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Rural Health
News by Topic: Legislation and regulations

May 12, 2026 - Notice of proposed rulemaking (NPRM) from the U.S. Department of Health and Human Services (HHS) Administration for Children and Families (ACF) proposing to remove requirements from the Head Start Program Performance Standards to restore local flexibility to Head Start programs and improve access to quality services. Specifically, this NPRM proposes to remove requirements related to wages and benefits that the Administration believes are not in line with the plain language of the Head Start Act. Comments are due by June 11, 2026.
Source: Federal Register
May 12, 2026 - Notice of final rule from the U.S. Department of Health and Human Services (HHS) amending the Child Care and Development Fund (CCDF) regulations. Among other things, this rule rescinds four requirements added to the CCDF regulations in the March 2024 final rule, including limiting family co-payments to 7 percent of family income, providing some direct services through grants or contracts, paying providers prospectively, and paying providers based on enrollment. This rule is effective July 13, 2026.
Source: Federal Register
May 11, 2026 - Notice of an interim final rule with request for comments from the U.S. Department of Health and Human Services (HHS) extending the web content and mobile application (app) accessibility compliance dates established in the May 9, 2024, final rule. The compliance date for recipients with 15 or more employees is extended to May 11, 2027. The compliance date for recipients with fewer than 15 employees is extended to May 10, 2028. This rule is effective May 7, 2026. Comments are due by July 6, 2026.
Source: Federal Register
May 8, 2026 - Opinion piece discussing effects of healthcare provider shortages in rural Ohio. Ohio Senate Bill 258 would would allow Advanced Practice Registered Nurses (APRNs) to practice without the physician collaboration requirement currently in place, and might help alleviate shortages in rural and underserved areas.
Source: Ohio Capital Journal
May 7, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comment on proposed revisions to an information collection titled "Beneficiary and Family Centered Data Collection." The information collected is used to assess beneficiary overall and specific experiences with the Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations (QIOs). Comments are due by July 6, 2026.
Source: Federal Register
May 7, 2026 - Notice of final rule from the Health Resources and Services Administration (HRSA) finalizing updates to the criteria for determining Maternity Care Target Areas (MCTAs), geographic areas within Health Professional Shortage Areas (HPSAs) that have a shortage of maternity care health professionals. This rule also summarizes and responds to comments received on the February 3, 2026, proposed rule. Updates to Maternity Care Health Professional Target Areas will be implemented beginning August 15, 2026.
Source: Federal Register
May 4, 2026 - Ohio Senator Jon Husted and Arizona Senator Mark Kelly recently introduced the Delivering for Rural Seniors Act, which would create a pilot program to deliver food boxes directly to underserved seniors. The Federal Commodity Supplemental Food Program currently offers monthly food assistance to qualifying seniors, but some people lack transportation to distribution sites.
Source: News 5 Cleveland
May 1, 2026 - Notice of final rule from the U.S. Department of Education amending the regulations for the federal student loan programs authorized under Title IV of the Higher Education Act of 1965 (HEA) to implement changes outlined the July 4, 2025, Working Families Tax Cuts Act (Public Law 119-21). Among other things, these changes include establishing new loan limits for graduate students, professional students, and parents; phasing out the Graduate PLUS (Grad PLUS) Program; and establishing a new income-driven repayment plan known as the Repayment Assistance Plan. This final rule is effective July 1, 2026.
Source: Federal Register
Apr 30, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Current Beneficiary Survey; and 2) Hospice Survey and Deficiencies Report Form and Supporting Regulations. Comments are due by June 29, 2026.
Source: Federal Register
Apr 30, 2026 - Announces proposed bipartisan legislation to extend the Rural Community Hospital Demonstration program 5 more years. RCHD allows for innovative hospital payment model testing under Medicare to maintain healthcare access for rural communities.
Source: Office of Senator Chuck Grassley