Skip to main content
Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Legislation and regulations

Oct 27, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding requirements outlined in the Working Families Tax Cut (WFTC) legislation related to health insurance exchange eligibility and verification. This proposed rule also includes updates to provisions affecting inconsistency periods, inconsistency verification procedures, and annual eligibility redeterminations and eligibility redeterminations during the plan year. This rule also proposes expanding enrollment methods during the verification process and establishing new coverage effective dates. Comments are due November 27, 2026.
Source: Federal Register
Oct 26, 2026 - Pre-publication notice of a final rule from the U.S. Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) making deregulatory actions related to health information technology standards, implementation specifications, and certification criteria and certification programs for health information technology. Summarizes and responds to comments received in response to the December 29, 2025, proposed rule. This final rule is effective 60 days after the publication notice, which is scheduled for October 28, 2026.
Source: Federal Register
Oct 22, 2026 - Discusses new proposed New Jersey legislation that would establish micro-hospitals to support hospital access in rural communities. The legislation would allow hospitals to offer fewer services that are underutilized. Notes other states that have opened micro-hospitals.
Source: New Jersey Monitor
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