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Data / Federal rules / Medicaid

Federal rules on medicaid: 69 since January 2024

45 final rules and 24 proposed rules since January 9, 2024, 25 of them marked significant. 1 is open for comment now. Most come from the Centers for Medicare & Medicaid Services (51), Health and Human Services Department (16), Social Security Administration (1), Inspector General Office, Health and Human Services Department (1).

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Open for comment

Every document, newest first

DocumentAgencyTypePublished
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
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
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
2026-16508
Centers for Medicare & Medicaid ServicesFinal ruleAug 13
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
Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes
2026-14897
Centers for Medicare & Medicaid ServicesProposed ruleJul 23
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
Medicaid Program; Community Engagement Requirement for Certain Individuals
2026-11094
Centers for Medicare & Medicaid ServicesFinal ruleJun 3
Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
2026-10292 · significant
Centers for Medicare & Medicaid ServicesProposed ruleMay 22
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
Rescission of Obsolete Regulations Addressing Drug Addiction and Alcoholism Under Titles II and XVI of the Social Security Act
2026-06557
Social Security AdministrationFinal ruleApr 3
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures
2026-05676 · significant
Health and Human Services DepartmentFinal ruleMar 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
Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole
2026-02040 · significant
Centers for Medicare & Medicaid ServicesFinal ruleFeb 2
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
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
2025-23464
Centers for Medicare & Medicaid ServicesProposed ruleDec 19, 2025
Medicare and Medicaid Programs; Repeal of Minimum Staffing Standards for Long-Term Care Facilities
2025-21792
Centers for Medicare & Medicaid ServicesFinal ruleDec 3, 2025
Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies
2025-21767 · significant
Centers for Medicare & Medicaid ServicesFinal ruleDec 2, 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
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; 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
Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies
2025-12347 · significant
Centers for Medicare & Medicaid ServicesProposed ruleJul 2, 2025
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability
2025-11606
Health and Human Services DepartmentFinal ruleJun 25, 2025
Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed Rule
2025-08566 · significant
Centers for Medicare & Medicaid ServicesProposed ruleMay 15, 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: 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: 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
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
Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities
2024-26804
Inspector General Office, Health and Human Services DepartmentProposed ruleDec 2, 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; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies
2024-25441
Centers for Medicare & Medicaid ServicesFinal ruleNov 7, 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
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; Correcting Amendment
2024-24801 · significant
Centers for Medicare & Medicaid ServicesFinal ruleOct 25, 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
Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program
2024-21254
Centers for Medicare & Medicaid ServicesFinal ruleSep 26, 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
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; 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; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies
2024-14254
Centers for Medicare & Medicaid ServicesProposed ruleJul 3, 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
Medicaid Program; Ensuring Access to Medicaid Services
2024-08363 · significant
Centers for Medicare & Medicaid ServicesFinal ruleMay 10, 2024
Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting
2024-08273
Centers for Medicare & Medicaid ServicesFinal ruleMay 10, 2024
Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality
2024-08085
Centers for Medicare & Medicaid ServicesFinal ruleMay 10, 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
Medicaid Program; Streamlining the Medicaid, Children's Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes
2024-06566
Centers for Medicare & Medicaid ServicesFinal ruleApr 2, 2024
Partnerships With Faith-Based and Neighborhood Organizations
2024-03869 · significant
Health and Human Services DepartmentFinal ruleMar 4, 2024
Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule
2024-03542
Centers for Medicare & Medicaid ServicesFinal ruleFeb 23, 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
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.