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Data / Federal rules / Laboratories

Federal rules on laboratories: 92 since January 2024

66 final rules and 26 proposed rules since January 9, 2024, 16 of them marked significant. 2 are open for comment now. Most come from the Food and Drug Administration (44), Centers for Medicare & Medicaid Services (18), Transportation Department (9), Health and Human Services Department (7).

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
Low-Value Shipments
2026-20650
U.S. Customs and Border ProtectionProposed ruleDec 7
Clinical Laboratory Improvement Amendments of 1988 (CLIA); Virtual Access, Gynecologic Cytology Proficiency Testing (PT), Personnel Qualifications, and Other Changes
2026-20613
Centers for Medicare & Medicaid ServicesProposed ruleDec 7

Every document, newest first

DocumentAgencyTypePublished
Medical Devices; Immunology and Microbiology Devices; Classification of the System for Detection of Nucleic Acid From Non-Viral Microorganism(s) Causing Sexually Transmitted Infections Using Home-Collected Specimens
2026-20727
Food and Drug AdministrationFinal ruleOct 9
Medical Devices; Immunology and Microbiology Devices; Classification of the Hematopoietic Cell Enrichment Kit
2026-20725
Food and Drug AdministrationFinal ruleOct 9
Low-Value Shipments
2026-20650
U.S. Customs and Border ProtectionProposed ruleOct 8
Clinical Laboratory Improvement Amendments of 1988 (CLIA); Virtual Access, Gynecologic Cytology Proficiency Testing (PT), Personnel Qualifications, and Other Changes
2026-20613
Centers for Medicare & Medicaid ServicesProposed ruleOct 8
Medical Devices; Immunology and Microbiology Devices; Classification of the High Throughput DNA Sequencing for Hereditary Cancer Predisposition Assessment Test System
2026-20443
Food and Drug AdministrationFinal ruleOct 6
Automated Commercial Environment (ACE) Electronic Export Manifest for Rail Cargo
2026-17390 · significant
U.S. Customs and Border ProtectionFinal ruleAug 26
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
Medical Devices; Immunology and Microbiology Devices; Classification of the Over-the-Counter Test To Detect SARS-CoV-2 From Clinical Specimens
2026-14985
Food and Drug AdministrationFinal ruleJul 24
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
Medical Devices; Immunology and Microbiology Devices; Classification of the SARS-CoV-2 Serology Test
2026-12902
Food and Drug AdministrationFinal ruleJun 26
Medical Devices; Immunology and Microbiology Devices; Classification of the Simple In Vitro Diagnostic Device for the Detection of Secreted Proteins From Bacillus Species (spp.) in Human Clinical Samples
2026-12443
Food and Drug AdministrationFinal ruleJun 22
Medical Devices; Immunology and Microbiology Devices; Classification of the Spinal Muscular Atrophy Newborn Screening Test System
2026-11740
Food and Drug AdministrationFinal ruleJun 11
Medical Devices; Immunology and Microbiology Devices; Classification of the Simple Point-of-Care Device to Directly Detect SARS-CoV-2 Viral Targets From Clinical Specimens in Near-Patient Settings
2026-11739
Food and Drug AdministrationFinal ruleJun 11
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Identify Microorganism Nucleic Acids and Resistance Markers From Patients With Suspected Orthopedic Infection
2026-09335
Food and Drug AdministrationFinal ruleMay 12
Procedures for Transportation Workplace Drug and Alcohol Testing Programs
2026-09290
Transportation DepartmentFinal ruleMay 11
Modification of Certain Terminology in Title 21
2026-08826
Food and Drug AdministrationProposed ruleMay 6
Medical Devices; Immunology and Microbiology Devices; Classification of the Circulating Tumor Cell Enrichment Device
2026-08812
Food and Drug AdministrationFinal ruleMay 6
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Preserve and Stabilize Relative Abundances of Microbial Nucleic Acids in Clinical Samples
2026-08811
Food and Drug AdministrationFinal ruleMay 6
Eliminating Regulations Establishing Fellowships in Laboratory Standardization and Testing for Foreign Citizens
2026-08018
National Institute of Standards and TechnologyFinal ruleApr 24
Medical Devices; Immunology and Microbiology Devices; Classification of the Alzheimer's Disease Pathology Assessment Test
2026-07860
Food and Drug AdministrationFinal ruleApr 22
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
Microbiology Devices; Reclassification of Mycobacterium Tuberculosis Cell-Mediated Immunity Tests and Immune Response Enzyme-Linked Immunospot Tests
2026-06064
Food and Drug AdministrationProposed ruleMar 30
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; Correction
2026-04797 · significant
Centers for Medicare & Medicaid ServicesFinal ruleMar 12
Electronic Bond Transmission
2026-02961 · significant
U.S. Customs and Border ProtectionProposed ruleFeb 13
Electronic Export Manifest for Vessel Cargo
2026-02662 · significant
U.S. Customs and Border ProtectionProposed ruleFeb 10
Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions To Unleash Prosperity
2025-23896 · significant
Health and Human Services DepartmentProposed ruleDec 29, 2025
Medical Devices; Quality Management System Regulation Technical Amendments
2025-21955
Food and Drug AdministrationFinal ruleDec 4, 2025
Immunology and Microbiology Devices; Reclassification of Nucleic Acid-Based Test Systems for Use With a Corresponding Approved Oncology Therapeutic Product; Proposed Amendment; Proposed Order; Request for Comments
2025-21071
Food and Drug AdministrationProposed ruleNov 25, 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
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
Procedures for Transportation Workplace Drug and Alcohol Testing Programs
2025-19119
Transportation DepartmentProposed ruleOct 1, 2025
Microbiology Devices; Reclassification of Antigen, Antibody, and Nucleic Acid-Based Hepatitis B Virus Assay Devices
2025-18082
Food and Drug AdministrationFinal ruleSep 18, 2025
Agreement Between the United States of America, the United Mexican States, and Canada (USMCA) Implementing Regulations Related to Textile and Apparel Goods, Automotive Goods, and Other USMCA Provisions; Correcting Amendments
2025-17122
Treasury DepartmentFinal ruleSep 8, 2025
Procedures for Transportation Workplace Drug and Alcohol Testing Programs: Addition of Fentanyl to the Department of Transportation's Drug-Testing Panel; Harmonization With Certain Items in the HHS Mandatory Guidelines for Urine and Oral Fluid; and Technical Amendments
2025-16720
Transportation DepartmentProposed ruleSep 2, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Mutation Detection Test for Myeloproliferative Neoplasms
2025-16038
Food and Drug AdministrationFinal ruleAug 21, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Cancer Predisposition Risk Assessment System
2025-16035
Food and Drug AdministrationFinal ruleAug 21, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of A Multiplex Respiratory Panel To Detect and Identify Emerging Respiratory Pathogen(s) and Common Respiratory Pathogens in Human Clinical Specimens
2025-16034
Food and Drug AdministrationFinal ruleAug 21, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Postnatal Chromosomal Copy Number Variation Detection System
2025-16032
Food and Drug AdministrationFinal ruleAug 21, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Anti-Phospholipase A2 Receptor Immunological Test System
2025-16031
Food and Drug AdministrationFinal ruleAug 21, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Device That Detects Nucleic Acid Sequences From Microorganisms Associated With Vaginitis and Bacterial Vaginosis
2025-16030
Food and Drug AdministrationFinal 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
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
Publication Method of Lists of States With and Without State Meat or Poultry Inspection Programs
2025-11816
Food Safety and Inspection ServiceFinal ruleJun 26, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Herpes Simplex Virus Nucleic Acid-Based Assay for Central Nervous System Infections
2025-11794
Food and Drug AdministrationFinal ruleJun 26, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Clinical Mass Spectrometry Microorganism Identification and Differentiation System
2025-10788
Food and Drug AdministrationFinal ruleJun 13, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Cellular Analysis System for Multiplexed Antimicrobial Susceptibility Testing
2025-10787
Food and Drug AdministrationFinal ruleJun 13, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Identify Fungal Nucleic Acids Directly in Respiratory Specimens
2025-10786
Food and Drug AdministrationFinal ruleJun 13, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect Bacterial Protease Activity in Chronic Wound Fluid
2025-09883
Food and Drug AdministrationFinal ruleJun 2, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Inherited Nucleotide Repeat Disorder Deoxyribonucleic Acid Test
2025-09641
Food and Drug AdministrationFinal ruleMay 29, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Zika Virus Serological Reagents
2025-09639
Food and Drug AdministrationFinal ruleMay 29, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Identify Microbial Nucleic Acids by Fluorescence In Situ Hybridization in Clinical Specimens
2025-08150
Food and Drug AdministrationFinal ruleMay 9, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect Nucleic Acids From Non-Viral Microorganism(s) Causing Sexually Transmitted Infections and Associated Resistance Marker(s)
2025-08149
Food and Drug AdministrationFinal ruleMay 9, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Cytomegalovirus Nucleic Acid Detection Device for Congenital Cytomegalovirus Infection
2025-08146
Food and Drug AdministrationFinal ruleMay 9, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Microbial Nucleic Acid Storage and Stabilization Device
2025-08145
Food and Drug AdministrationFinal ruleMay 9, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Measure Non-Microbial Analytes To Aid in the Detection and Identification of Localized Human Infections
2025-08144
Food and Drug AdministrationFinal ruleMay 9, 2025
Medical Devices; Immunology and Microbiology Devices; Classification of the DNA-Based Test To Measure Minimal Residual Disease in Hematological Malignancies
2025-08143
Food and Drug AdministrationFinal ruleMay 9, 2025
Agreement Between the United States of America, the United Mexican States, and Canada (USMCA) Implementing Regulations Related to Textile and Apparel Goods, Automotive Goods, and Other USMCA Provisions
2025-00550
Treasury DepartmentFinal ruleJan 17, 2025
Automated Commercial Environment (ACE) Electronic Export Manifest for Rail Cargo
2024-31331 · significant
U.S. Customs and Border ProtectionProposed ruleJan 13, 2025
Agricultural Bioterrorism Protection Act of 2002; Biennial Review and Republication of the Select Agent and Toxin List
2024-29567 · significant
Animal and Plant Health Inspection ServiceFinal 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
Procedures for Transportation Workplace Drug and Alcohol Testing Programs
2024-28561
Transportation DepartmentProposed ruleDec 9, 2024
Clinical Trials Registration and Results Information Submission
2024-28475
Health and Human Services DepartmentFinal ruleDec 9, 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
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
Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model
2024-25486
Centers for Medicare & Medicaid ServicesFinal ruleNov 12, 2024
Procedures for Transportation Workplace Drug and Alcohol Testing Programs
2024-25403
Transportation DepartmentFinal ruleNov 5, 2024
Electronic Signatures, Forms and Storage for Drug and Alcohol Testing Records
2024-23427
Pipeline and Hazardous Materials Safety AdministrationProposed ruleOct 15, 2024
Microbiology Devices; Reclassification of Antigen, Antibody, and Nucleic Acid-Based Hepatitis B Virus Assay Devices
2024-21932
Food and Drug AdministrationProposed ruleSep 25, 2024
Microbiology Devices; Reclassification of Cytomegalovirus Deoxyribonucleic Acid Quantitative Assay Devices Intended for Transplant Patient Management
2024-21616
Food and Drug AdministrationFinal ruleSep 23, 2024
Marine Equipment on Board Vessels and Offshore Units or Facilities
2024-20380
Coast GuardFinal ruleSep 18, 2024
Medical Devices; Immunology and Microbiology Devices; Classification of the Quantitative Viral Nucleic Acid Test for Transplant Patient Management
2024-21086
Food and Drug AdministrationFinal ruleSep 17, 2024
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect or Measure Nucleic Acid From Viruses Associated With Head and Neck Cancers
2024-20896
Food and Drug AdministrationFinal ruleSep 16, 2024
Medical Devices; Immunology and Microbiology Devices; Classification of the Whole Exome Sequencing Constituent Device
2024-20550
Food and Drug AdministrationFinal ruleSep 11, 2024
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Identify Nucleic Acid Targets Including SARS-CoV-2 in Respiratory Specimens
2024-18266
Food and Drug AdministrationFinal ruleAug 16, 2024
Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Identify Selected Microbial Agents That Cause Acute Febrile Illness
2024-18264
Food and Drug AdministrationFinal ruleAug 16, 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
Procedures for Transportation Workplace Drug and Alcohol Testing Programs; Withdrawal of Direct Final Rule
2024-16765
Transportation DepartmentFinal ruleAug 1, 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
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
Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model
2024-14359
Centers for Medicare & Medicaid ServicesProposed ruleJul 5, 2024
Enforcement of Copyrights and the Digital Millennium Copyright Act
2024-13329 · significant
Treasury DepartmentFinal ruleJun 24, 2024
Procedures for Transportation Workplace Drug and Alcohol Testing Programs: Technical Amendments
2024-12749
Transportation DepartmentFinal ruleJun 21, 2024
Procedures for Transportation Workplace Drug and Alcohol Testing Programs
2024-12748
Transportation DepartmentProposed ruleJun 21, 2024
Procedures for Transportation Workplace Drug and Alcohol Testing Programs
2024-12747
Transportation DepartmentFinal ruleJun 21, 2024
Current Good Manufacturing Practice, Certification, Postmarketing Safety Reporting, and Labeling Requirements for Certain Medical Gases
2024-13190
Food and Drug AdministrationFinal ruleJun 18, 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
Approval Tests and Standards for Combination Unit Respirators
2024-03849
Health and Human Services DepartmentProposed ruleMar 15, 2024
Agricultural Bioterrorism Protection Act of 2002; Biennial Review and Republication of the Select Agent and Toxin List
2024-01501 · significant
Animal and Plant Health Inspection ServiceProposed 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

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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.