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Data / Federal rules / Rural areas

Federal rules on rural areas: 91 since January 2024

59 final rules and 32 proposed rules since January 8, 2024, 26 of them marked significant. 1 is open for comment now. Most come from the Centers for Medicare & Medicaid Services (27), Rural Housing Service (24), Rural Utilities Service (10), Farm Credit Administration (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
Unleashing American Energy and Economic Prosperity; Rural Energy for America Program (REAP)
2026-20178
Rural Business-Cooperative ServiceFinal ruleNov 2

Every document, newest first

DocumentAgencyTypePublished
Unleashing American Energy and Economic Prosperity; Rural Energy for America Program (REAP)
2026-20178
Rural Business-Cooperative ServiceFinal ruleOct 1
Driving Efficiency in Farm Loan Delivery
2026-18164
Farm Service AgencyFinal ruleSep 4
Education Department General Administrative Regulations
2026-17239 · significant
Education DepartmentProposed ruleAug 24
Rescission of Rural Development's Construction and Repair Regulation
2026-16914
Rural Housing ServiceProposed ruleAug 19
Community Reinvestment Act Regulations
2026-16454
Federal Deposit Insurance CorporationProposed ruleAug 12
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
Loan Performance Categories and Financial Reporting
2026-15027
Farm Credit 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
Zero-Based Regulating
2026-13875 · significant
Energy DepartmentFinal ruleJul 9
Revisions to the Biorefinery, Renewable Chemical, and Biobased Product Manufacturing Assistance Loan Program
2026-13841
Rural Business-Cooperative ServiceFinal ruleJul 9
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
Direct Multifamily Housing Subsequent Loans for Acquisition
2026-13455
Rural Housing ServiceProposed ruleJul 2
Zero-Based Regulating
2026-10729 · significant
Energy DepartmentProposed ruleMay 29
Zero-Based Regulating
2026-10727 · significant
Energy DepartmentFinal ruleMay 29
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
Equal Access to Housing in HUD Programs Revisions
2026-08244 · significant
Housing and Urban Development DepartmentProposed ruleApr 28
Streamlining Regulations Concerning Public Welfare Investments, Open Market Collateralized Loan Obligations, and Federal Savings Association Nondiscrimination Requirements
2026-08143 · significant
Comptroller of the CurrencyProposed ruleApr 27
Changes Related to Insurance Requirements in Multi-Family Housing (MFH) Direct Loan and Grant Programs
2026-07618
Rural Housing ServiceFinal ruleApr 20
Single Family Housing Guaranteed Loan Program-Limited Party Concessions
2026-07617
Rural Housing ServiceProposed ruleApr 20
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
Revisions to the Calculation of Annual Household Income and Net Family Assets in the Section 515 Rural Rental Housing and Section 514/516 Farm Labor Housing Programs
2026-07064
Rural Housing ServiceFinal ruleApr 13
Single Family Housing Guaranteed Loan Program-Income Producing Accessory Dwelling Unit (ADU) Provisions
2026-06173 · significant
Rural Housing ServiceProposed ruleMar 31
Single Family Housing Guaranteed Loan Program
2026-05387 · significant
Rural Housing ServiceFinal ruleMar 19
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
Permanent Capital Revisions
2026-03923
Farm Credit AdministrationProposed ruleFeb 27
Revocation of the 30-Day Notification Requirement Prior To Termination of Lease for Nonpayment of Rent
2026-03921 · significant
Housing and Urban Development DepartmentFinal ruleFeb 26
Rescinding 30-Day Notification Requirements Related to Eviction Based on Nonpayment of Rent in Multi-Family Housing Direct Properties
2026-03716
Rural Housing ServiceFinal ruleFeb 25
General Provisions
2026-03314
Farm Credit AdministrationFinal ruleFeb 19
Organization, Loan Policies and Operations, Disclosure to Shareholders, Nondiscrimination in Lending, Capital Adequacy of System Institutions, Disclosure to Investors
2026-01368
Farm Credit AdministrationFinal ruleJan 26
OneRD Guaranteed Loan Regulation
2025-22567
Rural Business-Cooperative ServiceFinal ruleDec 11, 2025
Loan Performance Categories and Financial Reporting
2025-22015
Farm Credit AdministrationProposed ruleDec 5, 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 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
Removal of Obsolete Regulation
2025-15642
Rural Utilities ServiceFinal ruleAug 18, 2025
Community Reinvestment Act Regulations
2025-13559 · significant
Federal Deposit Insurance CorporationProposed ruleJul 18, 2025
Accounting Requirements for RUS Electric Borrowers
2025-13489
Rural Utilities ServiceFinal ruleJul 18, 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
Removal of Unconstitutional Preferences Based on Race and Sex in Response to Court Ruling
2025-12877
Rural Utilities ServiceFinal ruleJul 10, 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
Revisions to the Calculation of Annual Household Income and Net Family Assets in the Section 515 Rural Rental Housing and Section 514/516 Farm Labor Housing Programs
2025-10306
Rural Housing ServiceProposed ruleJun 30, 2025
Multifamily Housing Guaranteed Rural Rental Housing Program Requirement To Submit a Market Study
2025-10305
Rural Housing ServiceProposed ruleJun 30, 2025
Removal of Obsolete Regulations
2025-11204
Farm Service AgencyFinal ruleJun 18, 2025
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; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
2025-08676
Centers for Medicare & Medicaid ServicesFinal ruleMay 16, 2025
Updating Manufactured Housing Provisions
2024-30270
Rural Housing ServiceFinal ruleJan 3, 2025
Multifamily Housing Program Update to the Credit Report Process
2024-31388
Rural Housing ServiceFinal ruleDec 31, 2024
HUD's Implementation of OMB's Guidance for Federal Financial Assistance
2024-30260
Housing and Urban Development DepartmentProposed ruleDec 31, 2024
Medicare Program: Appeal Rights for Certain Changes in Patient Status and Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures; Correcting Amendment
2024-31146
Centers for Medicare & Medicaid ServicesFinal ruleDec 30, 2024
Revisions to the Smoke Alarm Requirements in the Section 515 Rural Rental Housing and Section 514/516 Farm Labor Housing Direct Loan Programs
2024-30216
Rural Housing ServiceFinal ruleDec 19, 2024
30-Day Notification Requirement Prior To Termination of Lease for Nonpayment of Rent
2024-28861 · significant
Housing and Urban Development DepartmentFinal ruleDec 13, 2024
OneRD Guaranteed Loan Regulation
2024-28031
Rural Business-Cooperative ServiceFinal 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
Multi-Family Housing and Community Facilities Updates to Federal Financial Assistance Guidance
2024-28168
Rural Housing ServiceFinal ruleDec 6, 2024
Self-Help Technical Assistance Grants: Technical Corrections and Program Updates
2024-28032
Rural Housing ServiceProposed ruleDec 4, 2024
Internal Control Over Financial Reporting
2024-27657
Farm Credit AdministrationProposed ruleNov 29, 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
Policy on Audits of RUS Awardees
2024-25914
Rural Utilities ServiceFinal ruleNov 8, 2024
Clarification on the Requirement To Record the Guaranteed Rural Rental Housing Program Deed Restriction
2024-25713
Rural Housing ServiceProposed ruleNov 5, 2024
Updates to the Off-Farm Labor Housing (Off-FLH), Loan and Grant Rates and Terms; Clarification of Grant Agreement Terms
2024-24742
Rural Housing ServiceFinal ruleOct 25, 2024
Medicare Program: Appeal Rights for Certain Changes in Patient Status
2024-23195 · significant
Centers for Medicare & Medicaid ServicesFinal ruleOct 15, 2024
Technical Assistance Grants
2024-23512
Rural Utilities ServiceFinal ruleOct 11, 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
OneRD Guarantee Loan
2024-21920
Rural Utilities ServiceFinal 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
Single Family Housing Guaranteed Loan Program
2024-21404
Rural Housing ServiceProposed ruleSep 19, 2024
Modernizing Grant Program Regulation
2024-19804
Rural Business-Cooperative ServiceFinal ruleSep 16, 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
Single Family Housing Guaranteed Loan Program Changes Related to Special Servicing Options
2024-18291
Rural Housing ServiceFinal ruleAug 15, 2024
Enhancing Program Access and Delivery for Farm Loans
2024-16828 · significant
Farm Service AgencyFinal ruleAug 8, 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
Removing Reference to SAM Managed Identifier (SAMMI)
2024-10402
Rural Utilities ServiceFinal ruleMay 13, 2024
Medicaid Program; Ensuring Access to Medicaid Services
2024-08363 · significant
Centers for Medicare & Medicaid ServicesFinal ruleMay 10, 2024
Microloan Program; Changes to the Microloan Program Under the Economic Aid To Hard-Hit Small Businesses, Nonprofits, and Venues Act
2024-09520
Small Business AdministrationFinal ruleMay 2, 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
Rural Development Regulations With the Unique Entity Identifier (UEI) for Federal Awards
2024-09447
Rural Utilities ServiceFinal ruleMay 1, 2024
Update to Methodology and Formulas for Allocation of Loan and Grant Program Funds
2024-09446
Rural Utilities ServiceFinal ruleMay 1, 2024
Risk-Weighting of High Volatility Commercial Real Estate (HVCRE) Exposures
2024-07060 · significant
Farm Credit AdministrationFinal ruleApr 10, 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
Multifamily Housing Program Update to the Credit Report Process
2024-06596
Rural Housing ServiceProposed ruleMar 29, 2024
Community Reinvestment Act; Supplemental Rule
2024-06497
Federal Deposit Insurance CorporationFinal ruleMar 29, 2024
30-Day Notification of Nonpayment of Rent in Multi-Family Housing Direct Loan Programs
2024-06245 · significant
Rural Housing ServiceFinal ruleMar 25, 2024
Section 538 Guaranteed Rural Rental Housing Program Change in Priority Projects Criteria
2024-05756
Rural Housing ServiceFinal ruleMar 19, 2024
Changes Related to Reserve Account Administration in Multi-Family Housing (MFH) Direct Loan Programs
2024-05571
Rural Housing ServiceFinal ruleMar 18, 2024
Revision to Electric Program Operating Policies and Procedures
2024-05076
Rural Utilities ServiceFinal ruleMar 11, 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
Revisions to the Smoke Alarm Requirements in the Section 515 Rural Rental Housing and Section 514/516 Farm Labor Housing Direct Loan Programs
2024-00073
Rural Housing ServiceProposed ruleJan 8, 2024

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