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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Nov 26, 2025 - Pre-publication notice of a proposed rule from the Centers of Medicare & Medicaid Services (CMS) that would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations. Proposed revisions would implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas for contract year 2027. Among other things, this proposed rule also includes a request for information regarding changes to the Medicare Advantage (MA) that would modernize and improve the MA program and could be implemented through either programmatic changes or through a CMS Innovation Center (CMMI) model. Comments are due by January 26, 2026.
Source: Federal Register
Nov 25, 2025 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) making changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026, including changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. Among other things, this rule also updates the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. This rule also announces the closure of a teaching hospital and the opportunity to apply for available slots. This rule is effective January 1, 2026. Applications for available resident spots are due by February 19, 2026.
Source: Federal Register
Nov 25, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing that CMS will share certain information with the U.S. Department of Homeland Security (DHS), and its component agency, U.S. Immigration and Customs Enforcement (ICE) upon request. The information shared may include Medicaid information or data shared with CMS by states. This notice is applicable immediately.
Source: Federal Register
Nov 24, 2025 - 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 24, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comment on the following information collections: 1) 13th SOW Quality Innovation Network—Quality Improvement Organization (QIN-QIO) and American Indian Alaskan Native (AIAN) Measure Data Collection; 2) Provider Directory Data for Medicare Plan Finder; and 3) CMS Electronic Data Interchange (EDI) Enrollment Registration, CMS EDI Enrollment Form, and CMS EDI Enrollment Attestation Form. Comments are due by January 23, 2026.
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 - 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 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 12, 2025 - Highlights 2 new California laws aiming to increase access to maternal healthcare services in rural areas. One law creates a 10 year pilot program to operate standby maternity units for emergency care rather than maintaining staff full time. A second law relaxes licensing rules for birth centers. Discusses new maternity care options as a result of the new policies in Plumas County where a maternity ward closed in 2022.
Source: Cal Matters
Nov 5, 2025 - The Centers for Medicare & Medicaid (CMS) announce that all 50 states applied for funding from the Rural Health Transformation Program (RHTP). RHTP goals include supporting rural health innovation, improving sustainability, workforce development, new models of care delivery, and expanding technology access and utilization. Funding decisions will be announced by December 31, 2025.
Source: U.S. Department of Health and Human Services