{"description":"Documents matching 'include compliance rate caps report'","count":10000,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=include+compliance+rate+caps+report&format=json&page=2","results":[{"title":"Incarcerated People's Communication Services; Implementation of the Martha Wright-Reed Act; Rates for Interstate Inmate Calling Services","type":"Rule","abstract":"In this document, the Federal Communications Commission (Commission) modifies the Commission's previous incarcerated people's communications services (IPCS) rate caps in response to record evidence of the significant unintended consequences of those rate caps. It establishes new interim audio and video IPCS rate caps by basing the calculation of the Commission's rate caps only on billed minutes, incorporating all safety and security measure expenses that IPCS providers reported incurring, and creating an additional rate cap tier for extremely small jails. It also creates a separate interim rate additive to ensure recovery of correctional facilities' costs of administering IPCS. Additionally, it sets a new compliance date for providers' compliance with the new rules and clarifies that the rate cap, site commission, and per-minute pricing rules from the Commission's 2021 Order will no longer apply following that date.","document_number":"2025-22125","html_url":"https://www.federalregister.gov/documents/2025/12/05/2025-22125/incarcerated-peoples-communication-services-implementation-of-the-martha-wright-reed-act-rates-for","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-05/pdf/2025-22125.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-22125.pdf?1764855936","publication_date":"2025-12-05","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":"zone of reasonableness for each <span class=\"match\">rate</span> tier, calculating upper and lower bounds for each <span class=\"match\">rate</span> tier, and then select new <span class=\"match\">rate</span> <span class=\"match\">caps</span> from within the resulting zones, rounding to whole cent amounts. The <span class=\"match\">rate</span> <span class=\"match\">caps</span> we establish are interim, acknowledging the limitations of the data submitted and allowing the Commission to seek further comment before setting permanent <span class=\"match\">rate</span> <span class=\"match\">caps</span>. \n 8. We adopt the following revised, interim audio and video IPCS <span class=\"match\">rate</span> <span class=\"match\">caps</span>: \n \n \n ER05DE25.300 \n \n A. Revisions to <span class=\"match\">Rate</span> <span class=\"match\">Cap</span> Setting Methodology and <span class=\"match\">Rate</span> Structure \n \n 9. We first revise"},{"title":"Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements","type":"Rule","abstract":"This final rule updates the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2026. This rule also finalizes changes to the admission to hospice regulations and the hospice face-to-face attestation requirements under the certification of terminal illness regulations and includes technical changes to the hospice telehealth policy and wage index. This final rule also includes a technical correction to the regulatory text and provides updates to the Hospice Quality Reporting Program requirements.","document_number":"2025-14782","html_url":"https://www.federalregister.gov/documents/2025/08/05/2025-14782/medicare-program-fy-2026-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-05/pdf/2025-14782.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14782.pdf?1754079306","publication_date":"2025-08-05","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":"not propose any changes to the wage index <span class=\"match\">cap</span>. Regarding MedPAC's suggestion that the wage index <span class=\"match\">cap</span> policy should also be applied to wage index increases, the purpose of the 5 percent <span class=\"match\">cap</span> policy is to help mitigate the significant negative impacts of wage index decreases. Therefore, we do not \n \n believe it would be appropriate to also <span class=\"match\">cap</span> wage index increases.\n \n Furthermore, with respect to commenters' recommendations about lowering the <span class=\"match\">cap</span> on decreases, we continue to believe that the 5 percent <span class=\"match\">cap</span> on wage index decreases is sufficient to effectively"},{"title":"Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements","type":"Proposed Rule","abstract":"This proposed rule would update the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2027. This proposed rule also includes an analysis of Medicare non-hospice spending, including details regarding a hospice service and spending variation index (SSVI), and proposes to require that hospices provide the hospice election statement addendum to all Medicare beneficiaries at the time of hospice election. Additionally, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes requests for information on community palliative care services; the construction of a hospice specific wage index; and the overlap between hospice and medical aid in dying (MAID). Finally, this rule proposes changes to the Hospice Quality Reporting Program.","document_number":"2026-06604","html_url":"https://www.federalregister.gov/documents/2026/04/06/2026-06604/medicare-program-fy-2027-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-06/pdf/2026-06604.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06604.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":"part of the Hospice Quality <span class=\"match\">Reporting</span> Program (HQRP), in addition to other updates to the HQRP. \n B. Summary of the Major Provisions \n Section III.A.1. of this proposed rule <span class=\"match\">includes</span> proposed updates to the hospice wage index and makes the application of the updated wage data budget neutral for all four levels of hospice care. \n Section III.A.2. of this proposed rule <span class=\"match\">includes</span> the proposed FY 2027 hospice payment update percentage. \n Section III.A.3. of this proposed rule <span class=\"match\">includes</span> the proposed FY 2027 hospice payment <span class=\"match\">rates</span>. \n Section III.A.4. of this"},{"title":"Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements","type":"Proposed Rule","abstract":"This proposed rule would update the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2026. This rule also proposes changes to the admission to hospice regulations and the hospice face-to-face attestation requirements under the certification of terminal illness regulations. This proposed rule also includes a technical correction to the regulatory text and provides updates to the Hospice Quality Reporting Program requirements. Finally, this proposed rule solicits comments regarding requests for information surrounding future measure concepts for Hospice Quality Reporting Program.","document_number":"2025-06317","html_url":"https://www.federalregister.gov/documents/2025/04/30/2025-06317/medicare-program-fy-2026-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-30/pdf/2025-06317.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-06317.pdf?1744402509","publication_date":"2025-04-30","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 <span class=\"match\">rates</span>, and aggregate <span class=\"match\">cap</span> amount for Fiscal Year (FY) 2026. This rule also proposes changes to the admission to hospice regulations and the hospice face-to-face attestation requirements under the certification of terminal illness regulations. This proposed rule also <span class=\"match\">includes</span> a technical correction to the regulatory text and provides updates to the Hospice Quality <span class=\"match\">Reporting</span> Program requirements. Finally, this proposed rule solicits comments regarding requests for information surrounding future measure concepts for Hospice Quality <span class=\"match\">Reporting</span> Program"},{"title":"Incarcerated People's Communication Services; Implementation of the Martha Wright-Reed Act; Rates for Interstate Inmate Calling Services","type":"Proposed Rule","abstract":"In this document, the Federal Communications Commission (Commission) seeks additional comment and data from stakeholders on adopting permanent audio and video IPCS rate caps and on whether and how the Commission should refine its IPCS data collections going forward to provide the data needed to ensure rate caps are just and reasonable and fairly compensate IPCS providers. It also seeks comment on how and when the Commission should structure a permanent rate additive to account for the recovery of correctional facility costs incurred in making IPCS available, including an additive that potentially varies by facility type and size. Finally, it proposes to retain the prohibition on ancillary service charges previously adopted by the Commission and seeks further comment on this proposal. In the alternative, it seeks comment on a request to reinstate automated payment fees and third-party financial transaction fees as permissible ancillary service charges.","document_number":"2025-22130","html_url":"https://www.federalregister.gov/documents/2025/12/05/2025-22130/incarcerated-peoples-communication-services-implementation-of-the-martha-wright-reed-act-rates-for","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-05/pdf/2025-22130.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-22130.pdf?1764855937","publication_date":"2025-12-05","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":"IPCS annual <span class=\"match\">reporting</span> and certification obligations to require submissions of information related to video IPCS. The first filings of the revised Annual <span class=\"match\">Reports</span> and certifications that will <span class=\"match\">include</span> information on video IPCS were due on November 3, 2025. What additional information is essential to collect before the Commission can act to set permanent audio IPCS <span class=\"match\">rate</span> <span class=\"match\">caps</span>? Are any further changes to our <span class=\"match\">rate</span> <span class=\"match\">cap</span> setting methodology necessary?\n \n \n 4. \n Permanent Video IPCS <span class=\"match\">Rate</span> <span class=\"match\">Caps</span>. \n The accompanying Order adopts video IPCS <span class=\"match\">rate</span> <span class=\"match\">caps</span> on an interim"},{"title":"Price Cap Business Data Services; Regulation of Business Data Services for Rate-of-Return Local Exchange Carriers","type":"Proposed Rule","abstract":"In this document, the Federal Communications Commission (Commission) seeks comment on its proposed rules to eliminate rate regulation and tariffing obligations for business data services provided by incumbent local exchange carriers in light of technological and marketplace changes and recent Executive Orders and Commission initiatives. The Commission alternatively seeks comment on updates to its regulatory framework and competitive market tests to better align with current market conditions based on current data.","document_number":"2025-16981","html_url":"https://www.federalregister.gov/documents/2025/09/04/2025-16981/price-cap-business-data-services-regulation-of-business-data-services-for-rate-of-return-local","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-09-04/pdf/2025-16981.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-16981.pdf?1756903514","publication_date":"2025-09-04","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":"and Price <span class=\"match\">Cap</span> Regulation. \n The Commission traditionally has used two forms of <span class=\"match\">rate</span> regulation to ensure that the <span class=\"match\">rates</span>, charges, and practices of incumbent LECs in connection with the provision of BDS are “just and reasonable” under sections 201 and 202 of the Act: <span class=\"match\">rate</span>-of-return and price <span class=\"match\">cap</span> regulation. Under <span class=\"match\">rate</span>-of-return regulation, a carrier's <span class=\"match\">rates</span> are set at levels allowing recovery of operating costs plus an authorized <span class=\"match\">rate</span> of return (currently 9.75%) on the regulated <span class=\"match\">rate</span> base. Under price <span class=\"match\">cap</span> regulation, a carrier's <span class=\"match\">rates</span> are set at"},{"title":"Wireline Competition Bureau and Office of Economics and Analytics Seek Comment on Proposed 2026 Mandatory Data Collection for Incarcerated People's Communications Services","type":"Proposed Rule","abstract":"In this document, the Wireline Competition Bureau (WCB) and the Office of Economics and Analytics (OEA) of the Federal Communications Commission (Commission) seek comment on the contours and specific requirements of the proposed 2026 Mandatory Data Collection for incarcerated people's communications services (IPCS). Consistent with the Commission's direction, in this document, we seek comment on proposals to modify the Commission's previous data collection to obtain data and information necessary for the Commission to set permanent rate caps for audio and video ICPS and, to the extent practicable, lessen the reporting burdens on ICPS providers.","document_number":"2026-12234","html_url":"https://www.federalregister.gov/documents/2026/06/17/2026-12234/wireline-competition-bureau-and-office-of-economics-and-analytics-seek-comment-on-proposed-2026","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-17/pdf/2026-12234.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12234.pdf?1781613919","publication_date":"2026-06-17","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":"Collection. This <span class=\"match\">includes</span> declining to require <span class=\"match\">reporting</span> concerning the total number of IPCS accounts opened, the total number of IPCS accounts closed, the optional <span class=\"match\">reporting</span> of total admissions, and the optional <span class=\"match\">reporting</span> of weekly turnover <span class=\"match\">rate</span>, in addition to streamlined requests for IPCS-related Payment Processing data and IPCS Billed Revenues data. Are there other targeted <span class=\"match\">reporting</span> requirements remaining in the proposed instructions and templates that we should consider removing? If so, what are those requirements and why?\n \n \n <span class=\"match\">Reporting</span> Period. "},{"title":"Incarcerated People's Communication Services; Implementation of the Martha Wright-Reed Act; Rates for Interstate Inmate Calling Services","type":"Rule","abstract":"In this document, the Federal Communications Commission (Commission) adopts rules addressing all intrastate, interstate, and international audio and video incarcerated people's communication services (IPCS), including video visitation services. The reforms include adopting permanent rate caps for audio IPCS and interim rate caps for video; prohibiting IPCS providers from making site commission payments associated with IPCS and preempting state and local laws and regulations requiring such commissions; prohibiting IPCS providers from imposing any separate ancillary service charges on IPCS consumers; strengthening the Commission's requirements for access to IPCS by incarcerated people with disabilities; permitting IPCS providers to offer optional alternate pricing plans that comply with the rate caps; strengthening existing consumer disclosure and inactive account requirements; revising the existing annual reporting and certification requirements; facilitating enforcement of the new IPCS rules; and delegating authority to the Commission's Wireline Competition Bureau (WCB), Consumer and Governmental Affairs Bureau (CGB), and Office of Economics and Analytics (OEA).","document_number":"2024-19037","html_url":"https://www.federalregister.gov/documents/2024/09/20/2024-19037/incarcerated-peoples-communication-services-implementation-of-the-martha-wright-reed-act-rates-for","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-20/pdf/2024-19037.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-19037.pdf?1726663521","publication_date":"2024-09-20","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":"video IPCS, including video visitation services; \n • Lower existing per-minute <span class=\"match\">rate</span> <span class=\"match\">caps</span> for audio IPCS and establish initial interim per-minute <span class=\"match\">rate</span> <span class=\"match\">caps</span> for video IPCS, based on industry-wide cost data submitted by IPCS providers, while permitting states to maintain IPCS <span class=\"match\">rates</span> lower than the Commission's <span class=\"match\">rate</span> <span class=\"match\">caps</span>; \n • Lower the overall prices consumers pay for IPCS and simplify the pricing structure by incorporating the costs of ancillary services in the <span class=\"match\">rate</span> <span class=\"match\">caps</span> and prohibiting providers from imposing any separate ancillary service charges"},{"title":"Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update","type":"Proposed Rule","abstract":"This rulemaking proposes to update the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This rulemaking also proposes refinement of the IPF PPS outlier policy. These changes would be effective for IPF discharges occurring during the fiscal year beginning October 1, 2026, through September 30, 2027. We are also proposing the implementation of a standardized IPF patient assessment instrument, and the removal of two measures used in the Inpatient Psychiatric Facilities Quality Reporting Program.","document_number":"2026-06675","html_url":"https://www.federalregister.gov/documents/2026/04/07/2026-06675/medicare-program-fy-2027-inpatient-psychiatric-facilities-prospective-payment-system-rate-update","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-07/pdf/2026-06675.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06675.pdf?1775164507","publication_date":"2026-04-07","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":"Payment System (IPF PPS) \n For the IPF PPS, we propose to: \n • Establish a 20-percent <span class=\"match\">cap</span> on outlier payments under the IPF PPS. \n • Make technical <span class=\"match\">rate</span> setting updates: The IPF PPS payment <span class=\"match\">rates</span> will be adjusted annually for input price inflation, as well as statutory and other policy factors. \n This rule proposes to update: \n ++ The IPF PPS Federal per diem base <span class=\"match\">rate</span> from $892.87 to $912.58. \n ++ The IPF PPS Federal per diem base <span class=\"match\">rate</span> for providers who failed to <span class=\"match\">report</span> quality data to $894.74. \n ++ The electroconvulsive therapy (ECT) payment per treatment"},{"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program","type":"Rule","abstract":"This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2026. As required by statute, this final 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 2026. It also continues the second year of the 3-year phaseout of the rural adjustment, which began in FY 2025. Additionally, the final rule includes updates to the IRF Quality Reporting Program.","document_number":"2025-14780","html_url":"https://www.federalregister.gov/documents/2025/08/05/2025-14780/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-05/pdf/2025-14780.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14780.pdf?1754079306","publication_date":"2025-08-05","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":"weights described in section V.E of this rule to the FY 2026 standard payment conversion factor ($19,371), to determine the unadjusted IRF prospective payment <span class=\"match\">rates</span> for FY 2026. The unadjusted IRF prospective payment <span class=\"match\">rates</span> for FY 2026 are shown in Table 6. \n \n Table 6—FY 2026 IRF PPS Payment <span class=\"match\">Rates</span> \n \n CMG \n \n Payment <span class=\"match\">rate</span>\n Tier 1 \n \n \n Payment <span class=\"match\">rate</span>\n Tier 2 \n \n \n Payment <span class=\"match\">rate</span>\n Tier 3 \n \n Payment <span class=\"match\">rate</span> no comorbidity \n \n \n 0101 \n $18,729.82 \n $16,631.94 \n $15,068.70 \n $14,293.86 \n \n \n 0102 \n 23,837.95 \n 21,168.63 \n 19,179.23 \n 18,193.24 \n \n \n 0103 \n 30,602"},{"title":"Weighted Selection Process for Registrants and Petitioners Seeking To File Cap-Subject H-1B Petitions","type":"Rule","abstract":"The U.S. Department of Homeland Security (DHS) is amending its regulations governing the process by which U.S. Citizenship and Immigration Services (USCIS) selects H-1B registrations for unique beneficiaries for filing of H-1B cap-subject petitions (or H-1B petitions for any year in which the registration requirement is suspended). Through this rule, DHS is implementing a weighted selection process that will generally favor the allocation of H-1B visas to higher-skilled and higher-paid aliens, while maintaining the opportunity for employers to secure H-1B workers at all wage levels, to better serve the congressional intent for the H-1B program. This rule will be effective in time for the FY 2027 registration season.","document_number":"2025-23853","html_url":"https://www.federalregister.gov/documents/2025/12/29/2025-23853/weighted-selection-process-for-registrants-and-petitioners-seeking-to-file-cap-subject-h-1b","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-29/pdf/2025-23853.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-23853.pdf?1766497516","publication_date":"2025-12-29","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":"PAER0019172. Approvals of Petitions from <span class=\"match\">Cap</span> Exempt Employers, By <span class=\"match\">Cap</span> Exemption and New Employment and Renewal/Amendment Filings, October 2025. This data shows the following breakdown for total <span class=\"match\">cap</span>-exempt H-1B approvals in FY25: 24,835 for institutions of higher education; 19,866 for affiliated or related nonprofit entities; 5,654 for nonprofit research organizations or governmental research organizations; and 3,634 for beneficiaries employed at a qualifying <span class=\"match\">cap</span> exempt entity. This data further shows total <span class=\"match\">cap</span>-exempt approvals in the above categories"},{"title":"Weighted Selection Process for Registrants and Petitioners Seeking To File Cap-Subject H-1B Petitions","type":"Proposed Rule","abstract":"The U.S. Department of Homeland Security (DHS) proposes to amend its regulations governing the process by which U.S. Citizenship and Immigration Services (USCIS) selects H-1B registrations for unique beneficiaries for filing of H-1B cap-subject petitions (or H-1B petitions for any year in which the registration requirement is suspended). DHS proposes to implement a weighted selection process that would generally favor the allocation of H-1B visas to higher skilled and higher paid aliens, while maintaining the opportunity for employers to secure H-1B workers at all wage levels, to better serve the Congressional intent for the H-1B program.","document_number":"2025-18473","html_url":"https://www.federalregister.gov/documents/2025/09/24/2025-18473/weighted-selection-process-for-registrants-and-petitioners-seeking-to-file-cap-subject-h-1b","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-09-24/pdf/2025-18473.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-18473.pdf?1758631511","publication_date":"2025-09-24","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":" \n Estimated H-1B <span class=\"match\">Cap</span>-Subject Petition Receipts (Random) \n 26,605 \n 52,439 \n 11,223 \n 4,633 \n 94,900 \n \n \n Estimated H-1B <span class=\"match\">Cap</span>-Subject Petition Receipts (Weighted) \n 15,330 \n 55,089 \n 16,243 \n 8,239 \n 94,900 \n \n \n Statutory Limit on the Number of Initial H-1B Visa \n   \n   \n   \n   \n 85,000 \n \n \n Estimated H-1B <span class=\"match\">Cap</span>-Subject Visa Granted (Random) * \n 23,830 \n 46,968 \n 10,052 \n 4,150 \n 85,000 \n \n \n Estimated H-1B <span class=\"match\">Cap</span>-Subject Visa Granted (Weighted) * \n 13,731 \n 49,342 \n 14,548 \n 7,379 \n 85,000 \n \n \n Difference in Estimated H-1B <span class=\"match\">cap</span>-subject Visa Granted"},{"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":"March 2026 <span class=\"match\">Report</span> to Congress, MedPAC recommended that Congress should reduce the IRF PPS base payment <span class=\"match\">rate</span> by 7 percent for FY 2027.\n 3 \n \n As discussed, and in accordance with sections 1886(j)(3)(C) and 1886(j)(3)(D) of the Act, the Secretary proposes to update the IRF PPS payment <span class=\"match\">rates</span> for FY 2027 by the proposed IRF market basket update of 2.4 percent. Section 1886(j)(3)(C) of the Act does not provide the Secretary with the authority to apply a different update factor to IRF PPS payment <span class=\"match\">rates</span> for FY 2027.\n \n \n \n 3 \n  March 2026 <span class=\"match\">Report</span> to the Congress:"},{"title":"Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements","type":"Rule","abstract":"This final rule updates the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2025. This rule also adopts the most recent Office of Management and Budget statistical area delineations, which will impact the hospice wage index. This rule clarifies current policy related to the \"election statement\" and the \"notice of election\", as well as adds clarifying language regarding hospice certification and includes a technical regulation text change to the Conditions of Participation (CoPs). This rule finalizes changes to the Hospice Quality Reporting Program. Finally, this rule summarizes comments received regarding potential implementation of a separate payment mechanism to account for high intensity palliative care services.","document_number":"2024-16910","html_url":"https://www.federalregister.gov/documents/2024/08/06/2024-16910/medicare-program-fy-2025-hospice-wage-index-and-payment-rate-update-hospice-conditions-of","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-08-06/pdf/2024-16910.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-16910.pdf?1722370514","publication_date":"2024-08-06","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":"readers they can <span class=\"match\">report</span> suspected fraud, waste, or abuse to CMS. Further information on <span class=\"match\">reporting</span> fraud can be found in The Medicare &amp; You handbook at page 105 and at \n https://www.cms.gov/medicare/medicaid-coordination/center-program-integrity/<span class=\"match\">reporting</span>-fraud. \n Readers can also <span class=\"match\">report</span> suspected fraud, waste, and abuse to the Office of Inspector General at \n https://oig.hhs.gov/fraud/<span class=\"match\">report</span>-fraud/. \n \n D. Proposals to the Hospice Quality <span class=\"match\">Reporting</span> Program (HQRP) \n 1. Background and Statutory Authority \n The Hospice Quality <span class=\"match\">Reporting</span> Program (HQRP)"},{"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 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) 2026. As required by statute, this proposed rule includes the proposed 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 2026. It also continues the second year of the 3-year phaseout of the rural adjustment, which began in FY 2025. Additionally, the proposed rule includes updates to the IRF Quality Reporting Program (QRP).","document_number":"2025-06336","html_url":"https://www.federalregister.gov/documents/2025/04/30/2025-06336/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-30/pdf/2025-06336.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-06336.pdf?1744402509","publication_date":"2025-04-30","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":"of this proposed rule to the FY 2026 proposed standard payment conversion factor ($19,364), to determine the proposed unadjusted IRF prospective payment <span class=\"match\">rates</span> for FY 2026. The proposed unadjusted IRF prospective payment <span class=\"match\">rates</span> for FY 2026 are shown in Table 6. \n \n Table 6—FY 2026 IRF PPS Proposed Payment <span class=\"match\">Rates</span> \n \n CMG \n Payment <span class=\"match\">rate</span> tier 1 \n Payment <span class=\"match\">rate</span> tier 2 \n Payment <span class=\"match\">rate</span> tier 3 \n \n Payment <span class=\"match\">rate</span>\n no comorbidity \n \n \n \n 0101 \n $18,777.27 \n $16,627.87 \n $15,080.68 \n $14,300.31 \n \n \n 0102 \n 23,900.99 \n 21,164.85 \n 19,195.53 \n 18,202.16 \n \n \n 0103"},{"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":"the payment <span class=\"match\">rate</span> needed for non-LUPA 30-day periods using the CY 2027 wage index (with the 5 percent <span class=\"match\">cap</span>) so those total payments are equivalent to the total payments for non-LUPA 30-day periods using the CY 2026 wage index (with the 5 percent <span class=\"match\">cap</span>) and the CY 2026 national standardized 30-day period payment <span class=\"match\">rate</span> adjusted by the case-mix weights recalibration neutrality factor. Then, by dividing the payment <span class=\"match\">rate</span> for non-LUPA 30-day periods using the CY 2027 wage index with the 5 percent <span class=\"match\">cap</span> on wage index decreases) by the payment <span class=\"match\">rate</span> for non-LUPA"},{"title":"Incarcerated People's Communication Services; Implementation of the Martha Wright-Reed Act; Rates for Interstate Inmate Calling Services","type":"Proposed Rule","abstract":"The Federal Communications Commission (Commission) seeks additional comment on establishing permanent rate caps for video incarcerated people's communications services (IPCS) that are just and reasonable, and will fairly compensate IPCS providers, including comment on the video IPCS marketplace and the types of data needed to support its efforts to adopt permanent video IPCS rate caps in the future. It also seeks comment on the possibly of further disaggregating the very small jail rate tier and the types of cost or other data that would identify any additional distinctions within this rate tier. The Commission seeks comment on its authority to address quality of service issues raised in this proceeding and whether it should develop minimum Federal quality of service standards. It again seeks comment on whether to expand the definitions of \"Prison\" and \"Jail\" to capture the full universe of confinement facilities and specifically, the costs providers incur in providing service to confinement facilities that are not correctional institutions. It also seeks comment on whether to incorporate into its inactive account rules a requirement that providers allow account holders to designate a third party to receive refunds from IPCS accounts. Finally, the Commission seeks comment on possibly adopting a uniform additive to the IPCS rate caps to account for correctional facility costs.","document_number":"2024-19038","html_url":"https://www.federalregister.gov/documents/2024/09/20/2024-19038/incarcerated-peoples-communication-services-implementation-of-the-martha-wright-reed-act-rates-for","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-20/pdf/2024-19038.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-19038.pdf?1726663519","publication_date":"2024-09-20","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":"small.\n \n D. Description of Projected <span class=\"match\">Reporting</span>, Recordkeeping, and Other <span class=\"match\">Compliance</span> Requirements for Small Entities \n \n 57. \n Establishing Permanent <span class=\"match\">Rate</span> <span class=\"match\">Caps</span> for Video IPCS. \n The Commission seeks comments on establishing permanent video IPCS <span class=\"match\">rates</span>, including updated marketplace and cost data. To the extent that permanent video IPCS <span class=\"match\">rate</span> <span class=\"match\">caps</span> are lower than the interim <span class=\"match\">rate</span> <span class=\"match\">caps</span> and apply to all types of facilities (including jails with average daily populations below 1,000) as detailed in the 2024 IPCS <span class=\"match\">Report</span> and Order, IPCS video providers (including"},{"title":"Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update","type":"Rule","abstract":"This final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This final rule also revises the payment adjustment factors for teaching status and for IPFs located in rural areas. These changes will be effective for IPF discharges occurring during the fiscal year beginning October 1, 2025, through September 30, 2026. We are finalizing changes to measures used in the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, updating and codifying the Extraordinary Circumstances Exception policy, and summarizing comments received through requests for information regarding future changes to the IPFQR Program.","document_number":"2025-14781","html_url":"https://www.federalregister.gov/documents/2025/08/05/2025-14781/medicare-program-fy-2026-inpatient-psychiatric-facilities-prospective-payment-system-rate-update","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-05/pdf/2025-14781.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14781.pdf?1754079306","publication_date":"2025-08-05","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":"percent of the <span class=\"match\">reports</span> have a January through December cost <span class=\"match\">reporting</span> period (Calendar Year), 30 percent have a July through June cost <span class=\"match\">reporting</span> period, 15 percent have an October through September cost <span class=\"match\">reporting</span> period (Federal fiscal year (FFY), and the remaining 15 percent cover various other cost <span class=\"match\">reporting</span> periods. Moreover, some providers change their fiscal/<span class=\"match\">reporting</span> periods mid-year (sometimes due to an ownership change), resulting in shorter or longer hospital cost <span class=\"match\">reports</span> and, in some cases, multiple hospital cost <span class=\"match\">reports</span> within a single"},{"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":"changes to the amounts and factors used to determine the payment <span class=\"match\">rates</span> 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 <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 requirement to <span class=\"match\">include</span> additional Botulinum Toxin Injection services. We also propose"},{"title":"Promoting Fair and Open Competitive Bidding in the E-Rate Program; Schools and Libraries Universal Service Support Mechanism","type":"Rule","abstract":"In this document, the Federal Communications Commission (Commission or FCC) takes action to reinforce the success and integrity of the E-Rate program by establishing a competitive bidding portal and document repository to strengthen the E-Rate program's competitive bidding rules as well as other actions to simplify and streamline program processes and procedures for E-Rate participants. In addition, the Commission adopts changes to streamline and simplify the E-Rate program while maintaining the integrity of the program and grant an Order on Reconsideration. These actions will provide greater transparency into the applicants' competitive bidding and bid evaluation and selection processes, and protect the program against waste, fraud, and abuse.","document_number":"2026-10011","html_url":"https://www.federalregister.gov/documents/2026/05/19/2026-10011/promoting-fair-and-open-competitive-bidding-in-the-e-rate-program-schools-and-libraries-universal","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-19/pdf/2026-10011.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10011.pdf?1779108315","publication_date":"2026-05-19","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":"well as projected <span class=\"match\">reporting</span>, recordkeeping and other <span class=\"match\">compliance</span> requirements, including an estimate of the classes of small entities which will be subject to the requirement and the type of professional skills necessary for preparation of the <span class=\"match\">report</span> or record. \n \n The purpose of the \n <span class=\"match\">Report</span> and Order \n is to strengthen the competitive bidding rules for the E-<span class=\"match\">Rate</span> program by requiring applicants to submit their competitive bidding and contract related documentation into the competitive bidding portal, and also to streamline the E-<span class=\"match\">Rate</span> administrative"}]}