Federal Register Notices Relevant to Rural Health
Selected Federal Register notices of interest to the rural health community from the past 90 days.
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 - Pre-publication 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 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
Oct 2, 2025 - Notice of final rule from the U.S. Department of Veterans Affairs (VA) amending its medical regulations that govern the VA's healthcare professionals who practice healthcare via telehealth. This rule enables VA to maximize healthcare resource utilization and provide safe and convenient national healthcare to veterans using telehealth. This notice also summarizes and responds to public comments on the August 23, 2022, proposed rule. This rule is effective November 3, 2025.
Source: Federal Register
Oct 1, 2025 - The Health Resources and Services Administration (HRSA) is seeking comments on a draft recommendation to update the HRSA-supported Women's Preventive Services Guidelines relating to cervical cancer screening. These draft recommendations have been developed by the Women's Preventive Services Initiative (WPSI), through which clinicians, academics, and expert health professionals develop draft recommendations for HRSA's consideration. Comments are due by October 31, 2025.
Source: Federal Register
Sep 30, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Electronic Visit Verification Compliance Survey; 2) Negotiation Program Drug Selection for Initial Price Applicability Year 2028 under Sections 11001 and 11002 of the Inflation Reduction Act Information Collection Request; and 3) Conditions of Participation for Community Mental Health Centers and Supporting Regulations. Comments are due by October 30, 2025.
Source: Federal Register
Sep 29, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) requesting an emergency extension of an information collection titled "Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010" from October 31, 2025, to November 30, 2025. This extension would allow the information collection to remain active while it is in a 60-day comment period and provide CMS with time to publish a subsequent 30-day Federal Register notice.
Source: Federal Register
Sep 26, 2025 - The Department of Veteran Affairs (VA) will hold a virtual public meeting on October 29, 2025, from 8:00 a.m. – 5:30 p.m. Eastern. Agenda items include updates from VA leadership, the Executive Director of the VA Office of Rural Health, and the Committee Chair, as well as presentations by subject matter experts on general rural healthcare access.
Source: Federal Register
Sep 25, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on an information collection titled "Complaints Submission Process under the No Surprises Act." Comments are due by November 24, 2025.
Source: Federal Register
Sep 25, 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 November 24, 2025.
Source: Federal Register
Sep 24, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form; 2) Hospital Notice: Medicare Outpatient Observation Notice (MOON); and 3) Medicare Advantage and Prescription Drug Program. Comments are due by November 24, 2025.
Source: Federal Register
Sep 24, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection; 2) Medicare Registration Application; and 3) Medicare Self-Referral Disclosure Protocol. Comments are due by October 24, 2025.
Source: Federal Register
Sep 24, 2025 - Notice of proposed rulemaking (NPRM) from the U.S. Department of Homeland Security (DHS) proposing to amend its regulations regarding the process by which the U.S. Citizenship and Immigration Services (USCIS) selects H-1B registrations for unique beneficiaries for filing of H-1B cap-subject petitions. DHS proposes implementing a weighted selection process that would generally favor the allocation of H-1B visas to higher skilled and higher paid aliens, while maintaining the opportunity for employers to secure H-1B workers at all wage levels. Comments on the NPRM are due by October 24, 2025. Comments on revisions of associated information collections are due by November 24, 2025.
Source: Federal Register
Sep 19, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of an information collection request titled "Review Choice Demonstration for Home Health Services." Information collected is required by Medicare contractors to determine proper payment or if there is a suspicion of fraud. Comments are due by October 20, 2025.
Source: Federal Register
Sep 19, 2025 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) amending the Medicare Advantage (Part C) regulations to establish a requirement for Medicare Advantage (MA) provider directory data to be submitted to CMS for publication online. This rule finalizes proposals that require MA provider directory data to be updated within 30 days of the date an MA organization becomes aware of changes to that data and that MA organizations must annually attest that the MA provider directory information is accurate. These regulations are effective November 17, 2025, and are applicable January 1, 2026.
Source: Federal Register
Sep 18, 2025 - The National Highway Traffic Safety Administration (NHTSA) is accepting applications from qualified candidates to be considered for appointment as members of the National Emergency Medical Services Advisory Council (NEMSAC). NEMSAC serves as a nationally recognized council of emergency medical services (EMS) representatives and consumers to provide advice and recommendations regarding EMS to the U.S. Department of Transportation. Applications are due by October 20, 2025.
Source: Federal Register
Sep 18, 2025 - The National Highway Traffic Safety Administration (NHTSA) is seeking comments on a new information collection for a National Roadside Survey (NRS). NHTSA intends to use the data to conduct two studies related to alcohol and other drug prevalence among drivers and other road users. Comments are due by October 20, 2025.
Source: Federal Register
Sep 17, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) seeking comments on the extension of an information collection titled "SF-424 Mandatory Form." which provides the Federal grant-making agencies an alternative to the Standard Form 424 data set and form. Federal agencies may use SF-424 Mandatory Form for grant programs not required to collect all the data that is required on the SF-424 core data set and form. Comments are due by October 17, 2025.
Source: Federal Register
Sep 17, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) seeking comments on the extension of an information collection titled "Application for Federal Assistance (SF-424) form," which provides the Federal grant-making agencies with a common and standard form for organizations to apply for financial assistance. Comments are due by October 17, 2025.
Source: Federal Register
Sep 17, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) seeking comments on the extension of an information collection titled "Application for Federal Assistance SF 424 R&R forms." The SF-424 Research and Related (R&R) family of forms are used by organizations to apply for Federal financial assistance in the form of grants. Agencies may use the SF-424 R&R forms for grant programs not required to collect all the data that is required on the SF-424 core data set and form. Comments are due by October 17, 2025.
Source: Federal Register
Sep 15, 2025 - The U.S. Department of Agriculture (USDA) Rural Business-Cooperative Service (RBS) invites applications for loans and grants under the Rural Economic Development Loan and Grant Programs (REDLG or Programs) for fiscal year 2026, subject to the availability of funding. The purpose of these programs is to provide eligible Rural Utilities Service (RUS) electric or telecommunications borrowers with financing to promote rural economic development and job creation projects. Applications will be reviewed quarterly, with the following deadlines: September 30, 2025; December 31, 2025; March 31, 2026; and June 30, 2026.
Source: Federal Register
Sep 12, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Hospital Notices: IM/DND; and 2) CLIA Proficiency Testing (PT). Comments are due by November 12, 2025.
Source: Federal Register
Sep 12, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Generic Clearance for Improving DASG's APIs Customer Experience; and 2) Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations. Comments are due by October 14, 2025.
Source: Federal Register
Sep 12, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on a proposed information collection request related to the 340B Rebate Model Pilot Program. The information collected will include the collection of 340B Rebate Model Pilot Program plans from drug manufacturers, the collection of sales data from drug manufacturers for OPA's evaluation of the pilot program and for overall 340B Program surveillance, and the collection of data submitted by covered entities to manufacturers to request a rebate. Comments are due by November 12, 2025.
Source: Federal Register
Sep 10, 2025 - Notice from the Centers for Medicare & Medicare Services
(CMS) announcing a virtual town hall meeting to be held on
December 10-11, 2025, to discuss FY 2027 applications for
add-on payments for new medical services and technologies
under the Medicare Hospital Inpatient Prospective Payment
System (IPPS). Information on how to join the meeting will
be posted on the
New Technology website. The deadline to register to
present at the meeting is November 3, 2025. Written
comments and agenda items for discussion at the meeting are
due by November 13, 2025.
Source: Federal Register
Sep 8, 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; 2) Income and Eligibility Verification System; and 3) Medicaid Report on Payables and Receivables. Comments are due by November 7, 2025.
Source: Federal Register
Sep 4, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making typographical corrections to the August 5, 2025, final rule. This correction is effective October 1, 2025.
Source: Federal Register
Sep 2, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs); 2) Medicare Fee-for-Service Prepayment Review of Medical Records; 3) Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetic, Orthotics, and Supplies (DMEPOS); 4) Healthcare Fraud Prevention Partnership (HFPP) Data Sharing and Information Exchange; 5) Minimum Essential Coverage; and 6) Hospice Request for Certification in the Medicare Program. Comments are due by October 2, 2025.
Source: Federal Register
Aug 28, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare and Medicaid Programs: Conditions of Participation for Hospices; and 2) Blueprint for Approval of State-based Exchange. Comments are due by September 29, 2025.
Source: Federal Register
Aug 28, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) correcting a date in the July 9, 2025, notice.
Source: Federal Register
Aug 28, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on an information collection regarding forms related to the Nurse Corps Scholarship Program (SP). The information collected is used by the Nurse Corps program to make award decisions about Nurse Corps SP applicant eligibility, monitor a participant's continued enrollment in a school of nursing, monitor the participant's compliance with the Nurse Corps SP service obligation, and prepare annual reports to Congress. Comments are due by September 29, 2025.
Source: Federal Register
Aug 27, 2025 - Notice from the U.S. Census Bureau providing an additional 30 days for comments on the April 18, 2025, notice regarding the proposed reinstatement, with change, of National Sample Survey of Registered Nurses (NSSRN). Comments are due within 30 days of this notice.
Source: Federal Register
Aug 27, 2025 - The Substance Abuse and Mental Health Services Administration (SAMHSA) seeking comments on the extension of an information collection titled "Fast Track Generic Clearance for the Collection of Qualitative Feedback on SAMHSA Service Delivery." Information collected will be used to ensure that SAMHSA customers and stakeholders have an effective, efficient, and satisfying experience with SAMHSA's programs. Comments are due by October 27, 2025.
Source: Federal Register
Aug 26, 2025 - The National Telecommunications and Information Administration (NTIA) will host a public symposium on September 10, 2025, to discuss the implementation of the National Spectrum Strategy. The event can also be viewed virtually on the NTIA website.
Source: Federal Register
Aug 25, 2025 - Notice from the Centers for Medicare and Medicaid Services seeking comment on generic information collections related to Child and Adult Core Set Measures and Health Home Core Set Measures in the Quality Measurement Reporting System. Comments are due by September 8, 2025.
Source: Federal Register
Information on this page is also available via RSS feed:
Learn more about RHIhub's RSS feeds