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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Feb 6, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; 2) 13th SOW Quality Innovation Network—Quality Improvement Organization (QIN-QIO) and American Indian Alaskan Native (AIAN) Measure Data Collection; and 3) Conditions of Participation for Psychiatric Residential Treatment Facilities' (PRTFs) Use of Restraint & Seclusion. Comments are due by March 9, 2026.
Source: Federal Register
Feb 5, 2026 - Notice of final rule from the Drug Enforcement Administration (DEA) establishing a new registration category for emergency medical services (EMS) agencies that handle controlled substances in accordance with the statutory requirements of the Protecting Patient Access to Emergency Medications Act of 2017. This rule creates standards for registering EMS agencies; establishes requirements for delivery, storage, and recordkeeping related to their handling of controlled substances; and allows EMS professionals to administer controlled substances outside the physical presence of a medical director or authorizing medical professional while providing emergency medical services. This rule is effective March 9, 2026.
Source: Federal Register
Feb 5, 2026 - Describes proposed bipartisan legislation permanently authorizing telescreening mammography services in rural and other areas for veterans.
Source: The Office of Representative Glenn Thompson
Feb 4, 2026 - Describes proposed policy to increase emergency medical service (EMS) reimbursement rates in Kentucky. Highlights long response times across the state, particularly for rural residents, and the strain that underfunding puts on EMS workforce.
Source: Kentucky Lantern
Feb 3, 2026 - Announces bipartisan legislation to elevate the Director of the Indian Health Service (IHS) to the Assistant Secretary for Indian Health within the U.S. Department of Health and Human Services. The change would allow for greater authority in recruiting and retaining IHS workforce.
Source: The Office of Senator Cortez Masto
Feb 3, 2026 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on proposed updates to the criteria for determining Maternity Care Target Areas (MCTAs), geographic areas within Health Professional Shortage Areas (HPSAs) that have a shortage of maternity care health professionals. Comments are due by March 5, 2026.
Source: Federal Register
Feb 2, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) closing a loophole in a regulatory statistical test applied to State proposals for Medicaid tax waivers. The loophole allows some healthcare-related taxes, especially taxes on managed care organizations, to be imposed at higher tax rates on Medicaid taxable units than non-Medicaid taxable units. This rule adds additional safeguards to ensure that tax waivers that exploit the loophole are not approved. This final rule also summarizes comments CMS received in response to the proposed rule, including the impact of changes to healthcare-related tax revenues on rural providers. These regulations are effective April 3, 2026.
Source: Federal Register
Feb 2, 2026 - Notice from the U.S. Department of Agriculture's (USDA) Rural Business-Cooperative Service (RBS), Rural Housing Service (RHS), and Rural Utilities Service (RUS) providing application requirements for funding reserved under the Strategic Economic and Community Development (SECD) priority program. USDA is implementing SECD in fiscal year 2026 by reserving funds from the covered program. This notice describes the requirements by which RD will consider projects eligible for covered programs' reserved funds and information needed to apply.
Source: Federal Register
Jan 30, 2026 - Announces the fiscal year 2027 registration period for H-1B visas, running March 4th through March 19th. Describes new regulations for the registration process.
Source: U.S. Citizenship and Immigration Services
Jan 29, 2026 - Notice from the Department of Defense (DOD) Director of the Defense Health Agency (DHA) announcing adjustments to the certified labor doulas (CLDs) performing childbirth support services under the Childbirth and Breastfeeding Support Demonstration (CBSD). This notice announces changes to the reimbursement methodology for childbirth support services intended to stabilize reimbursement. DHA is modifying reimbursement for childbirth support services so that the rate approved for March 1, 2025, will be considered a "baseline." The DHA Director will approve a new baseline if it is found that TRICARE reimbursement is not keeping pace with Medicaid reimbursement. The new reimbursement methodology will be effective for rates beginning March 1, 2026.
Source: Federal Register