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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Nov 19, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on an information collection titled "Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204." CMS will use the information to monitor ongoing compliance with section 1902(a)(30)(A) of the Social Security Act, and to make informed approval decisions on State plan amendments that propose to make Medicaid rate reductions or restructure payment rates. Beneficiaries, providers, and other affected stakeholders may use the information to raise access issues to state Medicaid agencies and work with agencies to address those issues. Comments are due by January 20, 2026.
Source: Federal Register
Nov 19, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making corrections to the March 6, 2024, notice to add urinalysis to the list of specialties and subspecialties. This correction is effective November 19, 2025.
Source: Federal Register
Nov 18, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on an information collection titled "Medicare Authorization to Disclose Personal Health Information." Medicare beneficiaries will use the Medicare Authorization to Disclose Personal Health Information to authorize Medicare to disclose their protected health information to a third party. Comments are due by December 18, 2025.
Source: Federal Register
Nov 12, 2025 - Highlights 2 new California laws aiming to increase access to maternal healthcare services in rural areas. One law creates a 10 year pilot program to operate standby maternity units for emergency care rather than maintaining staff full time. A second law relaxes licensing rules for birth centers. Discusses new maternity care options as a result of the new policies in Plumas County where a maternity ward closed in 2022.
Source: Cal Matters
Nov 5, 2025 - The Centers for Medicare & Medicaid (CMS) announce that all 50 states applied for funding from the Rural Health Transformation Program (RHTP). RHTP goals include supporting rural health innovation, improving sustainability, workforce development, new models of care delivery, and expanding technology access and utilization. Funding decisions will be announced by December 31, 2025.
Source: U.S. Department of Health and Human Services
Nov 5, 2025 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) addressing: 1) changes to the Physician Fee Schedule and Medicare Part B payment policies; 2) policies for the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; 3) the Ambulatory Specialty Model; 4) updates to the Medicare Diabetes Prevention Program expanded model; 5) updates to drugs and biological products paid under Part B; 6) Medicare Shared Savings Program requirements; 7) updates to the Quality Payment Program; 8) updates to policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); 9) updates to the Ambulance Fee Schedule regulations; 10) codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; and 11) updates to the Medicare Promoting Interoperability Program. These regulations are effective January 1, 2026.
Source: Federal Register
Oct 20, 2025 - Discusses the challenges with caring for older adults in rural long-term care settings during natural disasters with a close look at the impact of 2021's Winter Storm Uri in Texas. Describes the outsized impact infrastructure failures have on the health of older adults. Highlights the Texas Backup Power Package, legislation aiming to strengthen energy resilience for critical facilities and essential services.
Source: The Daily Yonder
Oct 16, 2025 - Highlights strategies by various states to apply for Rural Health Transformation Program funds. Discusses known priorities for the states and the role of state legislatures.
Source: NCSL News
Oct 2, 2025 - Notice of final rule from the U.S. Department of Veterans Affairs (VA) amending its medical regulations that govern the VA's healthcare professionals who practice healthcare via telehealth. This rule enables VA to maximize healthcare resource utilization and provide safe and convenient national healthcare to veterans using telehealth. This notice also summarizes and responds to public comments on the August 23, 2022, proposed rule. This rule is effective November 3, 2025.
Source: Federal Register
Sep 30, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Electronic Visit Verification Compliance Survey; 2) Negotiation Program Drug Selection for Initial Price Applicability Year 2028 under Sections 11001 and 11002 of the Inflation Reduction Act Information Collection Request; and 3) Conditions of Participation for Community Mental Health Centers and Supporting Regulations. Comments are due by October 30, 2025.
Source: Federal Register