{"description":"Documents matching 'must include coverage without sharing'","count":10000,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=must+include+coverage+without+sharing&format=json&page=2","results":[{"title":"Enhancing Coverage of Preventive Services Under the Affordable Care Act","type":"Proposed Rule","abstract":"This document sets forth proposed rules that would amend the regulations regarding coverage of certain preventive services under the Public Health Service Act. Specifically, this document proposes rules that would provide that medical management techniques used by non- grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage with respect to such preventive services would not be considered reasonable unless the plan or issuer provides an easily accessible, transparent, and sufficiently expedient exceptions process that would allow an individual to receive coverage without cost sharing for the preventive service that is medically necessary with respect to the individual, as determined by the individual's attending provider, even if such service is not generally covered under the plan or coverage. These proposed rules also contain separate requirements that would apply to coverage of contraceptive items that are preventive services under the Public Health Service Act. Specifically, these proposed rules would require plans and issuers to cover certain recommended over-the-counter contraceptive items without requiring a prescription and without imposing cost-sharing requirements. In addition, the proposed rules would require plans and issuers to cover certain recommended contraceptive items that are drugs and drug-led combination products without imposing cost-sharing requirements, unless a therapeutic equivalent of the drug or drug-led combination product is covered without cost sharing. Finally, this document proposes to require a disclosure pertaining to coverage and cost-sharing requirements for over-the-counter contraceptive items in plans' and issuers' Transparency in Coverage internet-based self-service tools or, if requested by the individual, on paper. These proposed rules would not modify Federal conscience protections related to contraceptive coverage for employers, plans and issuers.","document_number":"2024-24675","html_url":"https://www.federalregister.gov/documents/2024/10/28/2024-24675/enhancing-coverage-of-preventive-services-under-the-affordable-care-act","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-28/pdf/2024-24675.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-24675.pdf?1729714518","publication_date":"2024-10-28","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"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"}],"excerpts":"attending provider, in consultation with the patient), then a plan or issuer <span class=\"match\">must</span> have a mechanism to provide <span class=\"match\">coverage</span> for the brand name drug <span class=\"match\">without</span> any cost <span class=\"match\">sharing</span>.\n 28 \n \n FAQs Part XII also interpreted the statutory and regulatory requirements to cover recommended preventive services <span class=\"match\">without</span> cost <span class=\"match\">sharing</span> to mean that recommended preventive services (including contraceptive products) that are generally available <span class=\"match\">without</span> a prescription <span class=\"match\">must</span> be covered <span class=\"match\">without</span> cost <span class=\"match\">sharing</span> only when prescribed by a health care provider.\n 29 \n \n \n \n \n 28 \n  \n See"},{"title":"Notice of Request for Comments on Draft Recommendations To Update the HRSA-Supported Women's Preventive Services Guidelines Relating to Screening for Cervical Cancer","type":"Notice","abstract":"This notice seeks comment on draft recommendations for the HRSA-supported Women's Preventive Services Guidelines (Guidelines) relating to Screening for Cervical Cancer. Under applicable law, non- grandfathered group health plans and health insurance issuers must include coverage, without cost sharing, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, Health and Human Services, and Treasury have issued regulations and policy guidance which describe how group health plans and health insurance issuers apply the coverage requirements.","document_number":"2025-19186","html_url":"https://www.federalregister.gov/documents/2025/10/01/2025-19186/notice-of-request-for-comments-on-draft-recommendations-to-update-the-hrsa-supported-womens","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-10-01/pdf/2025-19186.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-19186.pdf?1759236321","publication_date":"2025-10-01","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":"Health Resources and Services Administration","name":"Health Resources and Services Administration","id":222,"url":"https://www.federalregister.gov/agencies/health-resources-and-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/222","parent_id":221,"slug":"health-resources-and-services-administration"}],"excerpts":"for Cervical Cancer. Under applicable law, non-grandfathered group health plans and health insurance issuers <span class=\"match\">must</span> <span class=\"match\">include</span> <span class=\"match\">coverage</span>, <span class=\"match\">without</span> cost <span class=\"match\">sharing</span>, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, Health and Human Services, and Treasury have issued regulations and policy guidance which describe how group health plans and health insurance issuers apply the <span class=\"match\">coverage</span> requirements. \n \n \n DATES: \n Members of the public are invited to provide written comments no later than October"},{"title":"Transparency in Coverage","type":"Proposed Rule","abstract":"These proposed rules set forth proposed requirements that would amend the regulations under the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code regarding price transparency reporting requirements for non-grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance coverage. Specifically, these proposed rules would improve the standardization, accuracy, and accessibility of public pricing disclosures in line with the goals of the Executive Order 14221. With respect to the in-network rate and out-of-network allowed amount machine-readable files, these proposed rules would achieve these goals by adding new contextual files and additional data elements like product type, network name, and enrollment counts; changing the reporting level for aggregation of data; removing in-network rates for unlikely provider-to-service mappings; increasing the reporting period and lowering the claims threshold for out-of-network historical data; and reducing the reporting cadence. These proposed rules would also improve the findability of all of the publicly disclosed machine- readable files required under the Transparency in Coverage rules, including the prescription drug file, by requiring a text file and footer with website URLs and contact information for the files. These proposed rules would also require pricing information that is made available through an online consumer tool and paper (upon request), to also be made available by phone, and establish that the satisfaction of such requirement also satisfies the requirements of section 114 of the No Surprises Act (including for grandfathered group health plans and health insurance issuers offering grandfathered group and individual health insurance coverage that are not otherwise subject to these proposed rules).","document_number":"2025-23693","html_url":"https://www.federalregister.gov/documents/2025/12/23/2025-23693/transparency-in-coverage","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-23/pdf/2025-23693.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-23693.pdf?1766178909","publication_date":"2025-12-23","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"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"}],"excerpts":"health insurance <span class=\"match\">coverage</span>, section 9819 of the Code, section 719 of ERISA, and section 2799A-4 \n \n of the PHS Act do apply to grandfathered health plans and issuers offering grandfathered health insurance <span class=\"match\">coverage</span>.\n \n \n \n 3. Transparency in <span class=\"match\">Coverage</span>—Requirements for Public Disclosure \n The Transparency in <span class=\"match\">Coverage</span> final rules at 26 CFR 54.9815-2715A3; 29 CFR 2590.715-2715A3; and 45 CFR 147.212 require non-grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance <span class=\"match\">coverage</span> to disclose"},{"title":"Simplification of Share Insurance Rules","type":"Rule","abstract":"The NCUA Board (Board) is amending its regulations governing share insurance coverage. The final rule simplifies the share insurance regulations by establishing a \"trust accounts\" category that will provide for coverage of funds of both revocable trusts and irrevocable trusts deposited at federally insured credit unions (FICUs), provides consistent share insurance treatment for all mortgage servicing account balances held to satisfy principal and interest obligations to a lender, and increases flexibility for the NCUA to consider various records in determining share insurance coverage in liquidations. The changes also increase consistency between the FDIC's Federal deposit insurance rules and the NCUA's share insurance rules.","document_number":"2024-21888","html_url":"https://www.federalregister.gov/documents/2024/09/30/2024-21888/simplification-of-share-insurance-rules","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-30/pdf/2024-21888.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-21888.pdf?1727441118","publication_date":"2024-09-30","agencies":[{"raw_name":"NATIONAL CREDIT UNION ADMINISTRATION","name":"National Credit Union Administration","id":335,"url":"https://www.federalregister.gov/agencies/national-credit-union-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/335","parent_id":null,"slug":"national-credit-union-administration"}],"excerpts":"to calculate <span class=\"match\">share</span> insurance <span class=\"match\">coverage</span>. This information is often not found in a FICU's records and <span class=\"match\">must</span> be obtained from members after a FICU's liquidation. \n Revision of the <span class=\"match\">share</span> insurance <span class=\"match\">coverage</span> rules for trust accounts will reduce the amount of information that <span class=\"match\">must</span> be provided for trust accounts, as well as the complexity of the NCUA's review. This revision should enable the NCUA to complete <span class=\"match\">share</span> insurance determinations more rapidly if a FICU with a large number of trust accounts is liquidated. Delays in the payment of <span class=\"match\">share</span> insurance can"},{"title":"Supplemental Disaster Relief Program and Dairy Margin Coverage Program; Correction","type":"Rule","abstract":"The Commodity Credit Corporation and Farm Service Agency (FSA) are making technical corrections to the regulations for the Supplemental Disaster Relief Program (SDRP) and the Dairy Margin Coverage (DMC) Program. The changes for SDRP correct the Stage 2 eligibility provisions for producers of sugar beets and some producers who had Federal crop insurance coverage under a Pasture, Rangeland, and Forage policy; the provisions related to calculation of the quality loss percentage for Stage 1 and Stage 2; and paragraph references and the order of steps for some Stage 2 payment calculations. The correction for DMC addresses eligibility of dairy operations that have stopped producing and marketing milk before or during the annual coverage election period.","document_number":"2026-04531","html_url":"https://www.federalregister.gov/documents/2026/03/09/2026-04531/supplemental-disaster-relief-program-and-dairy-margin-coverage-program-correction","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-09/pdf/2026-04531.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-04531.pdf?1772804710","publication_date":"2026-03-09","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Farm Service Agency","name":"Farm Service Agency","id":157,"url":"https://www.federalregister.gov/agencies/farm-service-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/157","parent_id":12,"slug":"farm-service-agency"},{"raw_name":"Commodity Credit Corporation","name":"Commodity Credit Corporation","id":76,"url":"https://www.federalregister.gov/agencies/commodity-credit-corporation","json_url":"https://www.federalregister.gov/api/v1/agencies/76","parent_id":12,"slug":"commodity-credit-corporation"}],"excerpts":"that dairy operations that stopped producing and marketing milk before or during the annual <span class=\"match\">coverage</span> election period for 2019 or 2024 were eligible for DMC for the period in which they were commercially marketing milk during the <span class=\"match\">coverage</span> year. This provision was necessary because the election periods for 2019 and 2024 began after the beginning of the <span class=\"match\">coverage</span> year. \n As in 2019 and 2024, the 2026 DMC election period began after the beginning of the 2026 <span class=\"match\">coverage</span> year. When amending § 1430.403(a)(1) in the previous final rule, CCC inadvertently omitted"},{"title":"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction","type":"Rule","abstract":"This document corrects typographical and technical errors in the final rule that appeared in the November 5, 2025 Federal Register titled \"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program\" (hereinafter referred to as the CY 2026 PFS final rule), specifying finalized changes to the Medicare physician fee schedule (PFS) that is applicable for calendar year (CY) 2026, and other changes to Medicare Part B payment policies.","document_number":"2026-04797","html_url":"https://www.federalregister.gov/documents/2026/03/12/2026-04797/medicare-and-medicaid-programs-cy-2026-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-12/pdf/2026-04797.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-04797.pdf?1773233110","publication_date":"2026-03-12","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":"SharedSavingsProgram@cms.hhs.gov, \n for issues related to the Medicare <span class=\"match\">Shared</span> Savings Program (<span class=\"match\">Shared</span> Savings Program) quality performance standard and other quality reporting requirements.\n \n \n Janae James, (410) 786-0801, or \n SharedSavingsProgram@cms.hhs.gov, \n for issues related to <span class=\"match\">Shared</span> Savings Program beneficiary assignment and benchmarking methodology and <span class=\"match\">shared</span> losses mitigation.\n \n \n Kari Vandegrift, (410) 786-4008, or \n SharedSavingsProgram@cms.hhs.gov, \n for issues related to <span class=\"match\">Shared</span> Savings Program participation options, and ACO participant and"},{"title":"TRICARE Coverage of Clinical Trials and Termination of Expanded Access Treatments","type":"Rule","abstract":"The Assistant Secretary of Defense for Health Affairs (ASD(HA)) issues this final rule regarding circumstances under which services and supplies related to emerging treatments may be covered under the TRICARE program. This rule finalizes provisions published in two interim final rules (IFRs) with request for comment, which temporarily added coverage for the treatment use of investigational drugs under U.S. Food and Drug Administration (FDA)-authorized expanded access (EA) programs when for the treatment of coronavirus disease 2019 (COVID-19) and permitted coverage of National Institute of Allergy and Infectious Disease (NIAID)-sponsored clinical trials for the treatment or prevention of COVID-19. This final rule discusses the DoD's decision not to make permanent the coverage of treatment use of investigational drugs under FDA EA programs while updating language for care associated with their administration and broadens the COVID-19 clinical trial benefit to include coverage of clinical trials sponsored or approved by any National Institutes of Health (NIH) Center or Institute to treat or prevent infectious diseases associated with a pandemic or epidemic. Lastly, the final rule expands TRICARE's clinical trial benefit by covering services and supplies provided in conjunction with Phase I, II, III, and IV clinical trials that are NIH-sponsored or approved and that involve a new treatment or cure for a specific condition or the treatment of a currently uncontrolled symptom or aspect of that condition, provided that the condition is severely debilitating, life- threatening, or a rare disease.","document_number":"2025-14206","html_url":"https://www.federalregister.gov/documents/2025/07/28/2025-14206/tricare-coverage-of-clinical-trials-and-termination-of-expanded-access-treatments","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-07-28/pdf/2025-14206.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14206.pdf?1753447522","publication_date":"2025-07-28","agencies":[{"raw_name":"DEPARTMENT OF DEFENSE","name":"Defense Department","id":103,"url":"https://www.federalregister.gov/agencies/defense-department","json_url":"https://www.federalregister.gov/api/v1/agencies/103","parent_id":null,"slug":"defense-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"therapies, as demonstrated by its <span class=\"match\">coverage</span> of investigational drugs during the early part of the COVID-19 pandemic, there is insufficient statutory authority to permit permanent <span class=\"match\">coverage</span>. This final rule discusses the DoD's decision and adds clarifying language regarding <span class=\"match\">coverage</span> of care associated with such drugs for any disease. \n \n The IFR authorizing temporary <span class=\"match\">coverage</span> of these drugs permitted that temporary <span class=\"match\">coverage</span> in response to the COVID-19 pandemic and stated that the DoD would consider permanent <span class=\"match\">coverage</span> after thoroughly examining the \n"},{"title":"Modernizing Spectrum Sharing for Satellite Broadband","type":"Rule","abstract":"In this document, the Federal Communications Commission (Commission or we) adopts a Report and Order (Order) that revises the spectrum sharing framework for Geostationary Orbit (GSO) and Non- Geostationary Orbit (NGSO) systems that currently relies on NGSO systems complying with Equivalent Power Flux Density (EPFD) limits developed in the late-1990s. The consequence today of applying such EPFD limits in the United States is that operators must overprotect GSO systems, which in turn means that American households and businesses-- most critically in rural and remote areas--do not receive the fastest space-based NGSO satellite broadband American innovation has available. Based on the technical record in this proceeding, the Order replaces the EPFD framework with modern, performance-based GSO protection criteria. The Order extends the Commission's framework for good-faith coordination and allow NGSO and GSO operators to bargain for appropriate interference protections through voluntary, private agreement. The Order further adopts technical backstops to protect GSO systems when coordination has not been reached.","document_number":"2026-09565","html_url":"https://www.federalregister.gov/documents/2026/05/13/2026-09565/modernizing-spectrum-sharing-for-satellite-broadband","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-13/pdf/2026-09565.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09565.pdf?1778589924","publication_date":"2026-05-13","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":"rely on <span class=\"match\">shared</span> spectrum. In the most commonly used frequency bands, between 10.7 GHz and 30 GHz, NGSO systems <span class=\"match\">share</span> primary fixed-satellite service (FSS) allocations with GSO networks, and <span class=\"match\">must</span> also operate compatibly with broadcasting-satellite service (BSS) networks and stations in other services, including terrestrial services. NGSO FSS systems <span class=\"match\">must</span> comply with power limits expressed in EPFD to demonstrate that they meet their broader obligation not to cause unacceptable interference to GSO FSS and BSS networks. NGSO FSS systems <span class=\"match\">must</span> also meet"},{"title":"Update to the Women's Preventive Services Guidelines","type":"Notice","abstract":"The Health Resources and Services Administration (HRSA) published a Federal Register Notice on October 1, 2025, with proposed updates to the HRSA-supported Women's Preventive Services Guidelines (Guidelines). The proposed updates specifically relate to recommendations for Screening for Cervical Cancer. Recommendations to update the Guidelines are developed under a HRSA-funded cooperative agreement, the Women's Preventive Services Initiative (WPSI), for consideration by HRSA. Under this agreement, WPSI convenes expert health professionals to conduct rigorous reviews of the evidence following the National Academy of Medicine standards for establishing foundations for and rating strengths of recommendations, articulation of recommendations, and external reviews, and it developed draft recommendations for HRSA's consideration. After consideration of public comment, HRSA has accepted the recommendations as revised and detailed in this notice. Under applicable law, non- grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance coverage must include coverage, without cost sharing, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, HHS, and the Treasury have previously issued regulations describing how group health plans and health insurance issuers apply the coverage requirements. Please see https://www.hrsa.gov/womens-guidelines for additional information.","document_number":"2025-24235","html_url":"https://www.federalregister.gov/documents/2026/01/05/2025-24235/update-to-the-womens-preventive-services-guidelines","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-05/pdf/2025-24235.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-24235.pdf?1767361512","publication_date":"2026-01-05","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":"Health Resources and Services Administration","name":"Health Resources and Services Administration","id":222,"url":"https://www.federalregister.gov/agencies/health-resources-and-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/222","parent_id":221,"slug":"health-resources-and-services-administration"}],"excerpts":"non-grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance <span class=\"match\">coverage</span> <span class=\"match\">must</span> <span class=\"match\">include</span> <span class=\"match\">coverage</span>, <span class=\"match\">without</span> cost <span class=\"match\">sharing</span>, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, HHS, and the Treasury have previously issued regulations describing how group health plans and health insurance issuers apply the <span class=\"match\">coverage</span> requirements. Please see \n https://www.hrsa.gov/womens-guidelines \n for additional information.\n \n \n \n FOR FURTHER INFORMATION"},{"title":"Medicare and Medicaid Programs; Organ Procurement Organizations Conditions for Coverage: Revisions to the Conditions for Coverage","type":"Proposed Rule","abstract":"This proposed rule would revise the Conditions for Coverage for Organ Procurement Organizations (OPOs) to clarify outstanding procedural questions and enable OPOs to make better informed decisions to achieve high performance resulting in the successful procurement, distribution, and transplantation of more life-saving organs. This rule would revise definitions, add new Quality Assessment Performance Improvement (QAPI) requirements related to medically complex organs and donors, revise the designation requirements for OPOs, clarify when an OPO's service area is open for competition, and update the process for appeals. It also includes a discussion of factors we would consider when selecting a successor OPO during a competition under the tiered approach to re-certification. We are committed to holding all OPOs accountable for their performance and this proposed rule does not revise the focus on improving the volume of donors and transplants assessed in the outcome measures or the tier structure used for re- certification and de-certification of OPOs.","document_number":"2026-01833","html_url":"https://www.federalregister.gov/documents/2026/01/30/2026-01833/medicare-and-medicaid-programs-organ-procurement-organizations-conditions-for-coverage-revisions-to","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-01-30/pdf/2026-01833.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-01833.pdf?1769616910","publication_date":"2026-01-30","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":"encompass all DSAs an OPO manages. Third, it revises emergency preparedness requirements at § 486.360 to require emergency communication plans that <span class=\"match\">include</span> contact information for hospitals in each DSA that an OPO manages and continuity of operations agreements that specify <span class=\"match\">coverage</span> for multiple DSAs. Fourth, it updates data collection requirements at § 486.328(c) to specify that re-certification data <span class=\"match\">must</span> <span class=\"match\">include</span> all deaths in all hospitals and critical access hospitals in the OPO's service areas. \n We estimate each OPO would spend approximately 25 hours"},{"title":"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction","type":"Proposed Rule","abstract":"This document corrects typographical and technical errors in the proposed rule that appeared in the July 16, 2025 Federal Register (90 FR 32352) titled \"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program\" (hereinafter referred to as the CY 2026 PFS proposed rule), specifying proposed changes to the Medicare physician fee schedule (PFS) that is applicable for calendar year (CY) 2026, and other changes to Medicare Part B payment policies, as well as proposals regarding other Medicare payment policies.","document_number":"2025-15492","html_url":"https://www.federalregister.gov/documents/2025/08/14/2025-15492/medicare-and-medicaid-programs-cy-2026-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-14/pdf/2025-15492.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-15492.pdf?1755089135","publication_date":"2025-08-14","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":"Other Changes to Part B Payment and <span class=\"match\">Coverage</span> Policies; Medicare <span class=\"match\">Shared</span> Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program” (hereinafter referred to as the CY 2026 PFS proposed rule), specifying proposed changes to the Medicare physician fee schedule (PFS) that is applicable for calendar year (CY) 2026, and other changes to Medicare Part B payment policies, as well as proposals regarding other Medicare payment policies.\n \n \n \n DATES: \n To be assured consideration, comments <span class=\"match\">must</span> be received at one of the addresses"},{"title":"Definition of the Term “Coverage Month” for Computing the Premium Tax Credit","type":"Rule","abstract":"This document contains final regulations that amend the definition of \"coverage month\" and amend certain other rules in existing income tax regulations regarding the computation of an individual taxpayer's premium tax credit. The coverage month amendment generally provides that, in computing a premium tax credit, a month may be a coverage month for an individual if the amount of the premium paid, including by advance payments of the premium tax credit, for the month for the individual's coverage is sufficient to avoid termination of the individual's coverage for that month. The final regulations also amend the existing regulations relating to the amount of enrollment premiums used in computing the taxpayer's monthly premium tax credit if a portion of the monthly enrollment premium for a coverage month is unpaid. Finally, the final regulations clarify when an individual is considered to be not eligible for coverage under a State's Basic Health Program. The final regulations affect taxpayers who enroll themselves, or enroll a family member, in individual health insurance coverage through a Health Insurance Exchange and may be allowed a premium tax credit for the coverage.","document_number":"2024-29651","html_url":"https://www.federalregister.gov/documents/2024/12/18/2024-29651/definition-of-the-term-coverage-month-for-computing-the-premium-tax-credit","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-18/pdf/2024-29651.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-29651.pdf?1734443143","publication_date":"2024-12-18","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"}],"excerpts":"Rules Relating to <span class=\"match\">Coverage</span> When Premiums Are Unpaid \n HHS regulations at 45 CFR 156.270(d) implement section 1412(c)(2)(B)(iv)(II) of the Affordable Care Act to require issuers of QHPs to allow a “grace period” for enrollees for whom the APTC is paid but who fail to timely pay their <span class=\"match\">share</span> of the premium for the <span class=\"match\">coverage</span>. In general, a QHP issuer <span class=\"match\">must</span> provide a grace period of 3 consecutive months for such an enrollee before the issuer may terminate the enrollee's <span class=\"match\">coverage</span>. During the first month of the grace period, the QHP issuer <span class=\"match\">must</span> pay all appropriate"},{"title":"Modernizing Spectrum Sharing for Satellite Broadband","type":"Proposed Rule","abstract":"In this document, the Federal Communications Commission (Commission or we) seeks comment on modernizing spectrum sharing between geostationary (GSO) and non-geostationary (NGSO) satellite systems operating in the 10.7-12.7, 17.3-18.6, and 19.7-20.2 GHz frequency bands in which equivalent power-flux density (EPFD) limits apply.","document_number":"2025-10799","html_url":"https://www.federalregister.gov/documents/2025/06/13/2025-10799/modernizing-spectrum-sharing-for-satellite-broadband","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-06-13/pdf/2025-10799.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-10799.pdf?1749732319","publication_date":"2025-06-13","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":"spectrum <span class=\"match\">sharing</span> methodology, which relies on EPFD limits?\n \n \n 29. \n Information <span class=\"match\">Sharing</span>. \n What information, if any, should GSO operators be required to <span class=\"match\">share</span> to facilitate efficient spectrum use? Should GSO operators be required to <span class=\"match\">share</span> the \n \n actual antenna patterns of their deployed earth stations to the extent they differ from those in public records? Should GSO operators be required to <span class=\"match\">share</span> their actual power levels or other system characteristics that could impact their baseline operations? Should GSO operators be required to <span class=\"match\">share</span> the actual"},{"title":"Request for Information Regarding the Prescription Drug Machine-Readable File Requirement in the Transparency in Coverage Final Rule","type":"Proposed Rule","abstract":"This document is a request for information (RFI) regarding the prescription drug machine-readable file disclosure requirements in the Transparency in Coverage final rules. The Departments of Labor, Health and Human Services (HHS), and the Treasury (the Departments) are issuing this RFI to gather input regarding implementation of the prescription drug machine-readable file disclosure requirements under the Transparency in Coverage final rules, including what modifications to the disclosure requirements or additional technical implementation guidance might be necessary to better ensure the accurate and timely completion of the prescription drug file.","document_number":"2025-09858","html_url":"https://www.federalregister.gov/documents/2025/06/02/2025-09858/request-for-information-regarding-the-prescription-drug-machine-readable-file-requirement-in-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-06-02/pdf/2025-09858.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-09858.pdf?1748609111","publication_date":"2025-06-02","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"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"}],"excerpts":"that group health plans and health insurance issuers offering group or individual health insurance <span class=\"match\">coverage</span> <span class=\"match\">must</span> comply with section 1311(e)(3) of the PPACA,\n 5 \n \n which addresses transparency in health <span class=\"match\">coverage</span> and imposes certain reporting and disclosure requirements on health plans that are seeking certification as qualified health plans (QHPs) that may be offered on an Exchange (as defined by section 1311(b)(1) of the PPACA). A plan or <span class=\"match\">coverage</span> that is not offered through an Exchange and that is subject to section 2715A of the PHS Act is required"},{"title":"Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability","type":"Rule","abstract":"This final rule revises standards relating to denial of coverage for failure to pay past-due premium; excludes Deferred Action for Childhood Arrivals recipients from the definition of \"lawfully present;\" establishes the evidentiary standard HHS uses to assess an agent's, broker's, or web-broker's potential noncompliance; revises the Exchange automatic reenrollment hierarchy; revises standards related to the annual open enrollment period and special enrollment periods; revises standards relating to failure to file and reconcile, income eligibility verifications for premium tax credits and cost-sharing reductions, annual eligibility redeterminations, de minimis thresholds for the actuarial value for plans subject to essential health benefits (EHB) requirements, and income-based cost-sharing reduction plan variations. This final rule also revises the premium adjustment percentage methodology and prohibits issuers of coverage subject to EHB requirements from providing coverage for specified sex-trait modification procedures as an EHB.","document_number":"2025-11606","html_url":"https://www.federalregister.gov/documents/2025/06/25/2025-11606/patient-protection-and-affordable-care-act-marketplace-integrity-and-affordability","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-06-25/pdf/2025-11606.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-11606.pdf?1750709712","publication_date":"2025-06-25","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"}],"excerpts":"issuer from denying <span class=\"match\">coverage</span> due to an individual's or employer's failure to pay premiums owed for prior <span class=\"match\">coverage</span>, including by attributing payment of premium for new <span class=\"match\">coverage</span> to past-due premiums from prior <span class=\"match\">coverage</span>. The current policy, in effect, prohibits issuers from establishing premium payment policies that require enrollees to pay past-due \n \n premiums to effectuate new <span class=\"match\">coverage</span>. While we previously concluded that this prohibition would remove an unnecessary barrier and make it easier for consumers to enroll in <span class=\"match\">coverage</span>, recent enrollment"},{"title":"Definition of the Term “Coverage Month” for Computing the Premium Tax Credit","type":"Proposed Rule","abstract":"This document contains proposed regulations that would amend the definition of \"coverage month\" and amend certain other rules in existing income tax regulations regarding the computation of an individual taxpayer's premium tax credit (PTC). The proposed coverage month amendment generally would provide that, in computing a PTC, a month may be a coverage month for an individual if the amount of the premium paid, including by advance payments of the PTC (APTC), for the month for the individual's coverage is sufficient to avoid termination of the individual's coverage for that month. The proposal also would amend the existing regulations relating to the amount of enrollment premiums used in computing the taxpayer's monthly PTC if a portion of the monthly enrollment premium for a coverage month is unpaid. Finally, the proposed regulations would clarify when an individual is considered to be ineligible for coverage under a State's Basic Health Program (BHP). The proposed regulations would affect taxpayers who enroll themselves, or enroll a family member, in individual health insurance coverage through a Health Insurance Exchange (Exchange) and may be allowed a PTC for the coverage. This document also provides a notice of a public hearing on these proposed regulations.","document_number":"2024-20758","html_url":"https://www.federalregister.gov/documents/2024/09/17/2024-20758/definition-of-the-term-coverage-month-for-computing-the-premium-tax-credit","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-17/pdf/2024-20758.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-20758.pdf?1726490716","publication_date":"2024-09-17","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"}],"excerpts":"which <span class=\"match\">coverage</span> was provided <span class=\"match\">without</span> the taxpayer's <span class=\"match\">share</span> of the full premium being paid. Consequently, taxpayers in these State Exchanges generally are unable to claim a PTC for those months. \n II. Determination of Ineligibility for a State's BHP \n \n As noted in section I of this Background, § 1.36B-3(c)(1) provides that a month is a <span class=\"match\">coverage</span> month for an individual only if, among other requirements, the individual is not eligible for the full calendar month for minimum essential <span class=\"match\">coverage</span> (within the meaning of § 1.36B-2(c)) other than <span class=\"match\">coverage</span> described"},{"title":"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program","type":"Rule","abstract":"This major final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to the Medicare Diabetes Prevention Program expanded model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers; update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to the Medicare Promoting Interoperability Program.","document_number":"2025-19787","html_url":"https://www.federalregister.gov/documents/2025/11/05/2025-19787/medicare-and-medicaid-programs-cy-2026-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-11-05/pdf/2025-19787.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-19787.pdf?1761945018","publication_date":"2025-11-05","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":"SharedSavingsProgram@cms.hhs.gov, \n for issues related to the Medicare <span class=\"match\">Shared</span> Savings Program (<span class=\"match\">Shared</span> Savings Program) quality performance standard and other quality reporting requirements.\n \n \n Janae James, (410) 786-0801, or \n SharedSavingsProgram@cms.hhs.gov, \n for issues related to <span class=\"match\">Shared</span> Savings Program beneficiary assignment and benchmarking methodology and <span class=\"match\">shared</span> losses mitigation.\n \n \n Kari Vandegrift, (410) 786-4008, or \n SharedSavingsProgram@cms.hhs.gov, \n for issues related to <span class=\"match\">Shared</span> Savings Program participation options, and ACO participant and"},{"title":"CHAMPVA Coverage of Audio-Only Telehealth, Mental Health Services, and Cost Sharing for Certain Contraceptive Services and Contraceptive Products Approved, Cleared, or Granted by FDA","type":"Rule","abstract":"The Department of Veterans Affairs (VA) adopts as final, with changes, a proposed rule to amend its medical regulations regarding Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) coverage to remove the exclusion for audio-only telehealth, remove current quantitative limitations on mental health/ substance use disorder coverage, remove the current requirement for pre-authorization for outpatient mental health visits in excess of 23 per calendar year and/or more than two (2) sessions per week, and exempt certain contraceptive services and prescription and nonprescription contraceptive products that are approved, cleared, or granted by the U.S. Food and Drug Administration (FDA) from cost sharing requirements.","document_number":"2024-09072","html_url":"https://www.federalregister.gov/documents/2024/04/30/2024-09072/champva-coverage-of-audio-only-telehealth-mental-health-services-and-cost-sharing-for-certain","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-30/pdf/2024-09072.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-09072.pdf?1714398257","publication_date":"2024-04-30","agencies":[{"raw_name":"DEPARTMENT OF VETERANS AFFAIRS","name":"Veterans Affairs Department","id":520,"url":"https://www.federalregister.gov/agencies/veterans-affairs-department","json_url":"https://www.federalregister.gov/api/v1/agencies/520","parent_id":null,"slug":"veterans-affairs-department"}],"excerpts":"excluded from CHAMPVA <span class=\"match\">coverage</span>, except those non-prescription contraceptives used as emergency contraceptives.\n \n All six substantive comments suggested that CHAMPVA <span class=\"match\">coverage</span> of contraceptives should <span class=\"match\">include</span> all nonprescription contraceptives. Most of these comments generally suggested that VA should expand <span class=\"match\">coverage</span> to all nonprescription contraceptives. We note that the Department of Health and Human Services (HHS), the Department of the Treasury, and the Department of Labor have historically interpreted the ACA as not requiring <span class=\"match\">coverage</span> of contraceptives"},{"title":"Update to the Health Resources and Services Administration-Supported Women's Preventive Services Guidelines","type":"Notice","abstract":"The Health Resources and Services Administration (HRSA) published a Federal Register Notice on October 22, 2024, with proposed updates to the HRSA-supported Women's Preventive Services Guidelines (Guidelines). The proposed updates specifically relate to recommendations for Screening and Counseling for Intimate Partner and Domestic Violence, Breast Cancer Screening for Women at Average Risk, and Patient Navigation Services for Breast and Cervical Cancer Screening. Recommendations to update the Guidelines are developed by the Women's Preventive Services Initiative (WPSI) for consideration by HRSA. WPSI convenes expert health professionals to conduct rigorous reviews of the evidence following the National Academy of Medicine standards for establishing foundations for and rating strengths of recommendations, articulation of recommendations, and external reviews and it develops draft recommendations for HRSA's consideration. After consideration of public comment, HRSA has accepted the recommendations as revised and detailed in this notice. Under applicable law, non- grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance coverage must include coverage, without cost sharing, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, Health and Human Services, and the Treasury have previously issued regulations describing how group health plans and health insurance issuers apply the coverage requirements. Please see https://www.hrsa.gov/womens-guidelines for additional information.","document_number":"2024-31228","html_url":"https://www.federalregister.gov/documents/2024/12/30/2024-31228/update-to-the-health-resources-and-services-administration-supported-womens-preventive-services","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-30/pdf/2024-31228.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-31228.pdf?1735307155","publication_date":"2024-12-30","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":"Health Resources and Services Administration","name":"Health Resources and Services Administration","id":222,"url":"https://www.federalregister.gov/agencies/health-resources-and-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/222","parent_id":221,"slug":"health-resources-and-services-administration"}],"excerpts":"health plans and health insurance issuers offering non-grandfathered group and individual health insurance <span class=\"match\">coverage</span> <span class=\"match\">must</span> <span class=\"match\">include</span> <span class=\"match\">coverage</span>, <span class=\"match\">without</span> cost <span class=\"match\">sharing</span>, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, Health and Human Services, and the Treasury have previously issued regulations describing how group health plans and health insurance issuers apply the <span class=\"match\">coverage</span> requirements. Please see \n https://www.hrsa.gov/womens-guidelines \n for additional information.\n \n \n \n FOR"},{"title":"Notice of Request for Public Comments on Draft Recommendations for the HRSA-Supported Women's Preventive Services Guidelines Relating to Screening and Counseling for Intimate Partner and Domestic Violence, Breast Cancer Screening for Women at Average Risk, and Patient Navigation for Breast and Cervical Cancer Screening","type":"Notice","abstract":"This notice seeks comment on draft recommendations for the HRSA-supported Women's Preventive Services Guidelines (\"Guidelines\") relating to Screening and Counseling for Intimate Partner and Domestic Violence, Breast Cancer Screening for Women at Average Risk, and Patient Navigation for Breast and Cervical Cancer Screening. These draft recommendations have been developed by the Women's Preventive Services Initiative (WPSI), through which clinicians, academics, and expert health professionals develop draft recommendations for HRSA's consideration. Under applicable law, non-grandfathered group health plans and health insurance issuers must include coverage, without cost sharing, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, HHS, and Treasury have issued regulations and policy guidance which describe how group health plans and health insurance issuers apply the coverage requirements.","document_number":"2024-24445","html_url":"https://www.federalregister.gov/documents/2024/10/22/2024-24445/notice-of-request-for-public-comments-on-draft-recommendations-for-the-hrsa-supported-womens","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-22/pdf/2024-24445.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-24445.pdf?1729514742","publication_date":"2024-10-22","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Resources and Services Administration","name":"Health Resources and Services Administration","id":222,"url":"https://www.federalregister.gov/agencies/health-resources-and-services-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/222","parent_id":221,"slug":"health-resources-and-services-administration"}],"excerpts":"recommendations for HRSA's consideration. Under applicable law, non-grandfathered group health plans and health insurance issuers <span class=\"match\">must</span> <span class=\"match\">include</span> <span class=\"match\">coverage</span>, <span class=\"match\">without</span> cost <span class=\"match\">sharing</span>, for certain preventive services, including those provided for in the HRSA-supported Guidelines. The Departments of Labor, HHS, and Treasury have issued regulations and policy guidance which describe how group health plans and health insurance issuers apply the <span class=\"match\">coverage</span> requirements. \n \n \n DATES: \n Members of the public are invited to provide written comments no later than November 21,"}]}