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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Apr 20, 2026 - Examines ways in which rural communities can create accountable care programs, using funds from the Rural Health Transformation Program. Notes that rural areas have tighter social networks, clearer referral pathways, and fewer competing delivery systems, which can support accountable care after infrastructure is in place.
Source: Health Affairs
Apr 20, 2026 - Notice of final rule from the U.S. Department of Agriculture (USDA) Rural Housing Service (RHS) changes related to insurance requirements under the Multi-Family Housing (MFH) Direct Loan and Grant programs. This final rule will align USDA Rural Development insurance coverage types, amounts, and deductibles with affordable housing industry standards to simplify the coverage amounts and deductible limits, and improve customer experience with updated and understandable insurance requirements. This rule is effective May 20, 2026.
Source: Federal Register
Apr 17, 2026 - Notice from the Department of Defense (DOD) making corrections to the April 10, 2026, notice announcing the extension of the Childbirth and Breastfeeding Support Demonstration (CBSD) through December 31, 2031. This correction is effective April 17, 2026.
Source: Federal Register
Apr 17, 2026 - Notice of final rule from the U.S. Department of Agriculture (USDA) correcting the March 24, 2024, final rule that made changes to regulations to clarify protections for beneficiaries and prospective beneficiaries of federally funded social services and the rights and obligations of organizations providing such services. This correction will specifically state that the rule is intended to cover recipients and subrecipients of USDA domestic social service programs to which USDA uniform administrative requirements for recipients applies. This rule is effective May 18, 2026.
Source: Federal Register
Apr 16, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
Source: Federal Register
Apr 15, 2026 - Alabama Governor Kay Ivey has signed several bills designed to improve availability and delivery of healthcare services in rural areas.
Source: Office of Governor Kay Ivey
Apr 15, 2026 - Notice from U.S. Department of Agriculture (USDA) Rural Business-Cooperative Service (RBCS) rescinding the October 16, 2024, Notice of Funding Opportunity (NOFO) for the Rural Energy for America Program (REAP) for fiscal years 2025-2027. RBCS is currently making regulatory changes to the REAP program and available funding will be announced after publication of these changes. Applicants who previously submitted applications will be required to submit a new application and must comply with the new regulation.
Source: Federal Register
Related funding: Rural Energy for America Program (REAP) Renewable Energy Systems and Energy Efficiency Improvements Grants and Guaranteed Loans
Apr 14, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) proposing to improve the electronic exchange of healthcare data and streamline processes related to prior authorization by increasing the interoperability of systems used across the healthcare industry. Among other things, this rule proposes new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to make electronic prior authorization for drugs available; to report their application programming interfaces (API) endpoints and related information for the Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS; and extend many existing interoperability requirements for the prior authorization of non-drug items and services to include prior authorizations for drugs. In addition, ONC proposes adopting updated versions of certain health information technology (health IT) standards and specifications for HHS use. Comments are due by June 15, 2026.
Source: Federal Register
Apr 14, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2027. Contains details of proposed changes related to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and certain quality programs, among other things. Comments are due by April 10, 2026.
Source: Federal Register
Apr 13, 2026 - Notice of final rule from the U.S. Department of Agriculture (USDA) Rural Housing Service (RHS) amending its regulations to implement changes related to income calculation and net family assets for properties that receive funding from the Multi-Family Housing (MFH) Section 515 Rural Rental Housing and the Section 514/516 Farm Labor Housing Direct Loan and Grant programs. This rule is effective April 13, 2026.
Source: Federal Register