Centers for Medicare & Medicaid Services
Federal agency responsible for regulations under Centers for Medicare & Medicaid Services.
63 regulationsPatient Protection and Affordable Care Act, Benefit and Payment Parameters for 2027 and Basic Health Program
The federal government is proposing updates to how health insurance works and what it costs under the Affordable Care Act for the year 2027. These changes will affect insurance premiums, coverage options, and benefits available to millions of Americans who buy health insurance through government marketplaces or qualify for basic health plans.
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health (CMS-9883-P)
This regulation sets the prices and benefits that health insurance companies must offer through the Affordable Care Act for 2027, including how much people pay for premiums and what doctors and treatments are covered. It also establishes rules for basic health plans that states can offer as a lower-cost alternative to traditional insurance.
Medicaid Program: Preserving Medicaid Funding for Vulnerable Populations—Closing a Health Care-Related Tax Loophole
This rule closes a tax loophole that allows certain healthcare-related businesses to avoid paying taxes, which has reduced funding available for Medicaid—the government health insurance program for low-income Americans. By eliminating this loophole, the government expects to collect more tax revenue that will go directly toward helping vulnerable populations access healthcare coverage.
Medicare and Medicaid Programs: Organ Procurement Organizations Conditions for Coverage: Revisions to the Conditions for Coverage
This regulation updates federal rules for Organ Procurement Organizations (OPOs), which are the agencies responsible for recovering organs from deceased donors for transplants. The changes aim to improve how OPOs operate and ensure more organs become available for patients waiting for life-saving transplants.
Medicare Program: Ensuring Safety through Domestic Security with Made in America Personal Protective Equipment and Essential Medicine Procurement by Medicare Participating Hospitals
This proposed rule would require hospitals that participate in Medicare to buy protective equipment and essential medicines from American manufacturers when possible. The goal is to make sure hospitals have reliable access to these critical supplies during emergencies while supporting U.S. businesses and jobs.
Medicare Program: Updates to the Master List of Items Potentially Subject to Face to Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements; etc.
This regulation updates Medicare's rules about which medical equipment and supplies require a doctor to examine a patient in person and provide written orders before they can be delivered. These updates help ensure patients actually need the equipment they receive while making the approval process clearer for doctors and suppliers.
Transparency in Coverage CMS-9882-P
This rule requires health insurance companies and healthcare providers to be more transparent about what medical services actually cost before you receive them. The goal is to help people understand their bills ahead of time and compare prices between different providers, so they can make better decisions about their healthcare.
Guarding U.S. Medicare against Rising Drug Costs Model (GUARD) (CMS-5546-P)
The federal government is proposing a new program called GUARD that aims to help Medicare control the rising costs of prescription drugs. This regulation would give Medicare more power to negotiate drug prices and potentially save money for seniors and the overall healthcare system.
Global Benchmark for Efficient Drug Pricing Model
The federal government is proposing a new system to help control drug prices by comparing U.S. prices to what other countries pay for the same medications. This could make prescription drugs more affordable for Americans, but drug companies and patients may see different impacts depending on how the rule is finalized.
Medicare and Medicaid Programs: Hospital Condition of Participation: Prohibiting Sex Rejecting Procedures for Children
The federal government is proposing a new rule that would prevent hospitals receiving Medicare and Medicaid funding from performing sex-rejecting procedures on children. This regulation aims to establish clear standards for when and how hospitals can provide certain medical treatments to minors.
Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children
The federal government is proposing to prohibit Medicaid and the Children's Health Insurance Program (CHIP) from paying for certain medical procedures related to sex characteristics in children. This rule would restrict what types of medical care these government health programs can fund for minors.
Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program; Correction
This regulation sets how much Medicare will pay inpatient rehabilitation hospitals for patient care in 2026 and makes corrections to quality reporting requirements. It affects rehabilitation facilities that treat patients recovering from strokes, spinal cord injuries, and other serious conditions, potentially influencing the cost of care and quality standards at these hospitals.