Rural Health
News by Topic: Policy
CMS: Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model
Federal Register
Jun 1, 2026 - 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 July 1, 2026.
Source: Federal Register
FCC: Privacy Act of 1974; Matching Program
Federal Register
Jun 1, 2026 - Notice from the Federal Communications Commission (FCC) seeking comments on a new computer matching program between the FCC, the Universal Service Administrative Company, and the Kentucky Cabinet for Health and Family Services Department for Community Based Services to verify the eligibility of applicants and subscribers to Lifeline and the Affordable Connectivity Program (ACP). These programs are designed to facilitate and support access to affordable broadband services for low-income consumers and families. Comments are due by July 1, 2026.
Source: Federal Register
FCC: Privacy Act of 1974; Matching Program
Federal Register
Jun 1, 2026 - Notice from the Federal Communications Commission (FCC) seeking comments on a new computer matching program between the FCC, the Universal Service Administrative Company, and the New Mexico Health Care Authority to verify the eligibility of applicants and subscribers to Lifeline and the Affordable Connectivity Program (ACP). These programs are designed to facilitate and support access to affordable broadband services for low-income consumers and families. Comments are due by July 1, 2026.
Source: Federal Register
OMB: Regulation for Federal Financial Assistance
Federal Register
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
SAMHSA: Agency Information Collection Activities: Proposed Collection; Comment Request
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
FTA: FY 2026 Competitive Funding Opportunity: Public Transportation on Indian Reservations (Tribal Transit) Competitive Program
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
DHS: Town Hall Meetings To Provide Input on Cyber Incident Reporting for Critical Infrastructure Act (CIRCIA) Rulemaking
Federal Register
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
SAMHSA: Agency Information Collection Activities: Submission for OMB Review; Comment Request
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
CMS: Medicaid Program: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
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

