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 Services | Proposed rule | Oct 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 Department | Final rule | Sep 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 Services | Final rule | Aug 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 Services | Final rule | Aug 4 |
Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes 2026-14897 | Centers for Medicare & Medicaid Services | Proposed rule | Jul 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 Services | Proposed rule | Jul 16 |
Medicaid Program; Community Engagement Requirement for Certain Individuals 2026-11094 | Centers for Medicare & Medicaid Services | Final rule | Jun 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 Services | Proposed rule | May 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 Services | Final rule | May 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 Services | Proposed rule | Apr 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 Services | Proposed rule | Apr 14 |
Rescission of Obsolete Regulations Addressing Drug Addiction and Alcoholism Under Titles II and XVI of the Social Security Act 2026-06557 | Social Security Administration | Final rule | Apr 3 |
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures 2026-05676 · significant | Health and Human Services Department | Final rule | Mar 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 Services | Proposed rule | Feb 11 |
Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole 2026-02040 · significant | Centers for Medicare & Medicaid Services | Final rule | Feb 2 |
Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions To Unleash Prosperity 2025-23896 · significant | Health and Human Services Department | Proposed rule | Dec 29, 2025 |
Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children 2025-23465 | Centers for Medicare & Medicaid Services | Proposed rule | Dec 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 Services | Proposed rule | Dec 19, 2025 |
Medicare and Medicaid Programs; Repeal of Minimum Staffing Standards for Long-Term Care Facilities 2025-21792 | Centers for Medicare & Medicaid Services | Final rule | Dec 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 Services | Final rule | Dec 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 Services | Final rule | Nov 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 Department | Final rule | Aug 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 Services | Final rule | Aug 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 Services | Proposed rule | Jul 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 Services | Proposed rule | Jul 2, 2025 |
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability 2025-11606 | Health and Human Services Department | Final rule | Jun 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 Services | Proposed rule | May 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 Services | Proposed rule | Apr 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 Services | Final rule | Apr 15, 2025 |
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability 2025-04083 | Health and Human Services Department | Proposed rule | Mar 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 Department | Final rule | Jan 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 Services | Final rule | Jan 13, 2025 |
HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information 2024-30983 · significant | Health and Human Services Department | Proposed rule | Jan 6, 2025 |
Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA) 2024-29163 | Health and Human Services Department | Final rule | Dec 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 Department | Final rule | Dec 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 Services | Proposed rule | Dec 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 Services | Final rule | Dec 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 Department | Proposed rule | Dec 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 Services | Final rule | Nov 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 Services | Final rule | Nov 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 Services | Final rule | Oct 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 Services | Final rule | Oct 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 Services | Proposed rule | Oct 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 Department | Final rule | Oct 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 Services | Final rule | Sep 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 Services | Final rule | Sep 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 Services | Final rule | Aug 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 Services | Final rule | Aug 6, 2024 |
Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability 2024-14975 · significant | Health and Human Services Department | Proposed rule | Aug 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 Services | Proposed rule | Jul 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 Services | Proposed rule | Jul 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 Services | Proposed rule | Jul 3, 2024 |
21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking 2024-13793 | Centers for Medicare & Medicaid Services | Final rule | Jul 1, 2024 |
Medicare Program; Medicare Prescription Drug Benefit Program; Health Information Technology Standards and Implementation Specifications 2024-12842 | Centers for Medicare & Medicaid Services | Final rule | Jun 17, 2024 |
Medicaid Program; Ensuring Access to Medicaid Services 2024-08363 · significant | Centers for Medicare & Medicaid Services | Final rule | May 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 Services | Final rule | May 10, 2024 |
Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality 2024-08085 | Centers for Medicare & Medicaid Services | Final rule | May 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 Services | Final rule | May 8, 2024 |
Nondiscrimination in Health Programs and Activities 2024-08711 | Centers for Medicare & Medicaid Services | Final rule | May 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 Services | Proposed rule | May 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 Services | Final rule | Apr 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 Services | Final rule | Apr 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 Services | Final rule | Apr 2, 2024 |
Partnerships With Faith-Based and Neighborhood Organizations 2024-03869 · significant | Health and Human Services Department | Final rule | Mar 4, 2024 |
Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule 2024-03542 | Centers for Medicare & Medicaid Services | Final rule | Feb 23, 2024 |
Confidentiality of Substance Use Disorder (SUD) Patient Records 2024-02544 · significant | Health and Human Services Department | Final rule | Feb 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 Services | Final rule | Feb 8, 2024 |
Safeguarding the Rights of Conscience as Protected by Federal Statutes 2024-00091 | Health and Human Services Department | Final rule | Jan 11, 2024 |
Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing 2023-28857 | Health and Human Services Department | Final rule | Jan 9, 2024 |