Rules in motion

Calendar Year 2027 Home Health Prospective Payment System (HH PPS) proposed rule

CY 2027 Hospital OPPS/ASC proposed rule

Tax Exempt Hospital Transparency Act (H.R. 9504)

Calendar Year 2027 Home Health Prospective Payment System proposed rule

Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule

Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule

DEA marijuana rescheduling (Schedule I to Schedule III)

Calendar Year 2027 Hospital OPPS/ASC Proposed Rule

Transcatheter Aortic Valve Replacement (TAVR) National Coverage Determination (CAG-00430R2)

Calendar Year 2027 Hospital OPPS/ASC Proposed Rule, site neutral imaging payment provision

Radiology Outpatient Ordering Transmission (ROOT) Act

Calendar Year 2027 Physician Fee Schedule Proposed Rule (CMS-1848-P)

Improving Seniors' Timely Access to Care Act of 2025 (H.R. 3514)

CY2027 Medicare Physician Fee Schedule proposed rule

CY2027 Hospital Outpatient Prospective Payment System proposed rule, EMTALA accreditor deeming provision

CY 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P)

CY2027 Medicare Physician Fee Schedule Rule (MIPS Sunset and Value Pathways)

CY2027 Hospital OPPS/ASC Rule (Site-Neutral Imaging Payment Cut)

FY2027 IPPS Rule (TEAM Spinal Fusion Expansion)

CY2027 Physician Fee Schedule Proposed Rule, G2211 Modifier and RPM/RTM Staffing Provisions

CY2027 Physician Fee Schedule Proposed Rule, MSSP Benchmark Provisions

INSULIN Act of 2026

Medicare Advantage Medical Loss Ratio Transparency Act

CY2027 Hospital OPPS/ASC Proposed Rule (CMS-1850-P): 340B drug payment reduction

Calendar Year 2027 Medicare Physician Fee Schedule

CY 2027 Physician Fee Schedule proposed rule

Calendar Year 2027 Home Health Prospective Payment System Rate Update (CMS-1844-P)

CY2027 Hospital Outpatient Prospective Payment System and ASC Payment System Proposed Rule

CY2027 End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule

Software as a Medical Service (SaMS) payment category, CY2027 Hospital OPPS rule

CY2027 Medicare Physician Fee Schedule (MPFS)

Patients First Act (incorporating ROOT Act imaging AUC provisions)

CY2027 Medicare Physician Fee Schedule proposed rule

CY2027 MPFS same-day E/M reduction and remote monitoring consolidation

TAVR National Coverage Determination proposed decision memo

Calendar Year 2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P)

CY2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment Rule

Temporary Placement of 7-Hydroxymitragynine (7-OH) in Schedule I

STOP FRAUD in Medicaid Act (H.R. 5364 / S. 4176)

SUSTAIN 340B Act

Continuing resolution (H.R. 6500) funding the federal government through December 11, 2026

Radiology Devices; Reclassification of Digital Breast Tomosynthesis System

CY2027 Medicare Physician Fee Schedule

Substances Generally Recognized as Safe (GRAS) mandatory notification rule

Medicaid managed care state directed payments cap (CMS-2449-P)

RAPID Coverage Pathway (CMS-3487-NC)

Proposed rescheduling of dual orexin receptor antagonists to Schedule V

SUSTAIN 340B Act

CY2027 Medicare Physician Fee Schedule: RPM/RTM outsourced staffing ban

CY2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P)

Regulation for Federal Financial Assistance (Uniform Guidance rewrite)

Doctors Not AI Act (H.R. 10210)

Temporary Placement of 7-hydroxymitragynine Above a Specified Threshold in Schedule I

CMS-2449-P: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

Temporary Placement of 7-Hydroxymitragynine Above a Specified Threshold in Schedule I

Medicaid State Directed Payments quality metric requirement and proposed Medicare rate cap (OBBBA)

FY 2027 IPPS proposed rule, TEAM spinal fusion expansion

Clinical Laboratory Improvement Amendments (CLIA) regulations Request for Information

340B Rebate Model Pilot Program

503B Bulks List exclusion of semaglutide, tirzepatide, and liraglutide

PBM Compensation Reform (CAA 2026 Part D Delinking, DOL Fee Disclosure Rule, FTC Express Scripts Settlement)

Medicare Drug Price Negotiation Program manufacturer effectuation guidance

Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments (CMS-2449-P)

National Coverage Determination reconsideration for Transcatheter Aortic Valve Replacement (TAVR)

CY 2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P)

CY2027 Hospital Outpatient Prospective Payment System proposed rule: Emergency Care Access and Timeliness (ECAT) eCQM

Proposed exclusion of semaglutide, tirzepatide, and liraglutide from the section 503B Bulks List

Regulatory Alignment for Predictable and Immediate Device (RAPID) coverage pathway

Regulatory Alignment for Predictable and Immediate Device (RAPID) Coverage Pathway (CMS-3487-NC)

CY2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P), dual obstetric billing codes

Medicare Drug Price Negotiation Program and Medicare Prescription Drug Benefit Program integrity rule (CMS-4215-P)

CY 2027 Home Health Prospective Payment System proposed rule (CMS-1844-P)

Nurses for Nursing Homes Program (NNHP) System of Records Notice

Categories Used in Federal Vaccine Recommendations and the Role of Shared Clinical Decision-Making RFI

CY2027 End-Stage Renal Disease Prospective Payment System proposed rule

CY 2027 Medicare Physician Fee Schedule (CMS-1848-P)

2027 Connecticut individual and small-group health insurance rate filings

Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule

Texas Medicaid Directed Payment Programs (including CHIRP)

Calendar Year 2027 Medicare Physician Fee Schedule

Contract Year 2027 Medicare Advantage and Part D Rate Announcement

Medicare Program; Strengthening Oversight of Accrediting Organizations

Ambulatory Specialty Model (ASM)

Missouri health care bill package (HB 2372, HB 2974, SB 878, SB 999, SB 1019, SB 1233)

Psychedelic Drugs: Considerations for Clinical Investigations; final guidance and Request for Information on care delivery models

Designated Placement Requirements Under Titles IV-E and IV-B for LGBTQI+ Children; Rescission

Advisory Opinion 26-16, Food as Medicine Program

Risk-Based Survey approach for nursing homes

CAA 2026 PBM Part D rebate delinking and DOL fee disclosure rule

Ambulatory Specialty Model (ASM)

Ambulatory Specialty Model (ASM)

Renewal of NCQA deeming authority for Medicare Advantage HMOs and PPOs

Part D Premium Stabilization Demonstration

Cancer Clinical Trial Eligibility Criteria guidances (laboratory values, washout periods and concomitant medications, and performance status)

Fiscal Year 2027 Skilled Nursing Facility Prospective Payment System Final Rule (CMS-1843-F)

Fiscal Year 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements Final Rule (CMS-1851-F)

Inpatient Psychiatric Facility Prospective Payment System FY2027 Rate Update (CMS-1847-F)

Fiscal Year 2027 Skilled Nursing Facility Prospective Payment System Final Rule (CMS-1843-F)

No Surprises Act Independent Dispute Resolution process overhaul

340B Rebate Model Pilot Program (revised)

FY2027 Hospice Wage Index and Payment Rate final rule (CMS-1851-F)

FY2027 IPPS/LTCH Prospective Payment System final rule (CMS-1849-F), including CJR-X

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 (CMS-1845-F)

Risk-Based Survey Process for Nursing Homes (QSO-26-14-NH)

LEAD Model (Long-Term Enhanced ACO Design)

FY 2027 Hospital Inpatient Prospective Payment System final rule (CJR-X mandatory bundle expansion)

FY 2027 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Rule (CMS-1849-F), including the CJR-X mandatory bundle

FY2027 Inpatient Psychiatric Facility (IPF) Prospective Payment System Final Rule

340B Rebate Model Pilot Program

Rural Health Care Program rate-justification waiver and Third Further Notice of Proposed Rulemaking

FY2027 Hospice Wage Index and Payment Rate Update (CMS-1851-F)

Transforming Episode Accountability Model (TEAM) updates in the FY2027 Hospital IPPS Final Rule

Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children

Reclassification of In Situ Hybridization Test Systems for Use With a Corresponding Approved Oncology Therapeutic Product

National Fraud Enforcement Division

Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children

340B Rebate Model Pilot Program

2027 Oregon health insurance rate approvals

LEAD Model (ACO REACH successor)

Ambulatory Specialty Model (ASM) for heart failure

2027 ACA Marketplace Rate Approvals

2023 RADV Audit Rule (Medicare Advantage risk adjustment data validation)

Medicaid Community Engagement Requirement interim final rule

Medicare Advantage 2026 star ratings methodology

Missouri Senate Bill 751 (340B contract-pharmacy law)

CMS Medicaid work-requirement interim final rule ("medically frail" exemption definition)

Marijuana rescheduling from Schedule I to Schedule III

DEA marijuana rescheduling (Schedule I to Schedule III)

Marijuana rescheduling from Schedule I to Schedule III

Medicaid work requirement interim final rule (medically frail exemption)

Title X family planning grant screening rules

2027 Notice of Benefit and Payment Parameters final rule

CMS-ICE Medicaid data sharing agreement

2027 Notice of Benefit and Payment Parameters

2024 Mental Health Parity and Addiction Equity Act (MHPAEA) final rule

Interim final rule narrowing Medicaid work-requirements 'medically frail' exemption

2027 Notice of Benefit and Payment Parameters final rule

Medicaid work requirements medically frail exemption interim final rule

Medicaid work requirements interim final rule

2027 Notice of Benefit and Payment Parameters final rule

No Surprises Act qualifying payment amount calculation rule (2021 interim final rule)

FEHB/PSHB gender-affirming care coverage exclusion directive

No Surprises Act qualifying payment amount (QPA) formula

Medicare Drug Price Negotiation Program (Inflation Reduction Act)

Medicare Drug Price Negotiation Program (Inflation Reduction Act)

Medicare Advantage RADV audit extrapolation rule

False Claims Act qui tam whistleblower provision (Appointments Clause challenge)

Colorado 340B contract pharmacy access law

Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Substances

ACCESS Model

State pharmacy benefit manager laws (Virginia S.B. 669, California licensing, Ohio H.B. 229)

Nurse Practitioner Modernization Act independent-practice provision (sunset)

Medicaid 80-hour-a-month community-engagement (work) requirement

Nondiscrimination on the Basis of Disability final rule, Section 504 accessible medical equipment requirement

Change in Eligibility Period for Refugee Cash Assistance and Refugee Medical Assistance

Senate Bill 3025 (Act 220), Medical Debt Acquisition and Forgiveness Program

Acute Hospital Care at Home waiver extension, Consolidated Appropriations Act of 2026

Federal IDR administrative fee reduction

State Private Equity Health Care Transaction Review Laws (California AB-1415, Rhode Island, Maine)

DOJ 2011 Olmstead integration mandate enforcement guidance

New York Nurse Practitioner Independent Practice Authority Extension

Nationwide Hospice and Home Health Agency Enrollment Moratorium

Hospice FY2027 Annual Payment Update HOPE Compliance Requirement

Rescission of Title VI disparate-impact provisions, 45 CFR Part 80

Increasing Organ Transplant Access (IOTA) Model, Performance Year 2 transplant incentive increase

Kidney Care Choices (KCC) Model Payment Updates, PY2026

Wisconsin Medicaid postpartum coverage extension (60 days to 12 months)

Medicaid community engagement (work) requirement interim final rule

State Medicaid and CHIP Applied Behavior Analysis Toolkit

Federal Independent Dispute Resolution Operations Final Rule

Medical Assistance Protection Act

Section 1135 Waivers for Washington Wildfire Public Health Emergency

HB 26-1195, AI Therapy Services

Delivering Gold Standard Childhood Vaccine Recommendations for Americans

Medicaid demonstration budget neutrality policy (SMD 26-003)

Emergency organ donor serology testing window (HIV and West Nile virus)

Temporary Placement of O-Desmethyltramadol (O-DSMT) in Schedule I

NEISS-R hospital emergency department data collection program

Most Favored Nation (MFN) drug pricing agreements

Local Coverage Determination for Trigger Point Injections (L33912, L35010)

Most-Favored-Nation Drug Pricing Agreements

UnitedHealthcare removal of prior authorization for 1,700 procedure codes

Counseling Compact

Temporary Placement of Mitragynine Pseudoindoxyl, MGM-15, and MGM-16 in Schedule I

APRN Modernization Act

Compounding of Starter Parenteral Nutrition for Neonates (temporary enforcement priorities guidance)