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Rural Health
News by Topic: Policy

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 across. 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
May 29, 2026 - Pre-publication 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 30 days after the publication of this notice, which is scheduled for June 1, 2026.
Source: Federal Register
May 29, 2026 - The Substance Abuse and Mental Health Services Administration (SAMHSA) is seeking comments on the extension of the generic information collection request (ICR) entitled Generic Clearance for Grant Program Monitoring Activities. Information collected is used by SAMHSA to perform agency program oversight activities such as monitoring progress on recipient activities, determining and responding to recipient's training and technical assistance needs, and ensure compliance with federal and programmatic requirements. Comments are due by July 28, 2026.
Source: Federal Register
May 27, 2026 - The Federal Transit Administration (FTA) is accepting applications for the Public Transportation on Indian Reservations (Tribal Transit) Program for fiscal year 2026. Proposals are due by August 25, 2026.
Source: Federal Register
Related funding: Public Transportation on Indian Reservations Program: Tribal Transit Program
May 26, 2026 - Notice from the U.S. Department of Homeland Security (DHS) Cybersecurity and Infrastructure Security Agency (CISA) announcing a virtual town hall meeting schedule to allow external stakeholders an additional opportunity to provide input on refining the scope and burden of the April 4, 2024, Cyber Incident Reporting for Critical Infrastructure Act of 2022 (CIRCIA) Notice of Proposed Rulemaking (NPRM). Meetings are scheduled for June 15 – 18, 2026, from 11:30 a.m. – 3:30 p.m. Registration is required.
Source: Federal Register
May 26, 2026 - Notice from the U.S. Department of Health and Human Services (HHS) announcing the renewal of the charter for the President's Council on Sports, Fitness & Nutrition. The Council advises the President on progress made in carrying out the provisions of Executive Order 14327, which aims to promote the economic, academic, and social benefits of youth sports, fitness, and nutrition. The charter is effective through May 8, 2028.
Source: Federal Register
May 26, 2026 - The Substance Abuse and Mental Health Services Administration (SAMHSA) is seeking comments on a proposed extension for methodological field tests for the National Survey on Drug Use and Health (NSDUH). The tests will continue to examine ways to increase data quality, lower operating costs, and gain a better understanding of sources and effects of non-sampling error on NSDUH estimates. Comments are due within 30 days of this notice.
Source: Federal Register
May 22, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services describing alternatives to modify the limit on the total payment rate and other requirements for State directed payments in Medicaid managed care. This rule also proposes to set a limit for certain targeted Medicaid payments in Medicaid fee-for-service. Includes rural considerations throughout. Comments are due July 21, 2026.
Source: Federal Register
May 22, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
May 21, 2026 - Announces proposed legislation to extend the Rural Community Hospital Demonstration (RCHD) Program for 5 more years. RCHD allows for innovative hospital payment models to support rural facilities.
Source: Office of Representative Randy Feenstra