{"description":"Documents matching 'audit laboratory service program personnel'","count":3214,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=audit+laboratory+service+program+personnel&format=json&page=2","results":[{"title":"2026/2027 Rates Charged for AMS Services","type":"Notice","abstract":"The Agricultural Marketing Service (AMS or the Agency) is announcing the 2026/2027 rates it will charge for voluntary grading, inspection, certification, auditing, and laboratory services for a variety of agricultural commodities including meat and poultry, fruits and vegetables, eggs, dairy products, rice, and cotton and tobacco. The 2026/2027 regular, overtime, holiday, and laboratory services rates will be applied at the beginning of the crop year, fiscal year, or as required by law depending on the commodity. Other starting dates are added to this notice based on cotton industry practices. This action establishes the rates for user-funded programs based on costs incurred by AMS. This year, cost-based analyses indicated the need to increase certain user fee rates when current rates are insufficient to cover the costs of providing the service. While cost-saving measures have and will continue to be implemented, user fee rate increases are necessary to offset rising operational costs. In cases where current rates are sufficient to cover the costs of providing the service, user fee rates remain unchanged. Furthermore, AMS is announcing the fees it will charge warehouse operators for voluntary services associated with the administration of the United States Warehouse Act, including the license action fees, service license fees, inspection fees, and annual user fees for warehouse services for fiscal year 2027, which begins October 1, 2026; these fees remain unchanged from last year.","document_number":"2026-08399","html_url":"https://www.federalregister.gov/documents/2026/04/30/2026-08399/20262027-rates-charged-for-ams-services","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-30/pdf/2026-08399.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-08399.pdf?1777466712","publication_date":"2026-04-30","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"manufacturers were informed of general fees prior to this publication.\n \n 2026/2027 Rate Calculations \n AMS calculated the rate for <span class=\"match\">services</span>, per hour per <span class=\"match\">program</span> employee, using the following formulas (a per-unit base is included for <span class=\"match\">programs</span> that charge for <span class=\"match\">services</span> on a per-unit basis): \n \n (1) \n Regular rate. \n The total AMS grading, inspection, certification, classification, <span class=\"match\">audit</span>, or <span class=\"match\">laboratory</span> <span class=\"match\">service</span> <span class=\"match\">program</span> <span class=\"match\">personnel</span> direct pay divided by direct hours for the previous year, which is then multiplied by the next year's percentage of cost of living"},{"title":"2025/2026 Rates Charged for AMS Services","type":"Notice","abstract":"The Agricultural Marketing Service (AMS) is announcing the 2025/2026 rates it will charge for voluntary grading, inspection, certification, auditing, and laboratory services for a variety of agricultural commodities including meat and poultry, fruits and vegetables, eggs, dairy products, rice, and cotton and tobacco. The 2025/2026 regular, overtime, holiday, and laboratory services rates will be applied at the beginning of the crop year, fiscal year or as required by law depending on the commodity. Other starting dates are added to this notice based on cotton industry practices. This action establishes the rates for user-funded programs based on costs incurred by AMS. This year, cost-based analyses indicated the need to increase certain user fee rates when current rates are insufficient to cover the costs of providing the service. While cost-saving measures have and will continue to be implemented, user fee rate increases are necessary to offset rising operational costs. In cases where current rates are sufficient to cover the costs of providing the service, user fee rates remain unchanged. Furthermore, AMS is announcing the fees it will charge warehouse operators for voluntary services associated with the administration of the United States Warehouse Act, including the license action fees, service license fees, inspection fees, and annual user fees for warehouse services for fiscal year 2026, which begins October 1, 2025. This year, AMS will minimize the impact on industry by limiting any increases to cover inflationary costs only.","document_number":"2025-07349","html_url":"https://www.federalregister.gov/documents/2025/04/29/2025-07349/20252026-rates-charged-for-ams-services","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-29/pdf/2025-07349.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-07349.pdf?1745844314","publication_date":"2025-04-29","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"manufacturers were informed of general fees prior to this publication.\n \n 2025/2026 Rate Calculations \n AMS calculated the rate for <span class=\"match\">services</span>, per hour per <span class=\"match\">program</span> employee, using the following formulas (a per-unit base is included for <span class=\"match\">programs</span> that charge for <span class=\"match\">services</span> on a per-unit basis): \n \n (1) \n Regular rate. \n The total AMS grading, inspection, certification, classification, <span class=\"match\">audit</span>, or <span class=\"match\">laboratory</span> <span class=\"match\">service</span> <span class=\"match\">program</span> <span class=\"match\">personnel</span> direct pay divided by direct hours for the previous year, which is then multiplied by the next year's percentage of cost of living"},{"title":"Japan Electrical Safety & Environment Technology Laboratories: Application for Recognition","type":"Notice","abstract":"In this notice, OSHA announces the application of Japan Electrical Safety & Environment Technology Laboratories (JET), for recognition as a Nationally Recognized Testing Laboratory (NRTL) and presents the agency's preliminary finding to grant this recognition.","document_number":"2025-07127","html_url":"https://www.federalregister.gov/documents/2025/04/25/2025-07127/japan-electrical-safety-and-environment-technology-laboratories-application-for-recognition","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-25/pdf/2025-07127.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-07127.pdf?1745498712","publication_date":"2025-04-25","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Occupational Safety and Health Administration","name":"Occupational Safety and Health Administration","id":386,"url":"https://www.federalregister.gov/agencies/occupational-safety-and-health-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/386","parent_id":271,"slug":"occupational-safety-and-health-administration"}],"excerpts":"&amp; Technology <span class=\"match\">Laboratories</span>, 5-14-12, Yoyogi, Shibuya-ku, Tokyo, Japan; and \n (2) Japan Electrical Safety &amp; Technology <span class=\"match\">Laboratories</span>, 2-2-9, Machiikedai, Koriyama-city, Fukushima-prefecture, Japan. \n The NRTL <span class=\"match\">Program</span> requires that to obtain recognition, the sites listed above must have the capability to conduct product testing in accordance with the appropriate test standard for the equipment or material being testing and certified. \n III. Preliminary Finding on the Application for Recognition as a NRTL \n \n OSHA's NRTL <span class=\"match\">Program</span> recognition process"},{"title":"Promoting the Integrity and Security of Telecommunications Certification Bodies, Measurement Facilities, and the Equipment Authorization Program","type":"Rule","abstract":"In this document, the Federal Communications Commission (Commission or FCC) requires all recognized telecommunication certification bodies (TCBs), test labs, and laboratory accreditation bodies to certify to the Commission that they are not owned by, controlled by, or subject to the direction of a prohibited entity and to report all equity or voting interests of 5% or greater by any entity. The FCC also amends it rules to state that it will not recognize--and will revoke any existing recognition of--any TCB, test lab, or laboratory accreditation body that fails to provide, or that provides a false or inaccurate, certification; or that fails to provide, or provides false or inaccurate, information regarding equity or voting interests of 5% or greater. The FCC prohibits recognition of any TCB, test lab, or laboratory accreditation body owned by, controlled by, or subject to the direction of a prohibited entity, and prohibits such TCBs, test labs, and laboratory accreditation bodies from participating in the Commission's equipment authorization program, not only with regard to the equipment certification process but also the Supplier's Declaration of Conformity (SDoC) process.","document_number":"2025-14970","html_url":"https://www.federalregister.gov/documents/2025/08/07/2025-14970/promoting-the-integrity-and-security-of-telecommunications-certification-bodies-measurement","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-07/pdf/2025-14970.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14970.pdf?1754484348","publication_date":"2025-08-07","agencies":[{"raw_name":"FEDERAL COMMUNICATIONS COMMISSION","name":"Federal Communications Commission","id":161,"url":"https://www.federalregister.gov/agencies/federal-communications-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/161","parent_id":null,"slug":"federal-communications-commission"}],"excerpts":"communications <span class=\"match\">service</span> or a supplier of communications equipment or <span class=\"match\">service</span>” under the Secure Networks Act. If Congress and NTIA determined that entities subject to foreign adversaries' ownership or control are not to be trusted to provide or supply communications equipment or <span class=\"match\">services</span>, the Commission does not believe they should be trusted to participate in the equipment authorization <span class=\"match\">program</span>, which tests and reviews communications equipment. \n \n The FCC's proposal to address participation by foreign adversaries in the equipment authorization <span class=\"match\">program</span> is generally"},{"title":"2024/2025 Rates Charged for AMS Services","type":"Notice","abstract":"The Agricultural Marketing Service (AMS) is announcing the 2024/2025 rates it will charge for voluntary grading, inspection, certification, auditing, and laboratory services for a variety of agricultural commodities including meat and poultry, fruits and vegetables, eggs, dairy products, rice, and cotton and tobacco. The 2024/2025 regular, overtime, holiday, and laboratory services rates will be applied at the beginning of the crop year, fiscal year or as required by law depending on the commodity. Other starting dates are added to this notice based on cotton industry practices. This action establishes the rates for user-funded programs based on costs incurred by AMS. This year, cost-based analyses indicated the need to increase user fee rates when current rates are insufficient to cover the costs of providing the service. While cost-saving measures have and will continue to be implemented, user fee rate increases are necessary to offset rising operational costs. In cases where current rates are sufficient to cover the costs of providing the service, user fee rates remain unchanged.","document_number":"2024-09773","html_url":"https://www.federalregister.gov/documents/2024/05/06/2024-09773/20242025-rates-charged-for-ams-services","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-06/pdf/2024-09773.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-09773.pdf?1714740329","publication_date":"2024-05-06","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"manufacturers were informed of the fees during various industry-sponsored forums. \n Rates Calculations \n AMS calculated the rate for <span class=\"match\">services</span>, per hour per <span class=\"match\">program</span> employee, using the following formulas (a per-unit base is included for <span class=\"match\">programs</span> that charge for <span class=\"match\">services</span> on a per-unit basis): \n \n (1) \n Regular rate. \n The total AMS grading, inspection, certification, classification, <span class=\"match\">audit</span>, or <span class=\"match\">laboratory</span> <span class=\"match\">service</span> <span class=\"match\">program</span> <span class=\"match\">personnel</span> direct pay divided by direct hours for the previous year, which is then multiplied by the next year's percentage of cost of living"},{"title":"Privacy Act of 1974; System of Records","type":"Notice","abstract":"In accordance with the Privacy Act of 1974, the DoD is modifying and reissuing a current System of Records Notice (SORN) titled, \"Defense Manpower Data Center Data Base,\" DMDC 01. The SORN is being retitled \"Uniformed Services Human Resources Information System,\" to reflect the updated name of the underlying database. The system is designed to collect and maintain records that support a single central facility within the DoD. Its primary functions include assessing manpower trends, supporting personnel and readiness operations, conducting longitudinal statistical analyses, identifying current and former DoD civilians and Armed Forces personnel for the purpose of detecting fraud and abuse of pay and benefits programs, and registering eligible individuals and their authorized dependents for medical examinations, treatment, or other qualified benefits. The system also facilitates the collection of debts owed to the United States Government and to state and local governments. As part of this update, two routine uses are being revised to reflect changes in computer matching activities. Specifically, the proposed revisions expand the eligible population for data sharing with the Department of Education (DoE) to support a new computer matching program, and remove routine uses associated with the Public Assistance Reporting Information System (PARIS), as the DoD no longer participates in that program. Additional modifications throughout the SORN improve clarity and ensure the information reflects current operational practices.","document_number":"2026-04170","html_url":"https://www.federalregister.gov/documents/2026/03/03/2026-04170/privacy-act-of-1974-system-of-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-03/pdf/2026-04170.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-04170.pdf?1772459113","publication_date":"2026-03-03","agencies":[{"raw_name":"DEPARTMENT OF DEFENSE","name":"Defense Department","id":103,"url":"https://www.federalregister.gov/agencies/defense-department","json_url":"https://www.federalregister.gov/api/v1/agencies/103","parent_id":null,"slug":"defense-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"the DoD to assess manpower trends, support <span class=\"match\">personnel</span> and readiness functions, conduct longitudinal statistical analyses, identify current and former DoD civilian and Uniformed <span class=\"match\">Services</span> <span class=\"match\">personnel</span> for purposes of detecting fraud and abuse of pay and benefit <span class=\"match\">programs</span>, and register current and former DoD civilian and Uniformed <span class=\"match\">Services</span> <span class=\"match\">personnel</span> and their authorized dependents for medical examination, treatment or other benefits for which they are qualified\n . \n The database is being renamed “Uniformed <span class=\"match\">Services</span> Human Resources Information System,” and"},{"title":"Senior Executive Service Positions That Were Career Reserved During Calendar Year 2024","type":"Notice","abstract":"This gives notice of all positions in the Senior Executive Service (SES) that were career reserved during calendar year 2024.","document_number":"2025-08853","html_url":"https://www.federalregister.gov/documents/2025/05/20/2025-08853/senior-executive-service-positions-that-were-career-reserved-during-calendar-year-2024","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-05-20/pdf/2025-08853.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-08853.pdf?1747658713","publication_date":"2025-05-20","agencies":[{"raw_name":"OFFICE OF PERSONNEL MANAGEMENT","name":"Personnel Management Office","id":406,"url":"https://www.federalregister.gov/agencies/personnel-management-office","json_url":"https://www.federalregister.gov/api/v1/agencies/406","parent_id":null,"slug":"personnel-management-office"}],"excerpts":"RESEARCH <span class=\"match\">LABORATORY</span> \n DIRECTOR, OFFICE OF GREAT LAKES ENVIRONMENTAL RESEARCH <span class=\"match\">LABORATORY</span> \n \n \n   \n PACIFIC MARINE ENVIRONMENTAL RESEARCH <span class=\"match\">LABORATORY</span> \n DIRECTOR, OFFICE OF PACIFIC MARINE ENVIRONMENTAL <span class=\"match\">LABORATORY</span> \n \n \n NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY \n ENGINEERING <span class=\"match\">LABORATORY</span> \n \n DIRECTOR, ENGINEERING <span class=\"match\">LABORATORY</span>\n DEPUTY DIRECTOR ENGINEERING <span class=\"match\">LABORATORY</span> \n \n \n \n   \n HOLLINGS MANUFACTURING EXTENSION PARTNER SHIP <span class=\"match\">PROGRAM</span> \n \n DIRECTOR, MANUFACTURING EXTENSION PARTNERSHIP <span class=\"match\">PROGRAMS</span>\n DEPUTY DIRECTOR, MANUFACTURING EXTENSION PARTNERSHIP <span class=\"match\">PROGRAM</span> \n \n "},{"title":"Comprehensive Centers Program","type":"Notice","abstract":"The Department of Education (Department) announces final priorities, requirements, and definitions under the Comprehensive Centers (CC) Program, Assistance Listing Numbers (ALNs) 84.283B and 84.283D. We may use one or more of these priorities, requirements, and definitions for competitions in fiscal year (FY) 2026 and later years. These final priorities, requirements, and definitions are intended to redesign the CC program to better meet its statutory purpose to provide high-quality capacity-building services to State, regional, and local educational agencies and schools that improve educational opportunities and outcomes, close achievement gaps, and improve the quality of instruction for all students.","document_number":"2026-09203","html_url":"https://www.federalregister.gov/documents/2026/05/08/2026-09203/comprehensive-centers-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-08/pdf/2026-09203.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09203.pdf?1778157921","publication_date":"2026-05-08","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"envisions would benefit from <span class=\"match\">services</span>. Specifically, the Department notes its definition of \n educator \n for this <span class=\"match\">program</span> established in the 2024 NFP, which means “an \n \n individual who is a teacher (including an early education teacher), principal or other school leader, administrator, specialized instructional support <span class=\"match\">personnel</span> (\n e.g., \n school psychologist, counselor, school social worker, librarian, early intervention <span class=\"match\">service</span> <span class=\"match\">personnel</span>), paraprofessional, faculty, and others,” clarifies the intention of this <span class=\"match\">program</span> to support educators across"},{"title":"Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges","type":"Proposed Rule","abstract":"These proposals are intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry. We are proposing new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs), including issuers that offer small group market QHPs on the Federally-facilitated Small Business Health Options Program (FF- SHOP) Exchanges (hereinafter referred to as \"small group market QHP issuers on the FF-SHOPs\") (collectively \"impacted payers\"), to make available electronic prior authorization for drugs. We are also proposing to extend many existing interoperability requirements for the prior authorization of non-drug items and services to include prior authorizations for drugs to further reduce patient and provider burden. We are also proposing to require impacted payers to report their application programming interfaces (API) endpoints and related information for the Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS. To help assess the impact of our policies, we are proposing to collect API usage metrics. In addition, we are proposing to apply the existing interoperability requirements to small group market QHP issuers on the FF-SHOPs as impacted payers. To improve impacted payers' ability to exchange health information while continuing CMS's drive toward interoperability, we are proposing to require certain Health Level Seven (HL7[supreg]) Fast Healthcare Interoperability Resources (FHIR[supreg]) implementation guides (IGs) that are currently recommended. In addition, HHS is proposing to adopt the HL7 FHIR base standard and certain associated specifications and IGs as the Health Insurance Portability and Accountability Act of 1996 (hereinafter referred to as \"HIPAA\") (Pub. L. 104-191, enacted Aug. 21, 1996) standards for dental, professional, and institutional \"referral certification and authorization\" transactions and \"eligibility for a health plan\" transactions associated with prior authorization. We are proposing to add a definition for \"failure to report,\" which would allow CMS to impose a civil monetary penalty (CMP) on applicable manufacturers or applicable group purchasing organizations (GPOs) if those entities fail to grant CMS timely access to documents for the purposes of an audit. Finally, ONC is using this rulemaking to propose to adopt updated versions of certain health information technology (health IT) standards and specifications for HHS use, such as CMS's interoperability requirements, to support a more robust health IT infrastructure.","document_number":"2026-07205","html_url":"https://www.federalregister.gov/documents/2026/04/14/2026-07205/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-standards","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-14/pdf/2026-07205.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07205.pdf?1775852111","publication_date":"2026-04-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"We are proposing new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-<span class=\"match\">service</span> (FFS) <span class=\"match\">programs</span>, state Children's Health Insurance <span class=\"match\">Program</span> (CHIP) FFS <span class=\"match\">programs</span>, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs), including issuers that offer small group market QHPs on the Federally-facilitated Small Business Health Options <span class=\"match\">Program</span> (FF-SHOP) Exchanges (hereinafter referred to as “small group market QHP issuers on the FF-SHOPs”) (collectively"},{"title":"Plant Records To Include Grade Label Butterfat Testing","type":"Rule","abstract":"This final rule adopts amendments to the plant records requirement for the Agricultural Marketing Service (AMS) Dairy Grading and Inspection Program. The amendments allow butterfat tests to be performed at an in-house or approved third party laboratory and add a requirement for plants to maintain and make such records available for examination by a United States Department of Agriculture (USDA) inspector. These amendments increase efficiency by conforming to current industry practice.","document_number":"2025-00760","html_url":"https://www.federalregister.gov/documents/2025/01/16/2025-00760/plant-records-to-include-grade-label-butterfat-testing","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-01-16/pdf/2025-00760.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-00760.pdf?1736948728","publication_date":"2025-01-16","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"Abstract: \n The Dairy Grading and Inspection <span class=\"match\">Program</span> is a voluntary, fee-based <span class=\"match\">program</span> authorized under the Agricultural Marketing Act (AMA) of 1946 (7 U.S.C. 1621-1627). The regulations governing inspection and grading <span class=\"match\">services</span> of manufactured or processed dairy products are contained in 7 CFR part 58. Under the <span class=\"match\">program</span>, a plant can submit to grading and inspection of its butter products by a USDA grader following the U.S. Grade Standards to ensure each product meet the U.S. grade requirements. This <span class=\"match\">program</span> provides uniform quality of dairy products"},{"title":"Proposed Priorities, Requirements, and Definitions-Comprehensive Centers Program","type":"Proposed Rule","abstract":"The Department of Education (Department) proposes priorities, requirements, and definitions under the Comprehensive Centers (CC) Program, Assistance Listing Numbers 84.283B and 84.283D. We may use one or more of these priorities, requirements, and definitions for competitions in fiscal year (FY) 2026 and later years. The proposed priorities, requirements, and definitions are intended to redesign the CC program to better meet its statutory purpose to provide high-quality capacity-building services to State, regional, and local educational agencies and schools that improve educational opportunities and outcomes, close achievement gaps, and improve the quality of instruction for all students.","document_number":"2026-04142","html_url":"https://www.federalregister.gov/documents/2026/03/03/2026-04142/proposed-priorities-requirements-and-definitions-comprehensive-centers-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-03/pdf/2026-04142.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-04142.pdf?1772459108","publication_date":"2026-03-03","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"the following terms established for use in this <span class=\"match\">program</span> by the 2019 NFP: “milestone” and “outputs” and the following terms established for use in this <span class=\"match\">program</span> by the 2024 NFP: “capacity-building <span class=\"match\">services</span>,” “client,” “collaboration”, “coordination”, “four dimensions of capacity-building <span class=\"match\">services</span>,” “high-leverage problems,” “intensive capacity-building <span class=\"match\">services</span>”, “key <span class=\"match\">personnel</span>”, “outcomes”, “regional educational agency”, “targeted capacity-building <span class=\"match\">services</span>,” and “universal capacity-building <span class=\"match\">services</span>.” We have included the definitions of those terms"},{"title":"Privacy Act of 1974; System of Records","type":"Notice","abstract":"In accordance with the Privacy Act of 1974, DOT/FRA proposes to establish a new system of records titled \"DOT/FRA 133, Post- Accident Toxicological Testing Records (PATTR).\" This system will maintain electronic records associated with toxicological testing conducted under 49 CFR part 219, subpart C. Records include required forms, laboratory test results, supporting documentation, and memoranda prepared by FRA staff evaluating whether alcohol or drug use may have been a factor in a qualifying railroad accident or incident.","document_number":"2026-08221","html_url":"https://www.federalregister.gov/documents/2026/04/28/2026-08221/privacy-act-of-1974-system-of-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-28/pdf/2026-08221.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-08221.pdf?1777293913","publication_date":"2026-04-28","agencies":[{"raw_name":"DEPARTMENT OF TRANSPORTATION","name":"Transportation Department","id":492,"url":"https://www.federalregister.gov/agencies/transportation-department","json_url":"https://www.federalregister.gov/api/v1/agencies/492","parent_id":null,"slug":"transportation-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"FRA's contract <span class=\"match\">laboratory</span> and any referee <span class=\"match\">laboratory</span>, and NTSB. \n ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND PURPOSES OF SUCH USES: \n In addition to other disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, all or a portion of the records or information contained in this system may be disclosed outside DOT as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: \n SYSTEM SPECIFIC ROUTINE USES: \n 1. To employer Medical Review Officers for purposes of verifying <span class=\"match\">laboratory</span> positive results"},{"title":"Medical Devices; Laboratory Developed Tests","type":"Rule","abstract":"The Food and Drug Administration is issuing a final rule to amend its regulations to make explicit that in vitro diagnostic products (IVDs) are devices under the Federal Food, Drug, and Cosmetic Act (FD&C Act) including when the manufacturer of the IVD is a laboratory. In conjunction with this amendment, the Food and Drug Administration is phasing out its general enforcement discretion approach for laboratory developed tests (LDTs) so that IVDs manufactured by a laboratory will generally fall under the same enforcement approach as other IVDs. This phaseout policy includes enforcement discretion policies for specific categories of IVDs manufactured by a laboratory, including currently marketed IVDs offered as LDTs and LDTs for unmet needs. This phaseout policy is intended to better protect the public health by helping to assure the safety and effectiveness of IVDs offered as LDTs, while also accounting for other important public health considerations such as patient access and reliance.","document_number":"2024-08935","html_url":"https://www.federalregister.gov/documents/2024/05/06/2024-08935/medical-devices-laboratory-developed-tests","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-06/pdf/2024-08935.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-08935.pdf?1714398256","publication_date":"2024-05-06","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Food and Drug Administration","name":"Food and Drug Administration","id":199,"url":"https://www.federalregister.gov/agencies/food-and-drug-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/199","parent_id":221,"slug":"food-and-drug-administration"}],"excerpts":"specific to tests manufactured by AMC <span class=\"match\">laboratories</span> given risk mitigations provided by the integration of the <span class=\"match\">laboratory</span> within the AMC that is providing care to the patient. Many comments stated that because other <span class=\"match\">laboratories</span> are similarly integrated within healthcare systems, any such enforcement discretion policy should not be limited to AMC <span class=\"match\">laboratories</span>. Many of these comments emphasized the built-in communication mechanisms between the <span class=\"match\">laboratory</span> and AMC/other healthcare system within which the <span class=\"match\">laboratory</span> is integrated. For example: \n \n • “[T]he"},{"title":"Postal Service Reform Act; Establishment of the Postal Service Health Benefits Program","type":"Rule","abstract":"This rule finalizes an interim final rule that established the Postal Service Health Benefits (PSHB) Program for Postal Service employees, Postal Service annuitants, and their eligible family members, pursuant to the Postal Service Reform Act of 2022. This Program will include health benefits plans available to United States Postal Service (Postal Service) employees, Postal Service annuitants, and their eligible family members starting January 1, 2025. For these individuals, eligibility for enrollment or coverage in FEHB plans based on Postal Service employment will end on December 31, 2024, and they will be able to enroll in or be covered only by PSHB plans after that time. Open Season for enrollee selection of PSHB plans will occur from November 11 through December 9, 2024. OPM will publish the negotiated PSHB plan rates and benefits for the 2025 plan year in September 2024. This rule adopts the provisions of the interim final rule with minor clarifications on the Office of Personnel Management's (OPM) implementation of the PSHB Program.","document_number":"2024-09565","html_url":"https://www.federalregister.gov/documents/2024/05/06/2024-09565/postal-service-reform-act-establishment-of-the-postal-service-health-benefits-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-06/pdf/2024-09565.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-09565.pdf?1714740319","publication_date":"2024-05-06","agencies":[{"raw_name":"OFFICE OF PERSONNEL MANAGEMENT","name":"Personnel Management Office","id":406,"url":"https://www.federalregister.gov/agencies/personnel-management-office","json_url":"https://www.federalregister.gov/api/v1/agencies/406","parent_id":null,"slug":"personnel-management-office"}],"excerpts":"rule that established the Postal <span class=\"match\">Service</span> Health Benefits (PSHB) <span class=\"match\">Program</span> for Postal <span class=\"match\">Service</span> employees, Postal <span class=\"match\">Service</span> annuitants, and their eligible family members, pursuant to the Postal <span class=\"match\">Service</span> Reform Act of 2022. This <span class=\"match\">Program</span> will include health benefits plans available to United States Postal <span class=\"match\">Service</span> (Postal <span class=\"match\">Service</span>) employees, Postal <span class=\"match\">Service</span> annuitants, and their eligible family members starting January 1, 2025. For these individuals, eligibility for enrollment or coverage in FEHB plans based on Postal <span class=\"match\">Service</span> employment will end on December"},{"title":"Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program","type":"Proposed Rule","abstract":"This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2027. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule proposes to update the requirements for the ESRD Quality Incentive Program.","document_number":"2026-12925","html_url":"https://www.federalregister.gov/documents/2026/06/26/2026-12925/medicare-program-cy-2027-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-26/pdf/2026-12925.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12925.pdf?1782332109","publication_date":"2026-06-26","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"implement an ESRD \n \n bundled PPS beginning January 1, 2011, under which a single payment for renal dialysis <span class=\"match\">services</span> is made in lieu of any other payment. Renal dialysis <span class=\"match\">services</span> generally include items and <span class=\"match\">services</span> included in the composite rate for renal dialysis <span class=\"match\">services</span> as of December 31, 2010, and <span class=\"match\">services</span> furnished to individuals for treatment of ESRD, which were formerly separately billable, including drugs and biological products and <span class=\"match\">laboratory</span> tests. In the CY 2011 ESRD PPS proposed rule, we proposed a single composite rate factor of 1.199 for"},{"title":"Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program","type":"Rule","abstract":"This final rule includes payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2026 benefit year user fee rates for issuers that participate in the HHS-operated risk adjustment program and the 2026 benefit year user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This final rule also includes requirements related to modifications to the calculation of the Basic Health Program (BHP) payment; and changes to the Initial Validation Audit (IVA) sampling approach and Second Validation Audit (SVA) pairwise means test for HHS-RADV. It also addresses HHS' authority to engage in compliance reviews of and take enforcement action against lead agents of insurance agencies for violations of HHS' Exchange standards and requirements; HHS' system suspension authority to address noncompliance by agents and brokers; an optional fixed-dollar premium payment threshold; permissible plan-level adjustment to the index rate to account for cost-sharing reductions (CSRs); reconsideration standards for certification denials; changes to the approach for conducting Essential Community Provider (ECP) certification reviews; a policy to publicly share aggregated, summary- level Quality Improvement Strategy (QIS) information on an annual basis; and revisions to the medical loss ratio (MLR) reporting and rebate requirements for qualifying issuers that meet certain standards.","document_number":"2025-00640","html_url":"https://www.federalregister.gov/documents/2025/01/15/2025-00640/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2026-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-01-15/pdf/2025-00640.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-00640.pdf?1736802922","publication_date":"2025-01-15","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"in an HHS risk adjustment <span class=\"match\">program</span> <span class=\"match\">audit</span>.\n \n 2. <span class=\"match\">Program</span> Integrity \n \n We have finalized <span class=\"match\">program</span> integrity standards related to the Exchanges and premium stabilization <span class=\"match\">programs</span> in two rules: the “first <span class=\"match\">Program</span> Integrity Rule” issued in the August 30, 2013 \n Federal Register \n (78 FR 54069), and the “second <span class=\"match\">Program</span> Integrity Rule” issued in the October 30, 2013 \n Federal Register \n (78 FR 65045). We also refer readers to the 2019 Patient Protection and Affordable Care Act; Exchange <span class=\"match\">Program</span> Integrity final rule (2019 <span class=\"match\">Program</span> Integrity Rule) issued in"},{"title":"Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments","type":"Rule","abstract":"This final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for, the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; updates to the Medicare Diabetes Prevention Program expanded model; payment for dental services inextricably linked to specific covered medical services; updates to drugs and biological products paid under Part B including immunosuppressive drugs and clotting factors; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; Medicare coverage of opioid use disorder services furnished by opioid treatment programs; updates to policies for Rural Health Clinics and Federally Qualified Health Centers; electronic prescribing for controlled substances for a covered Part D drug under a prescription drug plan or a Medicare Advantage Prescription Drug (MA-PD) plan under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act); update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to Clinical Laboratory Fee Schedule regulations; updates to the diabetes payment structure and PHE flexibilities; expansion of colorectal cancer screening and Hepatitis B vaccine coverage and payment; establishing payment for drugs covered as additional preventive services; Medicare Parts A and B Overpayment Provisions of the Affordable Care Act and Medicare Parts C and D Overpayment Provisions of the Affordable Care Act.","document_number":"2024-25382","html_url":"https://www.federalregister.gov/documents/2024/12/09/2024-25382/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-09/pdf/2024-25382.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25382.pdf?1730492138","publication_date":"2024-12-09","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"respectively, by clarifying the requirements and intent of the <span class=\"match\">program</span> regarding the provision of <span class=\"match\">services</span>. These changes also aim to ensure RHCs are provided flexibility in the <span class=\"match\">services</span> they offer, including specialty and <span class=\"match\">laboratory</span> <span class=\"match\">services</span>. \n This rulemaking also further advances Medicare's overall value-based care strategy of growth, alignment, and equity through the Medicare Shared Savings <span class=\"match\">Program</span> (Shared Savings <span class=\"match\">Program</span>) and the Quality Payment <span class=\"match\">Program</span>. The structure of these <span class=\"match\">programs</span> enables us to develop a set of tools for measuring and encouraging"},{"title":"Notice of Request for Revision to and Extension of Approval of an Information Collection; National Poultry Improvement Plan (NPIP)","type":"Notice","abstract":"In accordance with the Paperwork Reduction Act of 1995, this notice announces the Animal and Plant Health Inspection Service's intention to request a revision to and extension of approval of an information collection associated with the National Poultry Improvement Plan.","document_number":"2026-00995","html_url":"https://www.federalregister.gov/documents/2026/01/20/2026-00995/notice-of-request-for-revision-to-and-extension-of-approval-of-an-information-collection-national","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-20/pdf/2026-00995.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-00995.pdf?1768571120","publication_date":"2026-01-20","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Animal and Plant Health Inspection Service","name":"Animal and Plant Health Inspection Service","id":22,"url":"https://www.federalregister.gov/agencies/animal-and-plant-health-inspection-service","json_url":"https://www.federalregister.gov/api/v1/agencies/22","parent_id":12,"slug":"animal-and-plant-health-inspection-service"}],"excerpts":"(7 U.S.C. 8301 \n et seq. \n ) the Animal and Plant Health Inspection <span class=\"match\">Service</span> (APHIS) of the U.S. Department of Agriculture (USDA), is authorized, among other things, to administer the National Poultry Improvement Plan (NPIP), the primary purpose of which is to protect the health of the U.S. poultry population. NPIP is a Federal-State-industry cooperative <span class=\"match\">program</span> for the improvement of poultry flocks and products through disease control techniques. Participation in all NPIP <span class=\"match\">programs</span> is voluntary, but flocks, hatcheries, and dealers of breeding poultry"},{"title":"Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments","type":"Proposed Rule","abstract":"This proposed rule describes alternatives to modify the limit on the total payment rate and other requirements for State directed payments in Medicaid managed care. We propose these changes based on our authority to interpret and implement section 1902(a)(4) of the Social Security Act (the Act) with respect to prepaid inpatient health plans and prepaid ambulatory health plans, and section 1903(m)(2)(A)(iii) of the Act, which require that contracts between States and managed care organizations to provide payments under a risk- based contract for services and associated administrative costs that are actuarially sound. This rule also proposes to set a limit for certain targeted Medicaid payments in Medicaid fee-for-service. We propose this change based on our authority to interpret and implement section 1902(a)(30)(A) of the Act with respect to certain targeted Medicaid payments which require that payments be consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area.","document_number":"2026-10292","html_url":"https://www.federalregister.gov/documents/2026/05/22/2026-10292/medicaid-program-medicaid-managed-care-state-directed-payments-and-medicaid-fee-for-service-targeted","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-22/pdf/2026-10292.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10292.pdf?1779308109","publication_date":"2026-05-22","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"managed care <span class=\"match\">program</span> rates; strengthened efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries; and enhanced policies related to <span class=\"match\">program</span> integrity. The 2016 final rule applied many of the Medicaid managed care rules to separate CHIP <span class=\"match\">programs</span>, particularly in the areas of access, finance, and quality through cross-references at subpart L of 42 CFR part 457 to 42 CFR part 438. States may administer CHIP <span class=\"match\">programs</span> that are separate CHIP <span class=\"match\">programs</span> or as <span class=\"match\">programs</span> that are operated as an expansion of the State's Medicaid <span class=\"match\">program</span>.\n \n \n In"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. In addition, this proposed rule would update and refine the requirements for the Hospital Outpatient Quality Reporting Program and the Ambulatory Surgical Center Quality Reporting Program. There are no changes to the Rural Emergency Hospital Quality Reporting Program. We propose to expand the prior authorization requirement to include additional Botulinum Toxin Injection services. We also propose to implement certain provisions of the Consolidated Appropriations Act, 2026, for off-campus outpatient departments of a provider. In addition, this proposed rule announces notices of closure of teaching hospitals and opportunities to apply for available slots. This rule also requests information regarding potential approaches to improve comparability and standardization, particularly for complex contracting methodologies, of the HPT information reported in machine- readable files and consumer-friendly displays. We propose hospital AOs with deeming authority to assess compliance with certain Emergency Medical Treatment and Labor Act (EMTALA) administrative requirements during accreditation and reaccreditation surveys. Finally, we are soliciting comments on a potential separate payment under the Inpatient Prospective Payment System (IPPS) for domestic procurement of personal protective equipment and essential medicines.","document_number":"2026-13656","html_url":"https://www.federalregister.gov/documents/2026/07/07/2026-13656/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-07/pdf/2026-13656.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13656.pdf?1782996328","publication_date":"2026-07-07","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"comprehensive <span class=\"match\">service</span> (78 FR 74865 and 79 FR 66799). Payments for adjunctive <span class=\"match\">services</span> are packaged into the payments for the primary <span class=\"match\">services</span>. This results in a single prospective payment for each of the primary, comprehensive <span class=\"match\">services</span> based on the costs of all reported <span class=\"match\">services</span> at the claim level. One example of a primary <span class=\"match\">service</span> would be a partial mastectomy, and an example of a secondary <span class=\"match\">service</span> packaged into that primary <span class=\"match\">service</span> would be a radiation therapy procedure. \n \n <span class=\"match\">Services</span> excluded from the C-APC policy under the OPPS include <span class=\"match\">services</span> that are"}]}