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Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Oct 20, 2026 - Notice of a proposed rule that would implement the following sections of the Consolidated Appropriations Act, 2026: 1) section 6219, "Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals;" 2) section 6220, "Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act;" and 3) section 6224, "Modernizing and Ensuring Pharmacy Benefit Manager Accountability." The implementation of Section 6219 would reduce the generic drug copayment from $1 to $0 for full-benefit dual eligible individuals at or below 100% of the Federal Poverty Level, effective for plan years starting January 1, 2028. The implementation of Section 6220, the REAL Health Providers Act, would establish new provider directory accuracy and accountability requirements for Medicare Advantage (MA) organizations beginning in contract year 2028. In addition, CMS has several proposals to implement section 6224, which established requirements related to pharmacy benefit managers (PBMs) and their affiliates specific to the Medicare Part D program. Comments are due by December 15, 2026.
Source: Federal Register
Oct 16, 2026 - Discusses a new clinically integrated network for rural Oregon hospitals including various regulations and participating hospitals.
Source: Willamette Week
Oct 14, 2026 - Notice from the Indian Health Service (IHS) seeking comments on a proposed reinstatement of an information collection titled "Purchased/Referred Care (PRC) Proof of Residency." The information collected is used to verify that individuals seeking medical services through PRC meet the residency requirements. Comments are due by December 14, 2026.
Source: Federal Register
Oct 8, 2026 - Notice of final rule from the Indian Health Service (IHS) removing language in the Code of Federal Regulations that refers to an outdated process for determining what the IHS will charge for care to non-IHS beneficiaries. This rule is effective December 7, 2026.
Source: Federal Register
Oct 8, 2026 - Notice of final rule from the Indian Health Service (IHS) removing regulations appearing in the Code of Federal Regulations (CFR) that duplicate other regulations in the CFR, have never been implemented, and were referred to as "suspended" in a 1999 Federal Register Notice. This rule is effective December 7, 2026.
Source: Federal Register
Oct 6, 2026 - Notice of final rule from the Internal Revenue Service (IRS), Department of the Treasury, Employee Benefits Security Administration (EBSA), Department of Labor (DOL), Centers for Medicare & Medicaid Services (CMS), and Department of Health and Human Services (HHS) amending regulations under the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code regarding price transparency reporting requirements for non-grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance coverage. These final rules aim to improve the standardization, accuracy, and accessibility of public pricing disclosures in line with the goals of Executive Order 14221. These regulations are effective December 7, 2026.
Source: Federal Register
Oct 6, 2026 - Notice of final rule from the National Telecommunications and Information Administration (NTIA), Department of Commerce and the National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation removing regulations related to the 911 Grant Program because the program is no longer active and there have been no new appropriations to revive or extend it. Authorization for the program expired on October 1, 2022, and the Public Safety Trust Fund that funded the program was not extended past fiscal year 2022. All projects funded by the program have been closed out and no open grants or applications exist. This rule is effective October 6, 2026.
Source: Federal Register
Oct 6, 2026 - Announces new bipartisan legislation creating a process for redistributing unused housing vouchers to tribal communities in need of additional vouchers in the Tribal HUD-Veterans Affairs Supportive Housing demonstration program. The program offers support and rental assistance to homeless Native American veterans. Also describes previous legislation addressing needs for tribal communities and veterans.
Source: Office of Representative Eli Crane
Oct 5, 2026 - Notice from the U.S. Census Bureau extending the comment period for the September 10, 2026, proposed rule. Comments are now due November 2, 2026.
Source: Federal Register
Oct 5, 2026 - Describes bipartisan legislation to extend the reporting deadline for Indian Health Service (IHS) patients who seek emergency care from non-IHS facilities. The bill would increase the deadline from 72 hours to 15 days for most patients. Older adults and people with disabilities would continue to have a 30-day deadline as the current law allows.
Source: Office of Senator Catherine Cortez Masto