{"description":"Documents matching 'including those data residency isolation'","count":296,"total_pages":15,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=including+those+data+residency+isolation&format=json&page=2","results":[{"title":"General Services Acquisition Regulation; Acquisition of Information and Communication Technology; Notice of Listening Sessions and Request for Comments","type":"Proposed Rule","abstract":"The General Services Administration (GSA) is seeking public comment on the draft of a new General Services Administration Acquisition Regulation (GSAR) clause regarding basic safeguarding of data within Large Language Model Artificial Intelligence Systems (LLMs). Due to the complexity of the issue, GSA is publishing this notification and draft clause to gather feedback from stakeholders before taking future action (e.g., deviation and/or formal rulemaking).","document_number":"2026-12205","html_url":"https://www.federalregister.gov/documents/2026/06/17/2026-12205/general-services-acquisition-regulation-acquisition-of-information-and-communication-technology","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-17/pdf/2026-12205.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12205.pdf?1781613917","publication_date":"2026-06-17","agencies":[{"raw_name":"GENERAL SERVICES ADMINISTRATION","name":"General Services Administration","id":210,"url":"https://www.federalregister.gov/agencies/general-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/210","parent_id":null,"slug":"general-services-administration"}],"excerpts":"independently by such Contractor.\n \n \n <span class=\"match\">Data</span> Outputs \n means all <span class=\"match\">data</span>, information, PII, any improvements, enhancements, corrections, annotations, or other modifications made to <span class=\"match\">Data</span> Inputs, or content generated by the LLM in the performance of this contract, <span class=\"match\">including</span> but not limited to responses, results, analyses, anonymized <span class=\"match\">data</span>, derivative <span class=\"match\">data</span>, metadata, logs, synthetic <span class=\"match\">data</span>, and any other output or action produced by the LLM, regardless of whether such output incorporates or is derived from Background <span class=\"match\">Data</span>. This definition specifically excludes"},{"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":"circumstance, <span class=\"match\">including</span> <span class=\"match\">those</span> for the purchase and maintenance of capital equipment. We rely on hospitals to make their decisions regarding the acquisition of high-cost equipment with \n \n the understanding that the Medicare program must be careful to establish its initial payment rates, <span class=\"match\">including</span> <span class=\"match\">those</span> made through New Technology APCs, for new services that lack hospital claims <span class=\"match\">data</span> based on realistic utilization projections for all such services delivered in cost-efficient hospital outpatient settings. As the OPPS acquires claims <span class=\"match\">data</span> regarding hospital"},{"title":"Accountability in Higher Education and Access Through Demand-Driven Workforce Pell: Student Tuition and Transparency System (STATS) and Earnings Accountability","type":"Proposed Rule","abstract":"The Secretary of Education (Secretary) proposes to amend the regulations governing institutional eligibility, general provisions regulations, and the William D. Ford Direct Loan (Direct Loan) Program under title IV of the Higher Education Act (HEA) of 1965, as amended (the title IV, HEA programs). The proposed regulations would implement statutory changes to the title IV, HEA programs included in the One Big Beautiful Bill Act (OBBB), signed by President Trump on July 4, 2025. The OBBB made numerous changes to the HEA, including changes to program eligibility requirements for the Direct Loan program and the introduction of an earnings accountability framework that is intended to limit Direct Loan eligibility to programs whose graduates meet certain earnings benchmarks. This document proposes regulations, based on consensus reached during negotiated rulemaking, to implement the provisions of the OBBB related to low-earning outcome programs and the Direct Loan program, and to harmonize those regulations with requirements for programs that are required to lead to gainful employment (GE programs).","document_number":"2026-07666","html_url":"https://www.federalregister.gov/documents/2026/04/20/2026-07666/accountability-in-higher-education-and-access-through-demand-driven-workforce-pell-student-tuition","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-20/pdf/2026-07666.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07666.pdf?1776429919","publication_date":"2026-04-20","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"C. 1221e-3; 20 U.S.C. 3474.\n \n The <span class=\"match\">data</span> to be collected and analyzed by the Department will not violate the student unit record prohibition found in HEA Section 134. The Department does not propose creating any new databases of student records. It will collect from institutions individual title IV, HEA recipient <span class=\"match\">data</span>, <span class=\"match\">including</span> PII, and will securely transmit that <span class=\"match\">data</span> to a Federal agency with earnings <span class=\"match\">data</span> for matching. The metric calculation will only utilize median earnings <span class=\"match\">data</span> that does not include PII <span class=\"match\">data</span> from student recipients of title IV"},{"title":"Endangered and Threatened Wildlife and Plants; 12-Month Finding on a Petition To List the Olympic Peninsula Steelhead Distinct Population Segment Under the Endangered Species Act","type":"Rule","abstract":"We, NMFS, have completed a comprehensive status review for the Olympic Peninsula (OP) Distinct Population Segment (DPS) of steelhead, Oncorhynchus mykiss, in response to a petition to list this species as threatened or endangered under the Endangered Species Act (ESA). We have determined that OP steelhead is a DPS under the ESA and that listing is not warranted at this time. Accordingly, NMFS will continue to monitor the OP steelhead DPS status, including working closely with Tribal and State co-managers.","document_number":"2026-00581","html_url":"https://www.federalregister.gov/documents/2026/01/14/2026-00581/endangered-and-threatened-wildlife-and-plants-12-month-finding-on-a-petition-to-list-the-olympic","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-14/pdf/2026-00581.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-00581.pdf?1768311923","publication_date":"2026-01-14","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Oceanic and Atmospheric Administration","name":"National Oceanic and Atmospheric Administration","id":361,"url":"https://www.federalregister.gov/agencies/national-oceanic-and-atmospheric-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/361","parent_id":54,"slug":"national-oceanic-and-atmospheric-administration"}],"excerpts":"percent, respectively (Cram \n et al., \n 2018). Based on <span class=\"match\">data</span> from the co-managers, between \n \n 2014 and 2020, rates averaged across years for each of the four major basins ranged from 21 percent to 41 percent. Most recently (2021-2024), based on <span class=\"match\">data</span> <span class=\"match\">including</span> co-manager provided <span class=\"match\">data</span> since publication of the status review, harvest rate estimates for the four major basins have ranged from 7 percent to 25 percent. While harvest rates have declined recently, as stated above, modeling by the SRT with <span class=\"match\">data</span> through 2022 indicates that in most past years fishing"},{"title":"Endangered and Threatened Wildlife and Plants; Notice of 12-Month Finding on a Petition To List the Washington Coast Chinook Salmon Evolutionarily Significant Unit as Threatened or Endangered Under the Endangered Species Act","type":"Notice","abstract":"NMFS has completed a comprehensive status review of the Washington Coast (WC) Chinook salmon (Oncorhynchus tshawytscha) Evolutionarily Significant Unit (ESU) in response to a petition to list this species as threatened or endangered under the Endangered Species Act (ESA) and to designate critical habitat concurrently with the listing. Based on the best scientific and commercial information available, including the status review report, and after considering efforts being made to protect the species, NMFS has determined that the WC Chinook salmon ESU does not warrant listing.","document_number":"2026-03292","html_url":"https://www.federalregister.gov/documents/2026/02/19/2026-03292/endangered-and-threatened-wildlife-and-plants-notice-of-12-month-finding-on-a-petition-to-list-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-19/pdf/2026-03292.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03292.pdf?1771362911","publication_date":"2026-02-19","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Oceanic and Atmospheric Administration","name":"National Oceanic and Atmospheric Administration","id":361,"url":"https://www.federalregister.gov/agencies/national-oceanic-and-atmospheric-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/361","parent_id":54,"slug":"national-oceanic-and-atmospheric-administration"}],"excerpts":"would constitute the WC ESU. Coastal populations spawning north of the Columbia River and west of the Elwha River were included in this ESU. These populations were distinguished from <span class=\"match\">those</span> in Puget Sound by their older age at maturity and more northerly ocean distribution. Allozyme <span class=\"match\">data</span> also indicated geographical differences between populations from this area and <span class=\"match\">those</span> in Puget Sound, the Columbia River, and the Oregon coast ESUs. Populations within this ESU were ocean-type Chinook salmon and generally matured at ages 3, 4, and 5. Ocean distribution"},{"title":"Endangered and Threatened Wildlife and Plants; Notice of 12-Month Finding on a Petition To List the Oregon Coast and Southern Oregon and Northern California Coastal Chinook Salmon Evolutionarily Significant Units Under the Endangered Species Act","type":"Rule","abstract":"We, NMFS, have completed a comprehensive status review of the Oregon Coast (OC) and Southern Oregon and Northern California Coastal (SONCC) Chinook salmon (Oncorhynchus tshawytscha) Evolutionarily Significant Units (ESUs) in response to a petition to list these species as threatened or endangered under the Endangered Species Act (ESA) and to designate critical habitat concurrently with the listings. Based on the best scientific and commercial information available, including the status review report, and taking into account efforts being made to protect the species, we have determined that the OC and SONCC Chinook salmon ESUs do not warrant listing.","document_number":"2025-22335","html_url":"https://www.federalregister.gov/documents/2025/12/09/2025-22335/endangered-and-threatened-wildlife-and-plants-notice-of-12-month-finding-on-a-petition-to-list-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-09/pdf/2025-22335.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-22335.pdf?1765201524","publication_date":"2025-12-09","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Oceanic and Atmospheric Administration","name":"National Oceanic and Atmospheric Administration","id":361,"url":"https://www.federalregister.gov/agencies/national-oceanic-and-atmospheric-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/361","parent_id":54,"slug":"national-oceanic-and-atmospheric-administration"}],"excerpts":"area. However, the absence of monitoring or <span class=\"match\">data</span> does not directly cause a species to decline or face extinction and does not in and of itself support a positive listing determination. While monitoring <span class=\"match\">data</span> are limited, the available <span class=\"match\">data</span> do suggest the Smith River contains a sizeable fall run as noted above. Additionally, the threats to these populations are similar to the threats facing the entire ESU, so the stratum does not face an elevated extinction risk. Based on the coastal population sizes (<span class=\"match\">including</span> the Smith River), spatial distribution,"},{"title":"Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program","type":"Rule","abstract":"This final rule contains provisions to improve implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This final rule also includes provisions related to civil money penalties (CMPs) for noncompliant issuers and other responsible entities; standards governing agents, brokers, and web-brokers; the expansion and codification of hardship exemption eligibility; implementation of the State Exchange Improper Payment Measurement (SEIPM); provider access standards and essential community provider standards for QHP certification; QHP certification of non-network plans; a prohibition on issuers from including routine non-pediatric dental services as an Essential Health Benefit (EHB); requirements related to defrayal for the cost of any State-required benefits in addition to the EHB; cost- sharing flexibilities for catastrophic and individual market bronze plans; establishment of catastrophic plans with plan terms of up to 10 consecutive plan years; QHP issuer quality improvement strategies (QISs); and revisions affecting which enrollees are included in Federal Basic Health Program (BHP) payment calculations to States. This final rule also includes amendments to implement certain provisions of the Working Families Tax Cut (WFTC) legislation.","document_number":"2026-10050","html_url":"https://www.federalregister.gov/documents/2026/05/20/2026-10050/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2027-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-20/pdf/2026-10050.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10050.pdf?1779135308","publication_date":"2026-05-20","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":"treatments into the HHS risk adjustment models due primarily to inadequate <span class=\"match\">data</span> for developing appropriate model variables. Specifically, many of the gene therapies HHS reviewed while considering this issue were completely absent from the claims <span class=\"match\">data</span> for any enrollee in the currently available benefit years of enrollee-level EDGE <span class=\"match\">data</span>. Of <span class=\"match\">those</span> therapies that did appear, sample sizes were extremely low. Without cost <span class=\"match\">data</span> and sufficient sample size in the enrollee-level EDGE <span class=\"match\">data</span>, we are unable to estimate reliable coefficients for potential model factors"},{"title":"Endangered and Threatened Species; Notice of 12-Month Findings on a Petition To List the Tope Shark as Threatened or Endangered Under the Endangered Species Act and Proposed Listing of Two Distinct Population Segments of Tope Shark as Threatened","type":"Proposed Rule","abstract":"We, NMFS, have completed a comprehensive status review of the tope shark (Galeorhinus galeus) in response to a petition to list the species as threatened or endangered under the Endangered Species Act (ESA) of 1973. After reviewing the best scientific and commercial data available, we have determined that this species is comprised of six distinct population segments (DPSs) and that two, the Southern (So.) Africa and Southwest (SW) Atlantic DPSs, are likely to become in danger of extinction throughout all or a significant portion of their ranges in the foreseeable future. Therefore, we propose to list the So. Africa and SW Atlantic DPSs as threatened species under the ESA. We have also determined that the remaining four DPSs--the Northeast (NE) Atlantic, NE Pacific, SW Pacific, and Southeast (SE) Pacific DPSs--do not meet the definition of a threatened or endangered species under section 4(a) of the ESA and therefore do not warrant listing under the ESA. We solicit information to inform the final listing determinations.","document_number":"2026-07294","html_url":"https://www.federalregister.gov/documents/2026/04/15/2026-07294/endangered-and-threatened-species-notice-of-12-month-findings-on-a-petition-to-list-the-tope-shark","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-15/pdf/2026-07294.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07294.pdf?1776170718","publication_date":"2026-04-15","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Oceanic and Atmospheric Administration","name":"National Oceanic and Atmospheric Administration","id":361,"url":"https://www.federalregister.gov/agencies/national-oceanic-and-atmospheric-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/361","parent_id":54,"slug":"national-oceanic-and-atmospheric-administration"}],"excerpts":"also asked to rate the level of <span class=\"match\">data</span> sufficiency or certainty by applying one of the following three categories to their ratings: + (high): an abundance of <span class=\"match\">data</span> is available for the threat and its effects on the species, and the reviewer has no reservations in reaching a rating decision; 0 (medium): <span class=\"match\">data</span> are available for the threat and its effects on the species, and a rating can be assigned but additional <span class=\"match\">data</span> are desired;−(low): ratings are based on expert opinion, based on biological concepts or inferences from <span class=\"match\">data</span> or information on other species"},{"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":"will review the preliminary <span class=\"match\">data</span> and will approve a State's request to implement this exception if we determine its <span class=\"match\">data</span> persuasive. If we determine the State's preliminary <span class=\"match\">data</span> persuasive and the BLS <span class=\"match\">data</span>, when updated, conflicts with the State's <span class=\"match\">data</span> and indicates an unemployment rate below the thresholds in section 1902(xx)(3)(B)(ii)(II)(bb) of the Act, we will not require revision of short-term hardship exceptions that were applied based on our approval of the State's preliminary <span class=\"match\">data</span> but will take the updated <span class=\"match\">data</span> into consideration. \n As noted"},{"title":"Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations","type":"Rule","abstract":"The Secretary amends the regulations for the Federal student loan programs authorized under title IV of the Higher Education Act (HEA) of 1965, as amended (the title IV, HEA programs) to implement the statutory changes to the title IV, HEA programs included in Public Law 119-21, the Working Families Tax Cuts Act signed into law by President Trump on July 4, 2025. The Department previously referred to the Working Families Tax Cuts Act as the \"One Big Beautiful Bill Act,\" including in the Notice of Proposed Rulemaking published on January 30, 2026. These changes include establishing new loan limits for graduate students, professional students, and parents, and phasing out the Graduate PLUS (Grad PLUS) Program. The Working Families Tax Cuts Act also simplifies the current broken and confusing myriad of Federal student loan repayment plans by phasing out the existing Income- Contingent Repayment (ICR) plans, creating a new Tiered Standard repayment plan option, and establishing a new income-driven repayment plan known as the Repayment Assistance Plan. The Working Families Tax Cuts Act also enables borrowers in default who have previously rehabilitated a defaulted loan a second chance to rehabilitate their loan(s) and resume repayment.","document_number":"2026-08556","html_url":"https://www.federalregister.gov/documents/2026/05/01/2026-08556/reimagining-and-improving-student-education-federal-student-loan-program-final-regulations","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-01/pdf/2026-08556.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-08556.pdf?1777553126","publication_date":"2026-05-01","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"with the rulemaking process, <span class=\"match\">including</span> by submitting written comments on the proposed rule during the comment period we established prior to negotiated rulemaking and during the public comment period on the proposed rule. In fact, the number of written comments the Department received, <span class=\"match\">including</span> <span class=\"match\">those</span> from the health professions community, demonstrates the opportunity we provided for public participation in the process. Additionally, the full negotiated rulemaking Committee reached agreement on its protocols, <span class=\"match\">including</span> the composition of the primary"},{"title":"Accountability in Higher Education and Access Through Demand- Driven Workforce Pell: Student Tuition and Transparency System (STATS) and Earnings Accountability","type":"Rule","abstract":"The Secretary of Education (Secretary) amends the regulations governing institutional eligibility, general provisions, and the William D. Ford Direct Loan (Direct Loan) Program under title IV of the Higher Education Act (HEA) of 1965, as amended (the title IV, HEA programs) to implement statutory changes to the title IV, HEA programs included in the Working Families Tax Cuts Act (WFTCA) signed into law by President Trump on July 4, 2025. These changes include revisions to program eligibility requirements for the Direct Loan program and the introduction of an earnings accountability framework that limits Direct Loan eligibility to programs whose graduates meet certain earnings benchmarks. This action finalizes regulations to implement the provisions of the WFTCA related to low-earning outcome programs and the Direct Loan program, and to harmonize those regulations with requirements for programs that are required to lead to gainful employment (GE programs).","document_number":"2026-13286","html_url":"https://www.federalregister.gov/documents/2026/07/01/2026-13286/accountability-in-higher-education-and-access-through-demand--driven-workforce-pell-student-tuition","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-01/pdf/2026-13286.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13286.pdf?1782823517","publication_date":"2026-07-01","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"1221e-3; 20 U.S.C. 3474.\n \n The <span class=\"match\">data</span> to be collected and analyzed by the Department will not violate the student unit record prohibition found in HEA Section 134. The Department does not propose creating any new databases of student records. It will collect from institutions individual title IV, HEA recipient <span class=\"match\">data</span>, <span class=\"match\">including</span> PII, and will securely transmit that <span class=\"match\">data</span> to at least one Federal agency with earnings <span class=\"match\">data</span> for matching. The metric calculation will only utilize median earnings <span class=\"match\">data</span> that does not include PII <span class=\"match\">data</span> from student recipients of title"},{"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":"officer, president or senior official designated to oversee the encoding of true, accurate and complete <span class=\"match\">data</span> in the MRF. Additionally, we are finalizing our proposal to require hospitals to add their National Provider Identifiers (NPIs) to the MRF. The policy will advance the comparability of standard charge information across hospitals and of the hospital price transparency (HPT) <span class=\"match\">data</span> with other healthcare <span class=\"match\">data</span>, <span class=\"match\">including</span> health plan transparency <span class=\"match\">data</span> from the Transparency in Coverage (TiC) MRFs. These new policies include a one-time burden of $1,461"},{"title":"Older Americans Act: Grants to State and Community Programs on Aging; Grants to Indian Tribes and Native Hawaiian Grantees for Supportive, Nutrition, and Caregiver Services; Grants for Supportive and Nutritional Services to Older Hawaiian Natives; and Allotments for Vulnerable Elder Rights Protection Activities","type":"Rule","abstract":"ACL is issuing this final rule to modernize the implementing regulations of the Older Americans Act of 1965 (\"the Act\" or OAA). These changes advance the policy goals of the Act as articulated by Congress, including equity in service delivery, accountability for funds expended, and clarity of administration for ACL and its grantees. This final rule ultimately facilitates improved service delivery and enhanced benefits for OAA participants, particularly those in greatest economic need and greatest social need consistent with the statute.","document_number":"2024-01913","html_url":"https://www.federalregister.gov/documents/2024/02/14/2024-01913/older-americans-act-grants-to-state-and-community-programs-on-aging-grants-to-indian-tribes-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-02-14/pdf/2024-01913.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-01913.pdf?1707227113","publication_date":"2024-02-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Administration for Community Living","name":"Community Living Administration","id":587,"url":"https://www.federalregister.gov/agencies/community-living-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/587","parent_id":221,"slug":"community-living-administration"}],"excerpts":"and direction with respect to the collection of <span class=\"match\">data</span> (such as <span class=\"match\">data</span> on sexual orientation and gender identity, <span class=\"match\">data</span> regarding populations experiencing greatest economic need and greatest social need, and <span class=\"match\">data</span> stratification). Some commenters expressed concern as to additional <span class=\"match\">data</span> collection that may be required in connection with the expansion of the definitions of greatest economic need and greatest social need. Other commenters were concerned about potential costs associated with changes to <span class=\"match\">data</span> collection expectations. We also received various"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); update and make changes to requirements for certain quality programs; and make other policy-related changes.","document_number":"2026-07203","html_url":"https://www.federalregister.gov/documents/2026/04/14/2026-07203/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-14/pdf/2026-07203.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07203.pdf?1775852113","publication_date":"2026-04-14","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"Change Request (CR). \n D. Recalibration of the FY 2027 MS-DRG Relative Weights \n 1. <span class=\"match\">Data</span> Sources for Developing the Relative Weights \n \n Consistent with our established policy, in developing the MS-DRG \n \n relative weights for FY 2027, we are proposing to use two <span class=\"match\">data</span> sources: claims <span class=\"match\">data</span> and cost report <span class=\"match\">data</span>. The claims <span class=\"match\">data</span> source is the MedPAR file, which includes fully coded diagnostic and procedure <span class=\"match\">data</span> for all Medicare inpatient hospital bills. The FY 2025 MedPAR <span class=\"match\">data</span> used in this proposed rule includes discharges occurring on October 1, 2024, through"},{"title":"Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency","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 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. This proposed rule would also update and refine 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. This rule also contains requests for information on measure concepts regarding Well-Being and Nutrition for consideration in future years for all three programs (OQR, REHQR, and ASCQR; expanding the method to control for unnecessary increases in the volume of covered OPD services to on- campus clinic visits; software as a service; and adjusting payment under the OPPS for services predominately performed in the ambulatory surgical center or physician office settings.","document_number":"2025-13360","html_url":"https://www.federalregister.gov/documents/2025/07/17/2025-13360/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-07-17/pdf/2025-13360.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-13360.pdf?1752610509","publication_date":"2025-07-17","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":"circumstance, <span class=\"match\">including</span> <span class=\"match\">those</span> for the purchase and maintenance of capital equipment. We rely on hospitals to make their decisions regarding the acquisition of high-cost equipment with the understanding that the Medicare program must be careful to establish its initial payment rates, <span class=\"match\">including</span> <span class=\"match\">those</span> made through New Technology APCs, for new services that lack hospital claims <span class=\"match\">data</span> based on realistic utilization projections for all such services delivered in cost-efficient hospital outpatient settings. As the OPPS acquires claims <span class=\"match\">data</span> regarding hospital"},{"title":"Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities","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 2025 based on our continuing experience with these systems. We 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 system. Also, this final rule updates the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, and Hospital Inpatient Quality Reporting Program. We also summarize information received in response to a Request for Information on potential modifications to the Safety of Care measure group in the Overall Hospital Quality Star Rating methodology. In this final rule, we are also finalizing our proposal to narrow the description of \"custody\" in the Medicare payment exclusion rule and to revise the special enrollment period criteria for formerly incarcerated individuals. We are also finalizing our Medicaid and Children's Health Insurance Program (CHIP) continuous eligibility provisions. We are also finalizing the proposal to reduce the review timeframe for standard prior authorization requests for certain covered outpatient department services paid under the OPPS from 10-business days to 7-calendar days. Further, this rule finalizes updates to the Conditions of Participation (CoPs) for hospitals and critical access hospitals (CAHs) in an effort to advance the health and safety of pregnant, birthing, and postpartum women. This rule also finalizes our proposed policy to separately pay Indian Health Service (IHS) and Tribal hospitals for high-cost drugs furnished in hospital outpatient departments through an add-on payment in addition to the all-inclusive rate (AIR) under the authorities used to calculate the AIR starting January 1, 2025. Finally, we are finalizing exceptions to the Medicaid clinic services four walls requirement for IHS and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas.","document_number":"2024-25521","html_url":"https://www.federalregister.gov/documents/2024/11/27/2024-25521/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-27/pdf/2024-25521.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25521.pdf?1730492130","publication_date":"2024-11-27","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":"In addition, later in this section we discuss the file of claims that comprises the <span class=\"match\">data</span> set that is available upon payment of an administrative fee under a CMS <span class=\"match\">data</span> use agreement. The CMS website, \n https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient \n , includes information about obtaining the “OPPS Limited <span class=\"match\">Data</span> Set,” which now includes the additional variables previously available only in the OPPS Identifiable <span class=\"match\">Data</span> Set, <span class=\"match\">including</span> International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)"},{"title":"Taking and Importing Marine Mammals; Taking Marine Mammals Incidental to the U.S. Navy Training and Testing Activities in the Hawaii-Southern California Training and Testing Study Area","type":"Proposed Rule","abstract":"NMFS, upon request from the U.S. Navy (Navy), issues these regulations pursuant to the Marine Mammal Protection Act (MMPA) to govern the taking of marine mammals incidental to the training and testing activities conducted in the Hawaii-Southern California Training and Testing (HSTT) Study Area between 2018 and 2025. In 2021, two separate U.S. Navy vessels struck unidentified large whales on two separate occasions, one whale in June 2021 and one whale in July 2021, in waters off Southern California. The takes by vessel strike of the two whales by the U.S. Navy were covered by the existing regulations and Letters of Authorization (LOAs), which authorize the U.S. Navy to take up to three large whales by serious injury or mortality by vessel strike between 2018 and 2025. The Navy reanalyzed the potential of vessel strike in the HSTT Study Area, including the recent strikes, and as a result, requested two additional takes of large whales by serious injury or mortality by vessel strike for the remainder of the current regulatory period. In May 2023, a U.S. Navy vessel struck a large whale in waters off Southern California. NMFS reanalyzed the potential for vessel strike based on new information, including the three strikes, and authorizes two additional takes of large whales by serious injury or mortality by vessel strike for the remainder of the current regulatory period (two takes in addition to the three takes authorized in the current regulations). The Navy's activities qualify as military readiness activities pursuant to the MMPA, as amended by the National Defense Authorization Act for Fiscal Year 2004 (2004 NDAA).","document_number":"2024-31402","html_url":"https://www.federalregister.gov/documents/2025/01/16/2024-31402/taking-and-importing-marine-mammals-taking-marine-mammals-incidental-to-the-us-navy-training-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-01-16/pdf/2024-31402.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-31402.pdf?1736370921","publication_date":"2025-01-16","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Oceanic and Atmospheric Administration","name":"National Oceanic and Atmospheric Administration","id":361,"url":"https://www.federalregister.gov/agencies/national-oceanic-and-atmospheric-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/361","parent_id":54,"slug":"national-oceanic-and-atmospheric-administration"}],"excerpts":"Probability Calculation \n \n Year \n At-Sea days \n Derivation \n \n \n 2009 \n 4,233 \n Estimated average based on 2010-2015 <span class=\"match\">data</span>. \n \n \n 2010 \n 5,207 \n Based on positional vessel <span class=\"match\">data</span>. \n \n \n 2011 \n 4,483 \n Based on positional vessel <span class=\"match\">data</span>. \n \n \n 2012 \n 4,081 \n Based on positional vessel <span class=\"match\">data</span>. \n \n \n 2013 \n 4,041 \n Based on positional vessel <span class=\"match\">data</span>. \n \n \n 2014 \n 4,272 \n Based on positional vessel <span class=\"match\">data</span>. \n \n \n 2015 \n 3,311 \n Based on positional vessel <span class=\"match\">data</span>. \n \n \n 2016 \n 2,056 \n Extrapolated from 2010-2015 regression. \n \n \n 2017 \n 2,056 \n Extrapolated from 2010-2015"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2026 Rates; Changes to the FY 2025 IPPS Rates Due to Court Decision; Requirements for Quality Programs; and Other Policy Changes; Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization","type":"Rule","abstract":"This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; updates the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); updates and makes changes to requirements for certain quality programs; and makes other policy- related changes. We are also finalizing the provisions of the interim final action with comment period regarding the changes to the FY 2025 IPPS rates due to the court decision in Bridgeport Hosp. v. Becerra. Lastly, it finalizes certain updates to the ONC Health Information Technology (IT) Certification Program.","document_number":"2025-14681","html_url":"https://www.federalregister.gov/documents/2025/08/04/2025-14681/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-04/pdf/2025-14681.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14681.pdf?1753992911","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"},{"raw_name":"Office of the Secretary"}],"excerpts":"evaluate the most recent year of MedPAR claims <span class=\"match\">data</span> available. For example, we stated earlier that for the FY 2026 IPPS/LTCH PPS proposed rule, our MS-DRG analysis was based on ICD-10 claims <span class=\"match\">data</span> from the September 2024 update of the FY 2024 MedPAR file. However, in our evaluation of requests to split an existing base MS-DRG into severity levels, as noted in prior rulemaking (80 FR 49368), we typically analyze the most recent 2 years of <span class=\"match\">data</span>. This analysis includes 2 years of MedPAR claims <span class=\"match\">data</span> to compare the <span class=\"match\">data</span> results from one year to the next to avoid"},{"title":"Clinical Laboratory Improvement Amendments of 1988 (CLIA) Fees; Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories","type":"Rule","abstract":"This final rule updates the Clinical Laboratory Improvement Amendments of 1988 (CLIA) fees and clarifies the CLIA fee regulations. This final rule implements a process for sustainable funding for the CLIA program through a biennial two-part increase of CLIA fees. We are finalizing the incorporation of limited/specific laboratory fees, including fees for follow-up surveys, substantiated complaint surveys, and revised certificates. We are also finalizing the distribution of the administrative overhead costs of test complexity determination for waived tests and test systems with a nominal increase in Certificate of Waiver (CoW) fees. In addition, we are finalizing the clarification of the methodology used to determine program compliance fees. This final rule ensures the continuing quality and safety of laboratory testing for the public. This final rule also amends histocompatibility and personnel regulations under CLIA to address obsolete regulations and update the regulations to incorporate technological changes. In addition, this final rule amends the provisions governing alternative sanctions (including civil money penalties, a directed plan of correction, a directed portion of a plan of correction, and onsite State monitoring) to allow for the imposition of such sanctions on CoW laboratories.","document_number":"2023-28170","html_url":"https://www.federalregister.gov/documents/2023/12/28/2023-28170/clinical-laboratory-improvement-amendments-of-1988-clia-fees-histocompatibility-personnel-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-12-28/pdf/2023-28170.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-28170.pdf?1703279719","publication_date":"2023-12-28","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":"individuals qualify through the medical <span class=\"match\">residency</span> route. The onus for providing the documentation related to clinical laboratory experience during <span class=\"match\">residency</span> is on the applicants (that is, the applicants must document their clinical laboratory experience during <span class=\"match\">residency</span>). \n CLIAC recommended that we clarify the <span class=\"match\">residency</span> requirements by emphasizing the requisite laboratory training must be “clinical laboratory training,” meaning “have at least one year of clinical laboratory training during medical <span class=\"match\">residency</span> or fellowship.” However, we believe that"},{"title":"Applications for New Awards; Expanding Opportunity Through Quality Charter Schools Program (CSP)-Grants to Charter Management Organizations for the Replication and Expansion of High-Quality Charter Schools (CMO Grants)","type":"Notice","abstract":"The Department of Education (Department) is issuing a notice inviting applications for new awards for fiscal year (FY) 2025 for CSP CMO Grants.","document_number":"2025-01379","html_url":"https://www.federalregister.gov/documents/2025/01/21/2025-01379/applications-for-new-awards-expanding-opportunity-through-quality-charter-schools-program-csp-grants","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-01-21/pdf/2025-01379.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-01379.pdf?1737044113","publication_date":"2025-01-21","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"school in operation for three or more consecutive years).\n \n (2) In accordance with 34 CFR 75.110(b), applications must describe: \n (i) The <span class=\"match\">data</span> collection and reporting methods the applicant would use and why <span class=\"match\">those</span> methods are likely to yield reliable, valid, and meaningful performance <span class=\"match\">data</span>. \n (ii) The applicant's capacity to collect and report the quality of the performance <span class=\"match\">data</span>, as evidenced by quality <span class=\"match\">data</span> collection, analysis, and reporting in other projects or research. \n \n (b) \n Project-Specific Performance Measures. \n Applicants must propose"}]}