Trackers / Rules
Rules in motion
81 federal and state rules, tracked by stage from first proposal to the day they bite. Each card carries its next key date.
Rules by stage
Red marks records with an open public comment window, where a reader can still act. 29 open now.
Proposed
28
Calendar Year 2027 Home Health Prospective Payment System (HH PPS) proposed rule
Comments due Aug 31, 2026
CY 2027 Hospital OPPS/ASC proposed rule
Comments due Aug 31, 2026
Tax Exempt Hospital Transparency Act (H.R. 9504)
House Ways and Means C… · proposed Jul 1, 2026
Calendar Year 2027 Home Health Prospective Payment System proposed rule
Comments due Aug 31, 2026
Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule
Comments due Aug 31, 2026
Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule
Comments due Aug 31, 2026
DEA marijuana rescheduling (Schedule I to Schedule III)
DEA
Calendar Year 2027 Hospital OPPS/ASC Proposed Rule
Comments due Aug 31, 2026
Transcatheter Aortic Valve Replacement (TAVR) National Coverage Determination (CAG-00430R2)
Comment period closed Jul 15, 2026
Calendar Year 2027 Hospital OPPS/ASC Proposed Rule, site neutral imaging payment provision
Comments due Aug 31, 2026
Radiology Outpatient Ordering Transmission (ROOT) Act
Congress
Calendar Year 2027 Physician Fee Schedule Proposed Rule (CMS-1848-P)
Comments due Sep 14, 2026
Improving Seniors' Timely Access to Care Act of 2025 (H.R. 3514)
House Ways and Means C…
CY2027 Medicare Physician Fee Schedule proposed rule
Comments due Sep 14, 2026
CY2027 Hospital Outpatient Prospective Payment System proposed rule, EMTALA accreditor deeming provision
Comments due Aug 31, 2026
CY 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P)
Comments due Sep 14, 2026
CY2027 Medicare Physician Fee Schedule Rule (MIPS Sunset and Value Pathways)
Comments due Sep 14, 2026
CY2027 Hospital OPPS/ASC Rule (Site-Neutral Imaging Payment Cut)
Comments due Aug 31, 2026
FY2027 IPPS Rule (TEAM Spinal Fusion Expansion)
Comment period closed Jun 9, 2026
CY2027 Physician Fee Schedule Proposed Rule, G2211 Modifier and RPM/RTM Staffing Provisions
Comments due Sep 14, 2026
CY2027 Physician Fee Schedule Proposed Rule, MSSP Benchmark Provisions
Comments due Sep 14, 2026
INSULIN Act of 2026
Senate Health, Educati…
Medicare Advantage Medical Loss Ratio Transparency Act
House Ways and Means C…
CY2027 Hospital OPPS/ASC Proposed Rule (CMS-1850-P): 340B drug payment reduction
Comments due Aug 31, 2026
Calendar Year 2027 Medicare Physician Fee Schedule
Comments due Sep 14, 2026
CY 2027 Physician Fee Schedule proposed rule
Comments due Sep 14, 2026
Calendar Year 2027 Home Health Prospective Payment System Rate Update (CMS-1844-P)
Comments due Aug 31, 2026
CY2027 Hospital Outpatient Prospective Payment System and ASC Payment System Proposed Rule
Comments due Aug 31, 2026
Comment open
12
Temporary Placement of 7-hydroxymitragynine Above a Specified Threshold in Schedule I
Comments due Jul 31, 2026 · 6d
CMS-2449-P: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
Comment period closed Jul 21, 2026
Temporary Placement of 7-Hydroxymitragynine Above a Specified Threshold in Schedule I
Comments due Jul 31, 2026 · 6d
Medicaid State Directed Payments quality metric requirement and proposed Medicare rate cap (OBBBA)
Comment period closed Jul 21, 2026
FY 2027 IPPS proposed rule, TEAM spinal fusion expansion
Comment period closed Jun 9, 2026
Clinical Laboratory Improvement Amendments (CLIA) regulations Request for Information
Comments due Sep 14, 2026
340B Rebate Model Pilot Program
Comment stage
503B Bulks List exclusion of semaglutide, tirzepatide, and liraglutide
Comments due Jul 30, 2026 · 5d
PBM Compensation Reform (CAA 2026 Part D Delinking, DOL Fee Disclosure Rule, FTC Express Scripts Settlement)
Comment stage
Medicare Drug Price Negotiation Program manufacturer effectuation guidance
Comments due Sep 18, 2026
Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments (CMS-2449-P)
Comment period closed Jul 21, 2026
National Coverage Determination reconsideration for Transcatheter Aortic Valve Replacement (TAVR)
Comment period closed Jul 15, 2026
Final
11
Contract Year 2027 Medicare Advantage and Part D Rate Announcement
Final · effective Apr 6, 2026
Medicare Program; Strengthening Oversight of Accrediting Organizations
Final · effective Jun 16, 2027
Ambulatory Specialty Model (ASM)
Final
Missouri health care bill package (HB 2372, HB 2974, SB 878, SB 999, SB 1019, SB 1233)
Final · effective Aug 28, 2026
Psychedelic Drugs: Considerations for Clinical Investigations; final guidance and Request for Information on care delivery models
Final · effective Jul 14, 2026
Designated Placement Requirements Under Titles IV-E and IV-B for LGBTQI+ Children; Rescission
Final · effective Jul 14, 2026
Advisory Opinion 26-16, Food as Medicine Program
Final · effective Jul 14, 2026
Risk-Based Survey approach for nursing homes
Final
CAA 2026 PBM Part D rebate delinking and DOL fee disclosure rule
Final
Ambulatory Specialty Model (ASM)
Final
Ambulatory Specialty Model (ASM)
Final
Litigated
14
2023 RADV Audit Rule (Medicare Advantage risk adjustment data validation)
In litigation
Medicaid Community Engagement Requirement interim final rule
In litigation
Medicare Advantage 2026 star ratings methodology
In litigation
Missouri Senate Bill 751 (340B contract-pharmacy law)
In litigation
CMS Medicaid work-requirement interim final rule ("medically frail" exemption definition)
In litigation
Marijuana rescheduling from Schedule I to Schedule III
In litigation
DEA marijuana rescheduling (Schedule I to Schedule III)
In litigation
Marijuana rescheduling from Schedule I to Schedule III
In litigation
Medicaid work requirement interim final rule (medically frail exemption)
In litigation
Title X family planning grant screening rules
In litigation
2027 Notice of Benefit and Payment Parameters final rule
In litigation
CMS-ICE Medicaid data sharing agreement
In litigation
2027 Notice of Benefit and Payment Parameters
In litigation
2024 Mental Health Parity and Addiction Equity Act (MHPAEA) final rule
In litigation
Effective
16
Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Substances
Live Jan 1, 2026
ACCESS Model
Live Jul 5, 2026
State pharmacy benefit manager laws (Virginia S.B. 669, California licensing, Ohio H.B. 229)
Live Jul 1, 2026
Nurse Practitioner Modernization Act independent-practice provision (sunset)
Live Jul 1, 2026
Medicaid 80-hour-a-month community-engagement (work) requirement
Live Jul 1, 2026
Nondiscrimination on the Basis of Disability final rule, Section 504 accessible medical equipment requirement
Live Jul 8, 2026
Change in Eligibility Period for Refugee Cash Assistance and Refugee Medical Assistance
Live Jul 14, 2026
Senate Bill 3025 (Act 220), Medical Debt Acquisition and Forgiveness Program
Live Jul 12, 2026
Acute Hospital Care at Home waiver extension, Consolidated Appropriations Act of 2026
Live Sep 30, 2030
Federal IDR administrative fee reduction
Live Jun 11, 2026
State Private Equity Health Care Transaction Review Laws (California AB-1415, Rhode Island, Maine)
Live Jan 1, 2026
DOJ 2011 Olmstead integration mandate enforcement guidance
Live Jul 13, 2026
New York Nurse Practitioner Independent Practice Authority Extension
Live May 28, 2026
Nationwide Hospice and Home Health Agency Enrollment Moratorium
Live May 13, 2026
Hospice FY2027 Annual Payment Update HOPE Compliance Requirement
Live Oct 1, 2025
Rescission of Title VI disparate-impact provisions, 45 CFR Part 80
Live Jul 24, 2026