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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Jun 26, 2026 - Notice of proposed 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 2027 and proposing updates to 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 proposes updated requirements for the ESRD Quality Incentive Program and includes requests for information (RFI) to inform future policies related to increasing home dialysis uptake, improving palliative dialysis, and supporting alternative dialysis schedules. Comments are due by August 24, 2026.
Source: Federal Register
Jun 26, 2026 - Pre-publication notice from the Centers for Medicare & Medicaid Services (CMS) making corrections to the June 3, 2026, interim final rule titled "Medicaid Program; Community Engagement Requirement for Certain Individuals."
Source: Federal Register
Jun 24, 2026 - Notice of proposed rule from the U.S. Department of Agriculture (USDA) Food and Nutrition Administration (FNA) that would amend the Supplemental Nutrition Assistance Program (SNAP) regulations to codify the reduction of the amount of the Federal government's share of annual SNAP state administrative costs from 50 percent to 25 percent beginning in fiscal year 2027. Comments are due by August 24, 2026.
Source: Federal Register
Jun 24, 2026 - Announces proposed bipartisan legislation to provide funding covering emergency room operating expenses for rural hospitals. Highlights how hospital closures have affected rural Missouri communities.
Source: Office of Senator Josh Hawley
Jun 24, 2026 - Notice from the Office of Inspector General (OIG) in the Department of Health and Human Services (HHS) seeking comments on whether any additions or modifications are needed to the safe harbor regulations under the Federal anti-kickback statute or the exceptions to the civil monetary penalty provision prohibiting inducements to beneficiaries for remuneration provided to individuals in connection with their participation in clinical trials. Comments are due by August 24, 2026.
Source: Federal Register
Jun 18, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on a request for information (RFI) regarding technical input on the services and business practices of pharmacy benefit managers (PBMs) and their affiliates to inform implementation of recent legislation. The RFI specifically focuses on two specific legislative requirements that are effective beginning calendar year 2028: 1) restrictions on the remuneration that PBMs and their affiliates may receive for services in connection with the utilization of covered Part D drugs and 2) data reporting requirements. Comments are due by July 20, 2026.
Source: Federal Register
Jun 16, 2026 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) Conditions of Coverage for Portable X-ray Suppliers and Supporting Regulations; and 2) Requirements Related to Surprise Billing; Part II. Comments are due by July 16, 2026.
Source: Federal Register
Jun 16, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would codify the Medicare Drug Price Negotiation Program, establish certain new policies for the Negotiation Program and the Medicare Prescription Drug Benefit Program as required by the Inflation Reduction Act of 2022, and propose a modification to the fixed combination drug policy. Comments are due by August 17, 2026.
Source: Federal Register
Jun 16, 2026 - Notice of final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) establishing provisions to strengthen the oversight of Medicare national accrediting organizations by addressing conflicts of interest; establishing consistent standards, processes, and definitions; and updating the validation and performance standards systems. In addition, this rule revises the psychiatric hospital survey process, adds a limitation on terminated deemed providers and suppliers when reentering the program, and provides technical corrections for End-Stage Renal Disease (ESRD) facilities and Transplant Programs. This rule is effective June 16, 2027. Comments are due by August 17, 2026.
Source: Federal Register
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