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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Healthcare business and finance

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 - Pre-publication 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 biologicals products reduces costs for Medicare fee-for service (FFS) beneficiaries and the Medicare program while preserving quality of care. Comments are due within 60 days of the publication of this notice.
Source: Federal Register
Dec 22, 2025 - Pre-publication 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 within 60 days of the publication of this notice.
Source: Federal Register
Dec 22, 2025 - Pre-publication 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 within 60 days of the publication of this notice.
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 - Announces $20 million in state funding for rural healthcare providers across New Mexico. Funding prioritizes primary care projects from providers participating in Medicaid who are addressing community needs.
Source: New Mexico Political Report
Dec 19, 2025 - Pre-publication 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 60 days after publication, scheduled for December 23, 2025.
Source: Federal Register