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Data / Federal rules / Health maintenance organizations (HMO)

Federal rules on health maintenance organizations (hmo): 37 since February 2024

23 final rules and 14 proposed rules since February 8, 2024, 15 of them marked significant. 1 is open for comment now. Most come from the Centers for Medicare & Medicaid Services (32), Health and Human Services Department (5).

SpecStream is the live web data engine for teams and agents. It reads every rule and proposed rule in the Federal Register each morning, and this page is that reading. Name your industry once and new rules, comment deadlines and effective dates arrive in your sheet, CRM, Slack or agent as they are published.

Open for comment

DocumentAgencyTypeComments due
Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026
2026-21420
Centers for Medicare & Medicaid ServicesProposed ruleDec 15

Every document, newest first

DocumentAgencyTypePublished
Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026
2026-21420
Centers for Medicare & Medicaid ServicesProposed ruleOct 20
Patient Protection and Affordable Care Act; Temporary Moratoria on Certain Agent and Broker Registration To Participate in the Exchanges
2026-19493
Health and Human Services DepartmentFinal ruleSep 23
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; Other Policy Changes; and Adoption of Updated Versions of Certain Health Information Technology Standards
2026-15833
Centers for Medicare & Medicaid ServicesFinal ruleAug 4
Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
2026-14327
Centers for Medicare & Medicaid ServicesProposed ruleJul 16
Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies
2026-13602
Centers for Medicare & Medicaid ServicesProposed ruleJul 6
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program
2026-10050 · significant
Centers for Medicare & Medicaid ServicesFinal ruleMay 20
Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges
2026-07205 · significant
Centers for Medicare & Medicaid ServicesProposed ruleApr 14
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes
2026-07203
Centers for Medicare & Medicaid ServicesProposed ruleApr 14
Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program
2026-06600 · significant
Centers for Medicare & Medicaid ServicesFinal ruleApr 6
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program
2026-02769 · significant
Centers for Medicare & Medicaid ServicesProposed ruleFeb 11
Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program
2025-21456 · significant
Centers for Medicare & Medicaid ServicesProposed ruleNov 28, 2025
Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
2025-19787 · significant
Centers for Medicare & Medicaid ServicesFinal ruleNov 5, 2025
Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE)-Finalization of Format Provider Directories for Medicare Plan Finder
2025-18236 · significant
Centers for Medicare & Medicaid ServicesFinal ruleSep 19, 2025
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2026 Rates; Changes to the FY 2025 IPPS Rates Due to Court Decision; Requirements for Quality Programs; and Other Policy Changes; Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization
2025-14681
Centers for Medicare & Medicaid ServicesFinal ruleAug 4, 2025
Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
2025-13271 · significant
Centers for Medicare & Medicaid ServicesProposed ruleJul 16, 2025
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability
2025-11606
Health and Human Services DepartmentFinal ruleJun 25, 2025
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes
2025-06271 · significant
Centers for Medicare & Medicaid ServicesProposed ruleApr 30, 2025
Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly
2025-06008 · significant
Centers for Medicare & Medicaid ServicesFinal ruleApr 15, 2025
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability
2025-04083
Health and Human Services DepartmentProposed ruleMar 19, 2025
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program
2025-00640
Health and Human Services DepartmentFinal ruleJan 15, 2025
Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly
2024-27939 · significant
Centers for Medicare & Medicaid ServicesProposed ruleDec 10, 2024
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
2024-25382 · significant
Centers for Medicare & Medicaid ServicesFinal ruleDec 9, 2024
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program; Correcting Amendment
2024-24910
Centers for Medicare & Medicaid ServicesFinal ruleOct 28, 2024
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program
2024-23103
Centers for Medicare & Medicaid ServicesProposed ruleOct 10, 2024
Health and Human Services Adoption of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards
2024-21984
Health and Human Services DepartmentFinal ruleOct 2, 2024
Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment
2024-22203 · significant
Centers for Medicare & Medicaid ServicesFinal ruleSep 30, 2024
Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes
2024-17021
Centers for Medicare & Medicaid ServicesFinal ruleAug 28, 2024
Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment
2024-17024 · significant
Centers for Medicare & Medicaid ServicesFinal ruleAug 6, 2024
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
2024-14828
Centers for Medicare & Medicaid ServicesProposed ruleJul 31, 2024
21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking
2024-13793
Centers for Medicare & Medicaid ServicesFinal ruleJul 1, 2024
Medicare Program; Medicare Prescription Drug Benefit Program; Health Information Technology Standards and Implementation Specifications
2024-12842
Centers for Medicare & Medicaid ServicesFinal ruleJun 17, 2024
Clarifying the Eligibility of Deferred Action for Childhood Arrivals (DACA) Recipients and Certain Other Noncitizens for a Qualified Health Plan through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, and a Basic Health Program
2024-09661
Centers for Medicare & Medicaid ServicesFinal ruleMay 8, 2024
Nondiscrimination in Health Programs and Activities
2024-08711
Centers for Medicare & Medicaid ServicesFinal ruleMay 6, 2024
Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes
2024-07567
Centers for Medicare & Medicaid ServicesProposed ruleMay 2, 2024
Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE)
2024-07105
Centers for Medicare & Medicaid ServicesFinal ruleApr 23, 2024
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program
2024-07274
Centers for Medicare & Medicaid ServicesFinal ruleApr 15, 2024
Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program
2024-00895 · significant
Centers for Medicare & Medicaid ServicesFinal ruleFeb 8, 2024

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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.