Data / Federal rules / 2025-20907
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on November 25, 2025. It took effect on January 1, 2026. Comments closed on January 20, 2026.
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What the agency says
This final rule with comment period revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026 based on our continuing experience with these systems. We also describe the 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. In addition, this final rule with comment period announces the closure of a teaching hospital and the opportunity to apply for available slots, and updates and refines 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, as well as summarizes comments received in response to a request for information on measure concepts regarding Well-Being and Nutrition for consideration in future years for the OQR, REHQR, and ASCQR programs.
Key facts
- Document number
- 2025-20907
- Type
- Final rule
- Action
- Final rule with comment period
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- November 25, 2025
- Takes effect
- January 1, 2026
- Comments due
- January 20, 2026
- Dates
- Effective Date: The provisions of this rule are effective January 1, 2026.
- Docket
- CMS-1834-FC
- Regulation ID (RIN)
- 0938-AV51
- Code of Federal Regulations
- 42 CFR 410; 42 CFR 412; 42 CFR 413; 42 CFR 415; 42 CFR 416; 42 CFR 419; 45 CFR 180
- Topics
- Administrative practice and procedure; Diseases; Health facilities; Health professions; Hospitals; Laboratories; Medicare; Puerto Rico; Reporting and recordkeeping requirements; Rural areas; X-rays
- Significant
- Yes, under Executive Order 12866
- Pages
- 641
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on diseases · Rules on health facilities · Published in November 2025
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.