS) will hold a virtual public meeting on December 17, 2025 from 9:00 a.m. until 5:00 p.m. Eastern to discuss CMS preliminary coding, Medicare benefit category, and Medicare payment determinations, if applicable, for new revisions to the HCPCS Level II code set for non-drug and non-biological items and services. If all of the agenda items are not addressed on December 17, 2025, a subsequent virtual session will be held on December 18, 2025 at 9:00 a.m. Eastern. All individuals who plan to speak must register by December 3, 2025.
Source: Federal Register
Nov 19, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making corrections to the March 6, 2024, notice to add urinalysis to the list of specialties and subspecialties. This correction is effective November 19, 2025.
Source: Federal Register
Nov 19, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing the inpatient hospital deductible and coinsurance amounts for hospital and extended care services provided during calendar year 2026 under Medicare's Hospital Insurance Program (Medicare Part A). These rates are effective on January 1, 2026.
Source: Federal Register
Nov 19, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing Medicare's Hospital Insurance (Part A) premium for uninsured enrollees in calendar year (CY) 2026. The premium is paid by enrollees aged 65 and over who are not otherwise eligible for Part A benefits and by certain disabled individuals who have exhausted other entitlement. This premium is effective on January 1, 2026.
Source: Federal Register
Nov 19, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing the monthly actuarial rates for beneficiaries enrolled in Part B of the Medicare Supplementary Medical Insurance (SMI) program beginning January 1, 2026. It also announces the monthly premium, the deductible for 2026, and income-related monthly adjustment amounts for beneficiaries with modified adjusted gross income above certain threshold amounts. These rates are effective on January 1, 2026.
Source: Federal Register
Nov 19, 2025 - Announcement from Housing and Urban Development (HUD) announcing the change of a fee for HUD's Section 108 Loan Guarantee Program to offset the credit subsidy costs of the guaranteed loans. The fee is changing from 0.82 percent in Fiscal Year 2025 to 0.58 percent in Fiscal Year 2026.
Source: Federal Register
Related funding:
Section 108 Loan Guarantee Program
Nov 18, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on an information collection titled "Medicare Authorization to Disclose Personal Health Information." Medicare beneficiaries will use the Medicare Authorization to Disclose Personal Health Information to authorize Medicare to disclose their protected health information to a third party. Comments are due by December 18, 2025.
Source: Federal Register
Nov 18, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing the re-establishment of a matching program between CMS and State-Based Administering Entities (AEs), titled "Determining Eligibility for Enrollment in Applicable State Health Subsidy Programs Under the Patient Protection and Affordable Care Act." The matching program will enable CMS to provide information to AEs to assist in verifying applicant information to determine applicants' eligibility for enrollment in applicable state health subsidy programs, as required by the Patient Protection and Affordable Care Act of 2010. Comments are due by December 18, 2025.
Source: Federal Register
Nov 5, 2025 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) addressing: 1) changes to the Physician Fee Schedule and Medicare Part B payment policies; 2) policies for the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; 3) the Ambulatory Specialty Model; 4) updates to the Medicare Diabetes Prevention Program expanded model; 5) updates to drugs and biological products paid under Part B; 6) Medicare Shared Savings Program requirements; 7) updates to the Quality Payment Program; 8) updates to policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); 9) updates to the Ambulance Fee Schedule regulations; 10) codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; and 11) updates to the Medicare Promoting Interoperability Program. These regulations are effective January 1, 2026.
Source: Federal Register
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