Skip to the page

Data / Federal rules / Hospitals

Federal rules on hospitals: 58 since January 2024

39 final rules and 19 proposed rules since January 9, 2024, 22 of them marked significant. Most come from the Centers for Medicare & Medicaid Services (23), Health and Human Services Department (21), Energy Department (6), Management and Budget Office (4).

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.

Every document, newest first

DocumentAgencyTypePublished
Managing Senior Professional Performance
2026-21316 · significant
Management and Budget OfficeFinal ruleOct 19
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
Education Department General Administrative Regulations
2026-17239 · significant
Education DepartmentProposed ruleAug 24
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
Zero-Based Regulating
2026-13875 · significant
Energy DepartmentFinal ruleJul 9
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots
2026-13656
Centers for Medicare & Medicaid ServicesProposed ruleJul 7
Regulation for Federal Financial Assistance
2026-10817
National Credit Union AdministrationProposed ruleMay 29
Zero-Based Regulating
2026-10729 · significant
Energy DepartmentProposed ruleMay 29
Zero-Based Regulating
2026-10727 · significant
Energy DepartmentFinal ruleMay 29
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
Rescinding the Grant Programs for Schools and Hospitals and Buildings Owned by Units of Local Government and Public Care Institutions Regulations
2026-07165
Energy DepartmentFinal ruleApr 14
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures
2026-05676 · significant
Health and Human Services DepartmentFinal ruleMar 24
Managing Senior Professional Performance
2026-03610 · significant
Management and Budget OfficeProposed ruleFeb 24
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
Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions To Unleash Prosperity
2025-23896 · significant
Health and Human Services DepartmentProposed ruleDec 29, 2025
Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children
2025-23465
Centers for Medicare & Medicaid ServicesProposed ruleDec 19, 2025
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
2025-20907 · significant
Centers for Medicare & Medicaid ServicesFinal ruleNov 25, 2025
Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA), National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard; Updates to Compliance and Other Related Dates
2025-15958
Health and Human Services DepartmentFinal ruleAug 21, 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: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency
2025-13360 · significant
Centers for Medicare & Medicaid ServicesProposed ruleJul 17, 2025
Obsolete Grant and Contract Regulations
2025-11847
Labor DepartmentFinal ruleJul 1, 2025
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability
2025-11606
Health and Human Services DepartmentFinal ruleJun 25, 2025
Rescinding the Grant Programs for Schools and Hospitals and Buildings Owned by Units of Local Government and Public Care Institutions Regulations
2025-08590
Energy DepartmentProposed ruleMay 16, 2025
Rescinding Obsolete Financial Assistance Rules
2025-08568
Energy DepartmentFinal ruleMay 16, 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: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment
2025-00081
Centers for Medicare & Medicaid ServicesFinal ruleJan 13, 2025
HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information
2024-30983 · significant
Health and Human Services DepartmentProposed ruleJan 6, 2025
Health Data, Technology, and Interoperability: Protecting Care Access
2024-29683 · significant
Health and Human Services DepartmentFinal ruleDec 17, 2024
Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA)
2024-29163
Health and Human Services DepartmentFinal ruleDec 16, 2024
Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard
2024-29138
Health and Human Services DepartmentFinal ruleDec 13, 2024
Organ Procurement and Transplantation: Implementation of the HIV Organ Policy Equity (HOPE) Act
2024-27410
Health and Human Services DepartmentFinal ruleNov 27, 2024
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities
2024-25521
Centers for Medicare & Medicaid ServicesFinal ruleNov 27, 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
Guidance for Federal Financial Assistance; Corrections
2024-22520
Management and Budget OfficeFinal ruleOct 1, 2024
Organ Procurement and Transplantation: Implementation of the HIV Organ Policy Equity (HOPE) Act
2024-20643
Health and Human Services DepartmentProposed ruleSep 12, 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
Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability
2024-14975 · significant
Health and Human Services DepartmentProposed ruleAug 5, 2024
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities
2024-15087
Centers for Medicare & Medicaid ServicesProposed ruleJul 22, 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
Health and Human Services Grants Regulation
2024-08880 · significant
Health and Human Services DepartmentFinal ruleMay 3, 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
Guidance for Federal Financial Assistance
2024-07496
Management and Budget OfficeFinal ruleApr 22, 2024
340B Drug Pricing Program; Administrative Dispute Resolution Regulation
2024-08262 · significant
Health and Human Services DepartmentFinal ruleApr 19, 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
Partnerships With Faith-Based and Neighborhood Organizations
2024-03869 · significant
Health and Human Services DepartmentFinal ruleMar 4, 2024
Confidentiality of Substance Use Disorder (SUD) Patient Records
2024-02544 · significant
Health and Human Services DepartmentFinal ruleFeb 16, 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
Advancing Pay Equity in Governmentwide Pay Systems
2024-01337 · significant
Personnel Management OfficeFinal ruleJan 30, 2024
Safeguarding the Rights of Conscience as Protected by Federal Statutes
2024-00091
Health and Human Services DepartmentFinal ruleJan 11, 2024
Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing
2023-28857
Health and Human Services DepartmentFinal ruleJan 9, 2024

Other topics

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.