{"description":"Documents matching 'environmental social documents contractors prepare necessary progress reports requirements'","count":2676,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=environmental+social+documents+contractors+prepare+necessary+progress+reports+requirements&format=json&page=2","results":[{"title":"Medicaid Program; Community Engagement Requirement for Certain Individuals","type":"Rule","abstract":"This interim final rule with comment period (IFC) interprets and implements the community engagement requirement in Medicaid under section 1902(xx) of the Social Security Act. States are required to implement the new requirement no later than January 1, 2027. This IFC specifies the requirements and expectations for States, including the Medicaid applicants and beneficiaries who must demonstrate community engagement as a condition of their eligibility, the types of qualifying activities that satisfy the community engagement requirement, the criteria to meet an exception from the requirement (that is, be deemed compliant), and the criteria to meet a specified exclusion from the requirement. It also specifies requirements for verification of qualifying activities, outreach to affected populations, steps States must take if they determine individuals are noncompliant, and additional operational considerations for States. Finally, this IFC specifies implementation timing and establishes new State reporting requirements.","document_number":"2026-11094","html_url":"https://www.federalregister.gov/documents/2026/06/03/2026-11094/medicaid-program-community-engagement-requirement-for-certain-individuals","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-03/pdf/2026-11094.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-11094.pdf?1780346707","publication_date":"2026-06-03","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":"implements the community engagement <span class=\"match\">requirement</span> in Medicaid under section 1902(xx) of the <span class=\"match\">Social</span> Security Act. States are required to implement the new <span class=\"match\">requirement</span> no later than January 1, 2027. This IFC specifies the <span class=\"match\">requirements</span> and expectations for States, including the Medicaid applicants and beneficiaries who must demonstrate community engagement as a condition of their eligibility, the types of qualifying activities that satisfy the community engagement <span class=\"match\">requirement</span>, the criteria to meet an exception from the <span class=\"match\">requirement</span> (that is, be deemed compliant)"},{"title":"Disadvantaged Business Enterprise Program and Disadvantaged Business Enterprise in Airport Concessions Program Implementation Modifications","type":"Rule","abstract":"This interim final rule (IFR) ensures that the U.S. Department of Transportation (DOT or Department) operates its Disadvantaged Business Enterprise (DBE) and Airport Concession Disadvantaged Business Enterprise (ACDBE) Programs (collectively, Programs) in a nondiscriminatory fashion--in line with law and the U.S. Constitution. The IFR removes race- and sex-based presumptions of social and economic disadvantage that violate the U.S. Constitution.","document_number":"2025-19460","html_url":"https://www.federalregister.gov/documents/2025/10/03/2025-19460/disadvantaged-business-enterprise-program-and-disadvantaged-business-enterprise-in-airport","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-10-03/pdf/2025-19460.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-19460.pdf?1759409114","publication_date":"2025-10-03","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"}],"excerpts":"burdens as a result of the change in the DBE certification eligibility <span class=\"match\">requirements</span>. After the initial transition to the new <span class=\"match\">requirements</span>, increases in annual burdens will be modest. For DOT recipients, <span class=\"match\">reporting</span> burdens are expected to decrease as a result of reduced DBE/ACDBE <span class=\"match\">reporting</span> <span class=\"match\">requirements</span>. \n i. Reapplication Review for DBE/ACDBE Certification Based on Individualized Showing of <span class=\"match\">Social</span> Disadvantage \n To satisfy the <span class=\"match\">social</span> and economic disadvantage (SED) <span class=\"match\">requirement</span> and ensure all determinations of disadvantage are not based in whole or"},{"title":"Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies","type":"Proposed Rule","abstract":"This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule discusses the behavior adjustment and proposes a temporary behavior adjustment and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low- utilization payment adjustment (LUPA) thresholds for CY 2027. Additionally, this proposed rule discusses the provision of home health palliative care services and includes a request for information (RFI) on a home health specific wage index. This rule would also propose changes to the Home Health Quality Reporting Program (HH QRP) and summarizes potential initiatives to improve alignment between the HH QRP and expanded Home Health Value Based Purchasing (HHVBP) Model. Lastly, the rule would--clarify the application of the DMEPOS face-to- face encounter requirements for the replacement of DMEPOS items; make changes to the provider and supplier enrollment requirements; make changes regarding DME benefit expansion for infusion pumps and drugs; and discuss collection of information requirement changes regarding the DMEPOS Competitive Bidding Program (CBP) country of origin.","document_number":"2026-13602","html_url":"https://www.federalregister.gov/documents/2026/07/06/2026-13602/calendar-year-2027-home-health-prospective-payment-system-hh-pps-rate-update-requirements-for-the-hh","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-06/pdf/2026-13602.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13602.pdf?1782936912","publication_date":"2026-07-06","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":"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":"policies and OASIS QRP <span class=\"match\">reporting</span> <span class=\"match\">requirements</span>, CMS is proposing to revise the OASIS APU data <span class=\"match\">reporting</span> timeframe to reflect a January 1 through December 31 <span class=\"match\">reporting</span> timeframe, or the calendar year. We believe this update would provide clarity to HH payment updates and facilitate the alignment of the HH pay-for-<span class=\"match\">reporting</span> policies with other HH payment policies.\n \n \n b. Proposal \n The proposed revision of the OASIS APU data <span class=\"match\">reporting</span> to a calendar year timeframe would require a transition year in which the current <span class=\"match\">reporting</span> timeframe is moved to the"},{"title":"Modernizing Security Requirements","type":"Proposed Rule","abstract":"The U.S. Nuclear Regulatory Commission (NRC) is proposing to revise its regulations to modernize security and fitness-for-duty requirements to enhance efficiency, consistent with Executive Order 14300, \"Ordering the Reform of the Nuclear Regulatory Commission.\" The proposed revisions are intended to reduce regulatory burden, where appropriate, while continuing to provide reasonable assurance that safety and security will be adequately maintained at NRC-licensed facilities.","document_number":"2026-12989","html_url":"https://www.federalregister.gov/documents/2026/06/26/2026-12989/modernizing-security-requirements","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-26/pdf/2026-12989.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12989.pdf?1782391523","publication_date":"2026-06-26","agencies":[{"raw_name":"NUCLEAR REGULATORY COMMISSION","name":"Nuclear Regulatory Commission","id":383,"url":"https://www.federalregister.gov/agencies/nuclear-regulatory-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/383","parent_id":null,"slug":"nuclear-regulatory-commission"}],"excerpts":"removal of records, if <span class=\"match\">necessary</span>. However, § 26.607(c)(4), as published in the 2026 final rule that created subpart M, did not include other important contractual <span class=\"match\">requirements</span> in § 26.153(f). The proposed rule would address these differences between the commensurate <span class=\"match\">requirements</span> by creating a new § 26.607(c)(5) that would replace the last sentence currently in § 26.607(c)(4). \n Specifically, the proposed rule would add the <span class=\"match\">requirements</span> equivalent to those in the existing <span class=\"match\">requirements</span> of § 26.153(f)(1) through (6). These <span class=\"match\">requirements</span> specify that laboratories"},{"title":"Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies","type":"Rule","abstract":"This final rule sets forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this final rule finalizes permanent and temporary behavior adjustments and recalibrates the case- mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. This final rule also finalizes changes to the face-to-face encounter policy and changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it finalizes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.","document_number":"2025-21767","html_url":"https://www.federalregister.gov/documents/2025/12/02/2025-21767/medicare-and-medicaid-programs-calendar-year-2026-home-health-prospective-payment-system-hh-pps-rate","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-02/pdf/2025-21767.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-21767.pdf?1764364516","publication_date":"2025-12-02","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":"post-acute care (PAC) providers. \n \n \n \n 20 \n  \n https://www.cms.gov/files/<span class=\"match\">document</span>/cms-oasis-study-all-payer-data-submission-2006.pdf. \n \n \n \n The final rule titled, “Medicare Program; Calendar Year (CY) 2023 Home Health Prospective Payment System Rate Update; Home Health Quality <span class=\"match\">Reporting</span> Program <span class=\"match\">Requirements</span>; Home Health Value-Based Purchasing Expanded Model <span class=\"match\">Requirements</span>; and Home Infusion Therapy Services <span class=\"match\">Requirements</span>” \n 21 \n \n finalized the <span class=\"match\">requirement</span> for HHAs to <span class=\"match\">report</span> OASIS data on all patients, regardless of payer, for the applicable 12-month"},{"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program","type":"Proposed Rule","abstract":"This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2027. As required by statute, this proposed rule includes the classification and weighting factors for the IRF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2027. It also continues the third year of the 3-year phaseout of the rural adjustment, which began in FY 2025. This proposed rule includes a solicitation for public comments on alternative data sources for the IRF PPS wage index; proposes to require all therapy treatments or therapy evaluations to begin within 36-hours from midnight on the day of admission; proposes to require a patient's current functional status be documented on the preadmission screening; proposes requirements for the initial Interdisciplinary Team meeting; and includes a request for information on potential future IRF PPS payment reform. Additionally, the proposed rule includes updates to the IRF Quality Reporting Program. Furthermore, the proposed rule includes changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program.","document_number":"2026-06642","html_url":"https://www.federalregister.gov/documents/2026/04/06/2026-06642/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-06/pdf/2026-06642.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06642.pdf?1775160907","publication_date":"2026-04-06","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":"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":"relative performance to the current system, which is <span class=\"match\">documented</span> in a technical \n \n <span class=\"match\">report</span>. For more details, including a list of the selected comorbidities and corresponding scores, this technical <span class=\"match\">report</span> is available at \n https://www.cms.gov/medicare/payment/prospective-payment-systems/inpatient-rehabilitation/research. \n \n IX. Inpatient Rehabilitation Facility (IRF) Quality <span class=\"match\">Reporting</span> Program (QRP) \n A. Background and Statutory Authority \n The Inpatient Rehabilitation Facility Quality <span class=\"match\">Reporting</span> Program (IRF QRP) is authorized by section 1886(j)(7)"},{"title":"Self-Governance PROGRESS Act Regulations","type":"Rule","abstract":"The U.S. Department of the Interior (Department), Office of the Assistant Secretary for Indian Affairs, is issuing revisions to the regulations that implement Tribal Self-Governance, as authorized by title IV of the Indian Self Determination and Education Assistance Act. This final rule has been negotiated among representatives of Self- Governance and non-Self Governance Tribes and the Department.","document_number":"2024-28302","html_url":"https://www.federalregister.gov/documents/2024/12/11/2024-28302/self-governance-progress-act-regulations","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-11/pdf/2024-28302.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-28302.pdf?1733751917","publication_date":"2024-12-11","agencies":[{"raw_name":"DEPARTMENT OF THE INTERIOR","name":"Interior Department","id":253,"url":"https://www.federalregister.gov/agencies/interior-department","json_url":"https://www.federalregister.gov/api/v1/agencies/253","parent_id":null,"slug":"interior-department"},{"raw_name":"Bureau of Indian Affairs","name":"Indian Affairs Bureau","id":234,"url":"https://www.federalregister.gov/agencies/indian-affairs-bureau","json_url":"https://www.federalregister.gov/api/v1/agencies/234","parent_id":253,"slug":"indian-affairs-bureau"}],"excerpts":"party about the project including, but not limited to, planning, construction drawings, maps, engineering <span class=\"match\">reports</span>, design <span class=\"match\">reports</span>, plans of <span class=\"match\">requirements</span>, cost estimates, <span class=\"match\">environmental</span> assessments, or <span class=\"match\">environmental</span> impact <span class=\"match\">reports</span> and archaeological <span class=\"match\">reports</span>. \n \n \n § 1000.1335 \n \n A construction project proposal must contain all of the required elements of a construction project contained in § 1000.1355. In addition to these minimum <span class=\"match\">requirements</span>, a Tribe/Consortium may include additional items for negotiation. \n \n \n § 1000.1340 \n \n Yes, a Tribe/Consortium"},{"title":"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; Updates to the Required Face-to-Face Encounter and Written Order Prior to Delivery List; and Updates to the Required Prior Authorization List","type":"Rule","abstract":"This document announces the updated Healthcare Common Procedure Coding System (HCPCS) codes on the Master List. It also announces updates to the HCPCS codes on the Required Face-to-Face and Written Order Prior to Delivery List and the Required Prior Authorization List.","document_number":"2026-00487","html_url":"https://www.federalregister.gov/documents/2026/01/13/2026-00487/medicare-program-updates-to-the-master-list-of-items-potentially-subject-to-face-to-face-encounter","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-13/pdf/2026-00487.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-00487.pdf?1768225519","publication_date":"2026-01-13","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":"Payment Data <span class=\"match\">report</span> published after 2020, or in an OIG or GAO <span class=\"match\">report</span> published after 2020, and items not meeting the cost thresholds (originally set at $500 for purchases and $50 for rentals and adjusted for inflation) may still be added based on findings of aberrant billing patterns. \n • Items are removed from the Master List 10 years after the date the item was added, unless the item was identified in an OIG <span class=\"match\">report</span>, GAO <span class=\"match\">report</span>, or having been identified in the CERT Medicare Fee-for-Service Supplemental Improper Payment Data <span class=\"match\">report</span> as having a high"},{"title":"Cybersecurity Maturity Model Certification (CMMC) Program","type":"Rule","abstract":"With this final rule, DoD establishes the Cybersecurity Maturity Model Certification (CMMC) Program in order to verify contractors have implemented required security measures necessary to safeguard Federal Contract Information (FCI) and Controlled Unclassified Information (CUI). The mechanisms discussed in this rule will allow the Department to confirm a defense contractor or subcontractor has implemented the security requirements for a specified CMMC level and is maintaining that status (meaning level and assessment type) across the contract period of performance. This rule will be updated as needed, using the appropriate rulemaking process, to address evolving cybersecurity standards, requirements, threats, and other relevant changes.","document_number":"2024-22905","html_url":"https://www.federalregister.gov/documents/2024/10/15/2024-22905/cybersecurity-maturity-model-certification-cmmc-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-15/pdf/2024-22905.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-22905.pdf?1728650732","publication_date":"2024-10-15","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":"require applicable <span class=\"match\">requirements</span> of DFARS clause 252.204-7012.\n 14 \n \n This clause requires defense <span class=\"match\">contractors</span> to provide adequate security on all covered <span class=\"match\">contractor</span> information systems by implementing the 110 security <span class=\"match\">requirements</span> specified in NIST SP 800-171. This clause includes additional <span class=\"match\">requirements</span>; for example, defense <span class=\"match\">contractors</span> must confirm that any Cloud Service Providers (CSPs) used by the <span class=\"match\">contractor</span> to handle CUI meet Federal Risk and Authorization Management Program (FedRAMP) Moderate Baseline or the equivalent <span class=\"match\">requirements</span>. It also requires"},{"title":"Phasedown of Hydrofluorocarbons: Reconsideration of Certain Regulatory Requirements Promulgated Under the Technology Transitions Provisions of the American Innovation and Manufacturing Act of 2020","type":"Rule","abstract":"The U.S. Environmental Protection Agency (EPA) is finalizing changes to regulations promulgated under the Technology Transitions provision of the American Innovation and Manufacturing Act of 2020 (AIM Act), which authorizes the Administrator to restrict fully, partially, or on a graduated schedule, the use of a \"regulated substance\" in the sector or subsector in which they are used. This final rule addresses administrative petitions and input received from regulated industry and other interested parties relevant to requirements and restrictions across various refrigeration and air conditioning subsectors, including: refrigerated transport--intermodal containers; industrial process refrigeration and chillers for industrial process refrigeration used in semiconductor manufacturing; retail food supermarket systems; retail food remote condensing unit systems; cold storage warehouses; refrigerated laboratory centrifuges and laboratory shakers; and condensing units in residential and light commercial air conditioning and heat pumps. This final rule also allows the inventory of residential and light commercial air conditioning and heat pump equipment that was manufactured in the United States or imported into the United States before January 1, 2025, to continue to be installed.","document_number":"2026-10387","html_url":"https://www.federalregister.gov/documents/2026/05/26/2026-10387/phasedown-of-hydrofluorocarbons-reconsideration-of-certain-regulatory-requirements-promulgated-under","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-26/pdf/2026-10387.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10387.pdf?1779453914","publication_date":"2026-05-26","agencies":[{"raw_name":"ENVIRONMENTAL PROTECTION AGENCY","name":"Environmental Protection Agency","id":145,"url":"https://www.federalregister.gov/agencies/environmental-protection-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/145","parent_id":null,"slug":"environmental-protection-agency"}],"excerpts":"These final amendments also make one minor adjustment to the labeling <span class=\"match\">requirements</span> to correct an erroneous citation, as described in section III.I of this preamble, and otherwise do not alter the labeling <span class=\"match\">requirements</span>. In addition, these final amendments do not alter in any way the definitions, exemptions, <span class=\"match\">reporting</span> or recordkeeping <span class=\"match\">requirements</span> or petitions <span class=\"match\">requirements</span> at 40 CFR part 84 subpart B. \n The full response to comments on the October 2025 Proposal is in the RTC <span class=\"match\">document</span> in the docket for this rule. \n VI. Statutory and Executive Order Reviews"},{"title":"Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies","type":"Rule","abstract":"This final rule will set forth routine updates to the Medicare home health payment rates; the payment rate for the disposable negative pressure wound therapy (dNPWT) devices; and the intravenous immune globulin (IVIG) items and services payment rate for CY 2025 in accordance with existing statutory and regulatory requirements. In addition, it finalizes changes to the Home Health Quality Reporting Program (HH QRP) requirements and provides an update on potential approaches for integrating health equity in the Expanded Health Value Based Purchasing (HHVBP) Model. It also finalizes a new standard for an acceptance-to-service policy in the HH conditions of participation (CoPs). Lastly, it updates provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses.","document_number":"2024-25441","html_url":"https://www.federalregister.gov/documents/2024/11/07/2024-25441/medicare-program-calendar-year-cy-2025-home-health-prospective-payment-system-hh-pps-rate-update-hh","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-07/pdf/2024-25441.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25441.pdf?1730492128","publication_date":"2024-11-07","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":"billing privileges. \n g. Long-Term Care (LTC) Facility <span class=\"match\">Requirements</span> for Acute Respiratory Illness <span class=\"match\">Reporting</span> \n The current LTC <span class=\"match\">requirements</span> for <span class=\"match\">reporting</span> COVID-19 related data expire on December 31, 2024, except for <span class=\"match\">reporting</span> COVID-19 resident and staff vaccination status. Given the utility of LTC facility data, we finalized a <span class=\"match\">requirement</span> to replace these <span class=\"match\">requirements</span> with streamlined continued data <span class=\"match\">reporting</span> <span class=\"match\">requirements</span> for certain respiratory illnesses. We are also finalizing a <span class=\"match\">requirement</span> that LTC facilities submit additional, related data elements"},{"title":"Supplemental Nutrition Assistance Program (SNAP): Employment and Training Program Monitoring, Oversight and Reporting Measures","type":"Rule","abstract":"The final rule implements the employment and training (E&T) provisions of the Agricultural Act of 2014. This section provided the Department additional oversight authority of State agencies' administration of the Supplemental Nutrition Assistance Program (SNAP) E&T program; required the Department to develop reporting measures and required State agencies to report outcome data to the Department. It also required the Department to monitor and assess State agencies' effectiveness of E&T programs and provided the Department with the authority to require State agencies to make improvements to their programs as necessary. Finally, State agencies are required to submit reports on the impact of certain E&T components, and in certain States, the E&T services provided to able-bodied adults without dependents (ABAWDs). The final rule will strengthen the E&T program through the collection of information to determine the overall effectiveness of the E&T program in reaching the goal of assisting participants in obtaining the skills necessary to obtain and retain employment.","document_number":"2024-26809","html_url":"https://www.federalregister.gov/documents/2024/11/18/2024-26809/supplemental-nutrition-assistance-program-snap-employment-and-training-program-monitoring-oversight","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-18/pdf/2024-26809.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-26809.pdf?1731678339","publication_date":"2024-11-18","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":"Food and Nutrition Service","name":"Food and Nutrition Service","id":200,"url":"https://www.federalregister.gov/agencies/food-and-nutrition-service","json_url":"https://www.federalregister.gov/api/v1/agencies/200","parent_id":12,"slug":"food-and-nutrition-service"}],"excerpts":"data sources that States may use to meet the <span class=\"match\">reporting</span> <span class=\"match\">requirements</span>. Another commenter had questions regarding the use of sampling as a data source. They asked if States that choose to use sampling for State- and Federal-<span class=\"match\">reported</span> outcomes will <span class=\"match\">report</span> both outcomes for the same sample of 500 cases, or does the Department expect the sample of 500 cases for State <span class=\"match\">reported</span> outcomes to be different than the sample of 500 cases for the <span class=\"match\">reporting</span> measures. The commenter also asked if States are required to <span class=\"match\">report</span> outcome data in the E&amp;T State Plan or"},{"title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026","type":"Rule","abstract":"This final rule finalizes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year 2026. This final rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.","document_number":"2025-14679","html_url":"https://www.federalregister.gov/documents/2025/08/04/2025-14679/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-04/pdf/2025-14679.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14679.pdf?1753992908","publication_date":"2025-08-04","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":"only if CMS determines that the SNF was in full compliance with the SNF QRP <span class=\"match\">requirements</span> for the applicable program year. We stated that we would consider full compliance with the SNF QRP <span class=\"match\">requirements</span> to include us granting an exception or extension to SNF QRP <span class=\"match\">reporting</span> <span class=\"match\">requirements</span> under our ECE policy at § 413.360(c) (90 FR 18607). However, to demonstrate full compliance with our ECE policy, we stated that the SNF would need to comply with our ECE policy's <span class=\"match\">requirements</span>, including the specific scope of the exception or extension as granted by us"},{"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":"Medicare services paid under the OPPS and those paid under the ASC payment systems. In addition, this proposed rule would update and refine the <span class=\"match\">requirements</span> for the Hospital Outpatient Quality <span class=\"match\">Reporting</span> Program and the Ambulatory Surgical Center Quality <span class=\"match\">Reporting</span> Program. There are no changes to the Rural Emergency Hospital Quality <span class=\"match\">Reporting</span> Program. We propose to expand the prior authorization <span class=\"match\">requirement</span> to include additional Botulinum Toxin Injection services. We also propose to implement certain provisions of the Consolidated Appropriations Act"},{"title":"Self-Governance PROGRESS Act Regulations","type":"Proposed Rule","abstract":"The U.S. Department of the Interior (Department), Office of the Assistant Secretary for Indian Affairs, proposes to revise the regulations that implement Tribal Self-Governance, as authorized by title IV of the Indian Self Determination and Education Assistance Act. This proposed rule has been negotiated among representatives of Self- Governance and non-Self Governance Tribes and the Department.","document_number":"2024-14862","html_url":"https://www.federalregister.gov/documents/2024/07/15/2024-14862/self-governance-progress-act-regulations","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-15/pdf/2024-14862.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-14862.pdf?1720788321","publication_date":"2024-07-15","agencies":[{"raw_name":"DEPARTMENT OF THE INTERIOR","name":"Interior Department","id":253,"url":"https://www.federalregister.gov/agencies/interior-department","json_url":"https://www.federalregister.gov/api/v1/agencies/253","parent_id":null,"slug":"interior-department"},{"raw_name":"Bureau of Indian Affairs","name":"Indian Affairs Bureau","id":234,"url":"https://www.federalregister.gov/agencies/indian-affairs-bureau","json_url":"https://www.federalregister.gov/api/v1/agencies/234","parent_id":253,"slug":"indian-affairs-bureau"}],"excerpts":"and Secretary may negotiate to include timely notice <span class=\"match\">requirements</span> in the funding agreement or construction project agreement. \n \n \n § 1000.1475 \n \n Yes, as required under § 1000.1355(b), construction project <span class=\"match\">progress</span> <span class=\"match\">reports</span> and financial <span class=\"match\">reports</span> are only required for active construction projects. The construction <span class=\"match\">progress</span> and financial <span class=\"match\">reports</span> shall provide the following information: \n \n (a) Construction project <span class=\"match\">progress</span> <span class=\"match\">reports</span> contain information about \n \n accomplishments during the <span class=\"match\">reporting</span> period and issues and concerns of the Tribe/Consortium"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots","type":"Rule","abstract":"This final rule with comment period revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026 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 final rule with comment period announces the closure of a teaching hospital and the opportunity to apply for available slots, and updates and refines the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency, as well as summarizes comments received in response to a request for information on measure concepts regarding Well-Being and Nutrition for consideration in future years for the OQR, REHQR, and ASCQR programs.","document_number":"2025-20907","html_url":"https://www.federalregister.gov/documents/2025/11/25/2025-20907/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-11-25/pdf/2025-20907.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-20907.pdf?1763759710","publication_date":"2025-11-25","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":"a policy that hospitals will be required to <span class=\"match\">report</span> certain market-based payment rate information on their Medicare cost <span class=\"match\">report</span> for cost <span class=\"match\">reporting</span> periods ending on or after January 1, 2026, to be used in a finalized change to the methodology for calculating the IPPS MS-DRG relative weights to reflect \n \n relative market-based pricing. Specifically, we are finalizing a <span class=\"match\">requirement</span> for facilities to <span class=\"match\">report</span> market-based rate information on the Medicare cost <span class=\"match\">report</span>; the hospital will be required to <span class=\"match\">report</span> the median of the payer-specific negotiated"},{"title":"Increase of the Automatic Extension Period of Employment Authorization and Documentation for Certain Employment Authorization Document Renewal Applicants","type":"Rule","abstract":"This final rule amends DHS regulations to permanently increase the automatic extension period for expiring employment authorization and/or Employment Authorization Documents (Forms I-766 or EADs) for certain renewal applicants who have timely filed Form I-765, Application for Employment Authorization, from up to 180 days to up to 540 days. After two temporary rules, DHS is finalizing the recent temporary rule and making the increase permanent to help prevent eligible renewal EAD applicants from experiencing a lapse in employment authorization and/or the validity of their EAD as a result of lengthy USCIS processing times.","document_number":"2024-28584","html_url":"https://www.federalregister.gov/documents/2024/12/13/2024-28584/increase-of-the-automatic-extension-period-of-employment-authorization-and-documentation-for-certain","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-13/pdf/2024-28584.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-28584.pdf?1733838316","publication_date":"2024-12-13","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"}],"excerpts":"require States to verify <span class=\"match\">documents</span> and information presented by applicant for a REAL ID compliant driver's license or identification card. REAL ID Act of 2005, as amended, Public Law 109-13, div. B, Title II, Sec. 202(c)(4)(A) (May 11, 2005) and 6 CFR 37.13(b). States must verify <span class=\"match\">documents</span> issued by DHS through SAVE or alternate methods approved by DHS, except that if two DHS-issued <span class=\"match\">documents</span> are presented, a SAVE verification of one <span class=\"match\">document</span> that confirms lawful status does not need to be repeated for the second <span class=\"match\">document</span>. 6 CFR 37.13(b)(1). In the"},{"title":"Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies","type":"Proposed Rule","abstract":"This proposed rule would set forth routine updates to the Medicare home health payment rates; the payment rate for the disposable negative pressure wound therapy (dNPWT) devices; and the intravenous immune globulin (IVIG) items and services payment rate for CY 2025 in accordance with existing statutory and regulatory requirements. In addition, it proposes changes to the Home Health Quality Reporting Program (HH QRP) requirements and provides an update on potential approaches for integrating health equity in the Expanded Health Value Based Purchasing (HHVBP) Model. It also proposes a new standard for acceptance to service policy in the HH conditions of participation (CoPs) and includes requests for information (RFIs) soliciting input on permitting rehabilitative therapists to conduct the initial and comprehensive assessment and the factors that may influence the patient referral and intake processes. Lastly, it proposes updates to provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses.","document_number":"2024-14254","html_url":"https://www.federalregister.gov/documents/2024/07/03/2024-14254/medicare-program-calendar-year-cy-2025-home-health-prospective-payment-system-hh-pps-rate-update-hh","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-03/pdf/2024-14254.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-14254.pdf?1719432920","publication_date":"2024-07-03","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":"Second <span class=\"match\">Report</span> to Congress on <span class=\"match\">Social</span> Risk and Medicare's Value-Based Purchasing Programs. June 28, 2020. Available at: \n https://aspe.hhs.gov/<span class=\"match\">reports</span>/second-<span class=\"match\">report</span>-congress-<span class=\"match\">social</span>-risk-medicares-value-based-purchasing-programs. \n \n \n \n \n 12 \n  World health Organization. <span class=\"match\">Social</span> determinants of health. Available at: \n https://www.who.inte/health-topics/<span class=\"match\">social</span>-determinants-of-health#tab=tab_1. \n \n \n \n \n 13 \n  Using Z Codes: The <span class=\"match\">Social</span> Determinants of Health (SDOH). Data Journey to Better Outcomes.\n \n \n 14 \n  Improving the Collection of <span class=\"match\">Social</span> Determinants"},{"title":"National Environmental Policy Act Implementing Regulations Revisions Phase 2","type":"Rule","abstract":"The Council on Environmental Quality (CEQ) is finalizing its \"Bipartisan Permitting Reform Implementation Rule\" to revise its regulations for implementing the procedural provisions of the National Environmental Policy Act (NEPA), including the recent amendments to NEPA in the Fiscal Responsibility Act. CEQ is making these revisions to provide for an effective environmental review process; ensure full and fair public engagement; enhance efficiency and regulatory certainty; and promote sound Federal agency decision making that is grounded in science, including consideration of relevant environmental, climate change, and environmental justice effects. These changes are grounded in NEPA's statutory text and purpose, including making decisions informed by science; CEQ's extensive experience implementing NEPA; CEQ's perspective on how NEPA can best inform agency decision making; longstanding Federal agency experience and practice; and case law interpreting NEPA's requirements.","document_number":"2024-08792","html_url":"https://www.federalregister.gov/documents/2024/05/01/2024-08792/national-environmental-policy-act-implementing-regulations-revisions-phase-2","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-01/pdf/2024-08792.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-08792.pdf?1714481121","publication_date":"2024-05-01","agencies":[{"raw_name":"COUNCIL ON ENVIRONMENTAL QUALITY","name":"Council on Environmental Quality","id":92,"url":"https://www.federalregister.gov/agencies/council-on-environmental-quality","json_url":"https://www.federalregister.gov/api/v1/agencies/92","parent_id":538,"slug":"council-on-environmental-quality"}],"excerpts":"an agency does not need to <span class=\"match\">prepare</span> an <span class=\"match\">environmental</span> <span class=\"match\">document</span> due to a conflict with other statutes is addressed in § 1501.3. Moreover, to the extent that this phrase could be read as identifying when an agency does not need to conduct an <span class=\"match\">environmental</span> review, the NEPA amendments address that in section 106(a)(3) using different language, specifically, that an agency does not need to <span class=\"match\">prepare</span> an <span class=\"match\">environmental</span> <span class=\"match\">document</span> where “the preparation of such <span class=\"match\">document</span> would clearly and fundamentally conflict with the <span class=\"match\">requirements</span> of another provision of law"},{"title":"Air Plan Approval; Ohio; Redesignation of the Cleveland, OH Area to Attainment of the 2015 Ozone Standards","type":"Proposed Rule","abstract":"The Environmental Protection Agency (EPA) is proposing to act in accordance with a request from the Ohio Environmental Protection Agency (Ohio EPA) to redesignate the Cleveland, Ohio area to attainment for the 2015 ozone National Ambient Air Quality Standards (NAAQS) because the request meets the statutory requirements for redesignation under the Clean Air Act (CAA). The Cleveland area includes Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, and Summit Counties. Ohio EPA submitted this request on December 8, 2025. The EPA is also proposing to approve, as a revision to the Ohio State Implementation Plan (SIP), the State's plan for maintaining the 2015 ozone NAAQS through 2038 in the Cleveland area. The EPA is also initiating the adequacy process and proposing to approve Ohio's 2032 and 2038 volatile organic compound (VOC) and oxides of nitrogen (NO<INF>X</INF>) motor vehicle emissions budgets (budgets) for the Cleveland area. Additionally, the EPA is proposing to adjust the deadline for Ohio to submit Serious SIP revisions for the Cleveland area. Finally, the EPA is proposing to approve the Enhanced motor vehicle inspection and maintenance (I/M) program certification, clean fuel vehicle program (CFVP) certification, and enhanced monitoring plan (EMP) certification SIP revisions submitted by Ohio EPA on December 19, 2025, and January 12, 2026, pursuant to section 110 and part D of the CAA, because they satisfy Serious SIP requirements for the Cleveland area under the 2015 ozone NAAQS.","document_number":"2026-06943","html_url":"https://www.federalregister.gov/documents/2026/04/10/2026-06943/air-plan-approval-ohio-redesignation-of-the-cleveland-oh-area-to-attainment-of-the-2015-ozone","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-10/pdf/2026-06943.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06943.pdf?1775738712","publication_date":"2026-04-10","agencies":[{"raw_name":"ENVIRONMENTAL PROTECTION AGENCY","name":"Environmental Protection Agency","id":145,"url":"https://www.federalregister.gov/agencies/environmental-protection-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/145","parent_id":null,"slug":"environmental-protection-agency"}],"excerpts":"demonstration <span class=\"match\">requirements</span> (the reasonably available control measures (RACM) <span class=\"match\">requirement</span> of section 172(c)(1) of the CAA, the reasonable further <span class=\"match\">progress</span> (RFP) and attainment demonstration <span class=\"match\">requirements</span> of sections 172(c)(2) and (6) and 182(b)(1) of the CAA, and the <span class=\"match\">requirement</span> for contingency measures of section 172(c)(9) of the CAA) would not be applicable to the area as long as it continues to attain the NAAQS and would cease to apply upon redesignation. In addition, in the context of redesignations, the EPA has interpreted <span class=\"match\">requirements</span> related to"}]}