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Member

Update: Congress Passes Health Care Funding, Extends Key Health Care Provisions

Congress has passed the Consolidated Appropriations Act of 2026 (H.R.7148), which consists of a short-term continuing resolution for the Department of Homeland Security (DHS) appropriations bill and a package of five full-year appropriations bills, containing conferenced legislation for the Departments of Defense, Labor, Health and Human Services, Education,
Legislation and Legislative Advocacy, Medicaid, Medicare, Medicare Sequestration Payment Reductions, Cybersecurity, Rural issues, Workforce, Child and Adolescent Health, Maternal Health, Medical Education and Research, Access to Behavioral Health, Substance Use Disorder, Disaster Preparedness, 340B Drug Pricing Program
Member

Implications for Hospitals and Health Systems as Partial Government Shutdown Looms

Specific government agency funding, including programs within the Department of Health and Human Services, is set to expire at midnight Jan. 30.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Conditions of Participation, Medicare, Disaster Preparedness, Access to Behavioral Health, Substance Use Disorder
Member

Home Health Prospective Payment System Final Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) Nov. 28 issued its final rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS).
Home Health PPS, Home Health, Long-term Care, Post-Acute Care
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) Nov. 21 released its calendar year (CY) 2026 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care, Post-Acute Care
Member

CMS Issues IOTA Model Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) Dec. 9 issued a proposed rule that would make changes to the Increasing Organ Transplant Access (IOTA) Model beginning July 1, 2026.
Organ Transplantation
Member

CMS Releases CY 2026 Home Health PPS Final Rule

The home health prospective payment system final rule for calendar year 2026 will reduce payments by 1.3%, or $220 million relative to CY 2025, according to the Centers for Medicare & Medicaid Services.
Home Health PPS, Long-term Care, Post-Acute Care
Member

Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2025

The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Member

Update on Implications of the Government Shutdown on Day 1

A federal government shutdown began at midnight Sept. 30. The impact on health care is that government funding and certain health care programs and waivers expired.
Legislation and Legislative Advocacy, Advocacy & Public Policy, Hospital at Home, Telehealth, Medicaid DSH, Workforce
Member

UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms

Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce