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Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Jun 11, 2026 - Notice of final rule from the U.S. Department of Veterans Affairs (VA) rescinding its regulations that govern the Rural Veterans Coordination Pilot (RVCP) grant program. The statutory authority for the RVCP grant program has expired. This rule is effective July 13, 2026.
Source: Federal Register
Jun 10, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of an information collection titled "Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instruction." The physician certification and recertification is intended to ensure that the beneficiary's need for services has been established and then reviewed and updated at appropriate intervals and is a condition for Medicare Part A payment for post-hospital skilled nursing facility (SNF) care. Comments are due by July 10, 2026.
Source: Federal Register
Jun 10, 2026 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the Commission on Laboratory Accreditation (COLA) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program for the specialty of histocompatibility. This approval is applicable from July 10, 2026, to June 10, 2031.
Source: Federal Register
Jun 9, 2026 - Notice of final rule from the Administration for Children and Families (ACF) amending the Block Grants regulations, the Individual Development Account Reserve Funds Established Pursuant to Grants for Assets for Independence regulations, and the Emergency Community Services Homeless Grant Program regulations to eliminate unnecessary or obsolete regulations. This rule is effective August 10, 2026.
Source: Federal Register
Jun 9, 2026 - A new bill has been proposed aiming to expand veterinary care in rural and tribal communities. Describes the increase in animal-related injury and zoonotic diseases for communities with limited access to veterinary care.
Source: Brownfield Ag News
Jun 4, 2026 - Notice of final rule from the Office of Personnel Management; Internal Revenue Service (IRS), Department of the Treasury; Employee Benefits Security Administration (EBSA), Department of Labor (DOL); and Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) related to certain provisions of the No Surprises Act regarding the Federal independent dispute resolution (IDR) process. Among other things, this rule finalizes new requirements relating to the disclosure of information that group health plans and health insurance issuers offering group or individual health insurance coverage must include along with the initial payment or notice of denial of payment for certain items and services subject to the surprise billing protections in the No Surprises Act, amendments to certain requirements related to the open negotiation period preceding the Federal IDR process, and the definition of bundled payment arrangements. These rules are effective August 3, 2026.
Source: Federal Register
Jun 3, 2026 - Notice of an interim final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) related to the Medicaid community engagement requirement established by Public Law 119-21. This rule specifies the requirements and expectations for States implementing the community engagement requirement, including the Medicaid applicants and beneficiaries who must demonstrate community engagement as a condition of their eligibility, the types of qualifying activities that satisfy the community engagement requirement, the criteria to meet an exception from the requirement, and the criteria to meet a specified exclusion from the requirement. Among other things, this rule also establishes new state reporting requirements. These regulations are effective July 31, 2026. Comments are due by July 31, 2026.
Source: Federal Register
Jun 2, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) regarding the United States District Court for the Southern District of Mississippi order in Tennessee v. Kennedy, No. 1:24-cv-161-LG-BWR (S.D. Miss. Oct. 22, 2025), which vacates portions of the May 6, 2024, final rule titled "Nondiscrimination in Health Programs and Activities." Pursuant to the court's order, the vacated provisions are legally void.
Source: Federal Register
Jun 1, 2026 - Notice of a final 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. 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. This rule is effective July 1, 2026.
Source: Federal Register
May 29, 2026 - Notice of proposed rule from the Office of Management and Budget (OMB) proposing revisions to the Guidance for Federal Financial Assistance to improve government-wide policies and requirements related to the management of grants, cooperative agreements, and other forms of assistance. These revisions are intended to improve transparency, accountability, and oversight for federal awards. Among other things, this rule proposes elimination of fixed amount awards and fixed amount subawards, proposed payment accountability reforms, reforms related to subrecipient oversight, and changes to national policy provisions. Comments are due by July 13, 2026.
Source: Federal Register