{"description":"Documents matching 'risk-sharing mechanism provision business development'","count":280,"total_pages":14,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=risk-sharing+mechanism+provision+business+development&format=json&page=2","results":[{"title":"Capital Magnet Fund","type":"Rule","abstract":"The Department of the Treasury is issuing a revised interim rule implementing the Capital Magnet Fund (CMF), administered by the Community Development Financial Institutions Fund (CDFI Fund). This revised interim rule incorporates, among other things: revisions to certain definitions and CMF program requirements to improve the public's understanding and streamline the administration of CMF program requirements; revisions to project level requirements to better align CMF with other Federal housing programs; programmatic updates to address current business practices in the affordable housing industry; and consolidation of Economic Development Activities under a new section for a more comprehensive articulation of the criteria. This revised interim rule also reflects requirements set forth in a final rule, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, adopted by the Department of the Treasury on December 19, 2014 (hereafter referred to as the Uniform Administrative Requirements).","document_number":"2024-13797","html_url":"https://www.federalregister.gov/documents/2024/06/25/2024-13797/capital-magnet-fund","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-06-25/pdf/2024-13797.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-13797.pdf?1719233111","publication_date":"2024-06-25","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":"Community Development Financial Institutions Fund","name":"Community Development Financial Institutions Fund","id":78,"url":"https://www.federalregister.gov/agencies/community-development-financial-institutions-fund","json_url":"https://www.federalregister.gov/api/v1/agencies/78","parent_id":497,"slug":"community-development-financial-institutions-fund"}],"excerpts":"“Economic <span class=\"match\">Development</span> Activity Fund.” \n \n Section 1807.302(a)(12) is revised by replacing “student dormitories” with “dormitories” to clarify that CMF Awards cannot be used to fund any types of dormitories, not just student dormitories. Section 1807.302(b)(1) is revised by adding to the list of <span class=\"match\">businesses</span> deemed ineligible to receive financing and/or support with a CMF Award those <span class=\"match\">businesses</span> or activities provided in 13 CFR 120.110(c) through (p), and other <span class=\"match\">businesses</span> deemed inconsistent with the general purpose of the Riegle Community <span class=\"match\">Development</span> and"},{"title":"Enterprise Duty To Serve Underserved Markets","type":"Proposed Rule","abstract":"The Federal Housing Finance Agency (FHFA or Agency) proposes to rescind its regulation on Duty to Serve Underserved Markets and replace it with a new rule. If adopted as proposed, the new rule would enable the Federal National Mortgage Association (Fannie Mae) and the Federal Home Loan Mortgage Corporation (Freddie Mac) (collectively, the Enterprises) to better serve the needs of very low-, low-, and moderate-income families in the manufactured housing, affordable housing preservation, and rural housing markets through greater innovation and with less administrative burden.","document_number":"2026-12750","html_url":"https://www.federalregister.gov/documents/2026/06/24/2026-12750/enterprise-duty-to-serve-underserved-markets","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-24/pdf/2026-12750.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12750.pdf?1782218725","publication_date":"2026-06-24","agencies":[{"raw_name":"FEDERAL HOUSING FINANCE AGENCY","name":"Federal Housing Finance Agency","id":174,"url":"https://www.federalregister.gov/agencies/federal-housing-finance-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/174","parent_id":null,"slug":"federal-housing-finance-agency"}],"excerpts":"compounded the need for additional financing to fully fund <span class=\"match\">development</span> or preservation of multifamily properties; these subordinate funding sources often include affordability restrictions.\n 50 \n \n \n \n \n 48 \n  81 FR at 96288.\n \n \n \n \n 49 \n  Michael J. Novogradac, “Affordable Housing Developers Facing Increased <span class=\"match\">Development</span> Challenges,” Novogradac Journal of Tax Credits 15(5) (2024), available at \n https://www.novoco.com/periodicals/articles/affordable-housing-developers-facing-increased-<span class=\"match\">development</span>-challenges. \n \n \n \n \n 50 \n  Jenna Davis and Sarah Karlinsky"},{"title":"Notice of Funds Availability","type":"Notice","abstract":"The Capital Magnet Fund (CMF) is administered by the Community Development Financial Institutions Fund (CDFI Fund). Through the CMF, the CDFI Fund provides financial assistance grants to certified Community Development Financial Institutions (CDFIs) and to qualified Nonprofit Organizations that have the development or management of affordable housing as one of their principal purposes. All Awards provided through this Notice of Funds Availability (NOFA) are subject to funding availability.","document_number":"2024-03152","html_url":"https://www.federalregister.gov/documents/2024/02/15/2024-03152/notice-of-funds-availability","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-02-15/pdf/2024-03152.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-03152.pdf?1707918332","publication_date":"2024-02-15","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":"Community Development Financial Institutions Fund","name":"Community Development Financial Institutions Fund","id":78,"url":"https://www.federalregister.gov/agencies/community-development-financial-institutions-fund","json_url":"https://www.federalregister.gov/api/v1/agencies/78","parent_id":497,"slug":"community-development-financial-institutions-fund"}],"excerpts":"entity whose predominant <span class=\"match\">business</span> activity is the <span class=\"match\">provision</span> of arm's length transactions and services to independent, unrelated parties, each acting in its own best interest. Such transactions support and promote affordable housing and/or community <span class=\"match\">development</span> through the <span class=\"match\">provision</span> of financial products that serve low-income communities, individuals, or families in underserved markets or communities. \n An affordable housing developer/manager is a Nonprofit Organization whose primary mission is the construction, <span class=\"match\">development</span>, redevelopment, preservation"},{"title":"2026-2028 Enterprise Housing Goals","type":"Rule","abstract":"The Federal Housing Finance Agency (FHFA) is issuing a final rule on the housing goals for Fannie Mae and Freddie Mac (the Enterprises) for 2026 through 2028 as required by the Federal Housing Enterprises Financial Safety and Soundness Act of 1992. The rule establishes benchmark levels for the housing goals for 2026 through 2028. The rule replaces the two area-based subgoals with one low-income areas subgoal, simplifies the goal determination process, clarifies inflation adjustments to maximum civil money penalties related to housing goals, and makes other technical changes.","document_number":"2025-23746","html_url":"https://www.federalregister.gov/documents/2025/12/23/2025-23746/2026-2028-enterprise-housing-goals","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-23/pdf/2025-23746.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-23746.pdf?1766411122","publication_date":"2025-12-23","agencies":[{"raw_name":"FEDERAL HOUSING FINANCE AGENCY","name":"Federal Housing Finance Agency","id":174,"url":"https://www.federalregister.gov/agencies/federal-housing-finance-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/174","parent_id":null,"slug":"federal-housing-finance-agency"}],"excerpts":"accountability <span class=\"match\">mechanism</span> to ensure the Enterprises serve low- to moderate-income borrowers. However, FHFA disagrees with commenters who suggested that lower benchmarks would diminish the Agency's ability to hold the Enterprises accountable for fulfilling statutory mandates. While FHFA acknowledges that the proposed single-family \n \n benchmarks are lower than recent single-family benchmarks, the rule maintains existing enforcement <span class=\"match\">mechanisms</span> to ensure that the Enterprises continue to support low- to moderate-income borrowers.\n 54 \n \n These <span class=\"match\">mechanisms</span> include"},{"title":"Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program","type":"Rule","abstract":"This final rule revises the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations to implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas.","document_number":"2026-06600","html_url":"https://www.federalregister.gov/documents/2026/04/06/2026-06600/medicare-program-contract-year-2027-and-certain-contract-year-2026-policy-and-technical-changes-to","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-06/pdf/2026-06600.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06600.pdf?1775160908","publication_date":"2026-04-06","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"through a CMS-operated <span class=\"match\">mechanism</span>.\n \n \n Response: \n We thank the commenters for their support.\n \n \n Comment: \n A commenter opposed this proposal and recommended CMS allow agents and brokers to assist individuals to enroll directly with a new election <span class=\"match\">mechanism</span> instead of limiting elections to existing CMS-operated <span class=\"match\">mechanisms</span>.\n \n \n Response: \n We thank the commenters for their suggestion to create a new election <span class=\"match\">mechanism</span> that would allow agents and brokers to assist individuals more directly. However, we disagree that a new <span class=\"match\">mechanism</span> is necessary to maintain"},{"title":"Fiduciary Duties in Selecting Designated Investment Alternatives","type":"Proposed Rule","abstract":"This document contains a proposed regulation that clarifies, and provides a safe harbor for, a fiduciary's duty of prudence under the Employee Retirement Income Security Act of 1974 (ERISA) in connection with selecting designated investment alternatives for a participant-directed individual account plan, including asset allocation funds that include alternative assets. This proposal implements section 3(c) of President Trump's Executive Order 14330, Democratizing Access to Alternative Assets for 401(k) Investors.","document_number":"2026-06178","html_url":"https://www.federalregister.gov/documents/2026/03/31/2026-06178/fiduciary-duties-in-selecting-designated-investment-alternatives","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-31/pdf/2026-06178.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06178.pdf?1774901707","publication_date":"2026-03-31","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"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"}],"excerpts":"stretch so broadly as to capture noninvestment features that may be chosen by plan settlors. This is particularly salient for longevity <span class=\"match\">risk-sharing</span> pools which are specifically discussed in E.O. 14330. While it is true that a longevity <span class=\"match\">risk-sharing</span> pool might be implemented or offered in a participant-directed individual account plan through a designated investment alternative, it is also true that a longevity <span class=\"match\">risk-sharing</span> pool might be implemented by a plan sponsor through structural changes to a plan design.\n 56 \n \n \n \n \n 56 \n  \n Compare, \n for example"},{"title":"Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations to implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas.","document_number":"2025-21456","html_url":"https://www.federalregister.gov/documents/2025/11/28/2025-21456/medicare-program-contract-year-2027-policy-and-technical-changes-to-the-medicare-advantage-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-11-28/pdf/2025-21456.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-21456.pdf?1764105313","publication_date":"2025-11-28","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":"through other <span class=\"match\">mechanisms</span> as determined by CMS. The same process is mirrored in current Part D regulations at §§ 423.32(a) through (d) and 423.36(a) and (b), whereby the Part D sponsor receives an election request from an individual and then submits necessary information to CMS. \n Outside of circumstances where CMS directly enrolls an individual into a plan (passive, default enrollment, etc.) most election requests are filed with the MA organization or Part D sponsor, though the election form or <span class=\"match\">mechanism</span> may differ. Election <span class=\"match\">mechanisms</span> are how an individual"},{"title":"Community Development Financial Institutions Fund","type":"Notice","abstract":"The Capital Magnet Fund (CMF) is administered by the Community Development Financial Institutions Fund (CDFI Fund). Through the CMF, the CDFI Fund provides financial assistance grants to certified Community Development Financial Institutions (CDFIs) and to qualified Nonprofit Organizations that have the development or management of affordable housing as one of their principal purposes. All Awards provided through this Notice of Funds Availability (NOFA) are subject to funding availability.","document_number":"2023-00932","html_url":"https://www.federalregister.gov/documents/2023/01/19/2023-00932/community-development-financial-institutions-fund","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-01-19/pdf/2023-00932.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-00932.pdf?1674049521","publication_date":"2023-01-19","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"}],"excerpts":"entity whose predominant <span class=\"match\">business</span> activity is the <span class=\"match\">provision</span> of arm's length transactions and services to independent, unrelated parties, each acting in its own best interest. Such transactions support and promote affordable housing and/or community <span class=\"match\">development</span> through the <span class=\"match\">provision</span> of financial products that serve low-income communities, individuals, or families in underserved markets or communities. \n An affordable housing developer/manager is a Nonprofit Organization whose primary mission is the construction, <span class=\"match\">development</span>, redevelopment, preservation"},{"title":"Price Discovery and Competition in Markets for Fed Cattle","type":"Proposed Rule","abstract":"The United States Department of Agriculture's (USDA or Department) Agricultural Marketing Service (AMS or Agency) is seeking advance comment on a proposal to amend the regulations under the Packers and Stockyards Act (P&S Act or Act). The purpose of this advance notice of proposed rulemaking (ANPR) is to solicit feedback on an identified set of regulatory options that AMS could employ to address concerns regarding price discovery and fairness in fed cattle markets. Information from public comments would inform AMS's approach to this topic, including any future regulatory changes.","document_number":"2024-23528","html_url":"https://www.federalregister.gov/documents/2024/10/11/2024-23528/price-discovery-and-competition-in-markets-for-fed-cattle","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-11/pdf/2024-23528.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-23528.pdf?1728564327","publication_date":"2024-10-11","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"largest packers divested their feedlot operations. The question of closer relations between packers and feedlots today largely centers around questions of preferences in contractual terms, such as financing, <span class=\"match\">risk-sharing</span>, and profit-sharing. The AMS Cattle Contract Library (CCL) Pilot collects data on whether packers have financing, <span class=\"match\">risk-sharing</span> or profit-sharing terms.\n 11 \n \n Whether the CCL Pilot discloses terms would depend upon a confidentiality analysis. However, no such terms have been reported to AMS under the CCL Pilot, either at inception"},{"title":"Cattle Contracts Library Pilot Program","type":"Rule","abstract":"This rule establishes the Cattle Contracts Library pilot program. Under this pilot program, the Agricultural Marketing Service will collect, maintain, and report aggregated information on contracts between packers and cattle producers for the purchase of fed cattle. The library will include different types of contracts and contract terms, including contract terms on any schedules of premiums or discounts, delivery and transportation, terms and payments, financing, risk-sharing or profit sharing, and other financial arrangements. In addition to contract term information, the Agricultural Marketing Service will also report on the number of head of cattle purchased under these contracts.","document_number":"2022-26389","html_url":"https://www.federalregister.gov/documents/2022/12/07/2022-26389/cattle-contracts-library-pilot-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-12-07/pdf/2022-26389.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-26389.pdf?1670334318","publication_date":"2022-12-07","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"adjustment. \n The term “base price adjustment” means the positive or negative adjustment to the base price before any premiums or discounts are applied.\n \n \n <span class=\"match\">Business</span> day. \n The term “<span class=\"match\">business</span> day” means a day on which the packer conducts normal <span class=\"match\">business</span> regarding livestock committed to the packer, or livestock purchased or sold by the packer, and the Department of Agriculture is open to conduct <span class=\"match\">business</span>, typically Monday through Friday and excluding Federal holidays.\n \n \n Calendar month. \n The term “calendar month” means a timeframe that begins on the"},{"title":"Nondiscrimination in Health Programs and Activities","type":"Rule","abstract":"The Department of Health and Human Services (HHS or the Department) is issuing this final rule regarding section 1557 of the Affordable Care Act (ACA) (section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. Section 1557(c) of the ACA authorizes the Secretary of the Department to promulgate regulations to implement the nondiscrimination requirements of section 1557. The Department is also revising its interpretation regarding whether Medicare Part B constitutes Federal financial assistance for purposes of civil rights enforcement. Additionally, the Department is revising provisions prohibiting discrimination on the basis of sex in regulations issued by the Centers for Medicare & Medicaid Services (CMS) governing Medicaid and the Children's Health Insurance Program (CHIP); Programs of All-Inclusive Care for the Elderly (PACE); health insurance issuers and their officials, employees, agents, and representatives; States and the Exchanges carrying out Exchange requirements; agents, brokers, or web-brokers that assist with or facilitate enrollment of qualified individuals, qualified employers, or qualified employees; issuers providing essential health benefits (EHB); and qualified health plan issuers.","document_number":"2024-08711","html_url":"https://www.federalregister.gov/documents/2024/05/06/2024-08711/nondiscrimination-in-health-programs-and-activities","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-06/pdf/2024-08711.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-08711.pdf?1714162519","publication_date":"2024-05-06","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"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":"the Small <span class=\"match\">Business</span> Association's (SBA) classification \n 71 \n \n of a small <span class=\"match\">business</span> not be required to designate a Coordinator. Another commenter recommended that the Coordinator requirement be removed altogether.\n \n \n \n 71 \n  U.S. Small <span class=\"match\">Business</span> Ass'n, \n Basic Requirements: Meet Size Standards, \n \n https://www.sba.gov/federal-contracting/contracting-guide/basic-requirements#section-header-6 \n (The SBA assigns a size standard to each NAICS code. Most manufacturing companies with 500 employees or fewer, and most non-manufacturing <span class=\"match\">businesses</span> with average"},{"title":"Inclusive Competition and Market Integrity Under the Packers and Stockyards Act","type":"Rule","abstract":"The U.S. Department of Agriculture's (USDA or Department) Agricultural Marketing Service (AMS or the Agency) amends its Packers and Stockyards Act, 1921, regulations to prohibit undue prejudice and unjust discrimination against individuals on a prohibited basis unrelated to the quality of the service or product provided. The rule also identifies retaliatory practices that interfere with lawful communications, assertion of rights, and associated participation, among other protected activities, as unjust discrimination prohibited by the law. Finally, the rule identifies deceptive practices that violate the Packers and Stockyards Act with respect to contract formation, contract performance, contract termination, and contract refusal. The purpose of this rule is to promote inclusive competition and market integrity in the livestock, meats, poultry, and live poultry markets.","document_number":"2024-04419","html_url":"https://www.federalregister.gov/documents/2024/03/06/2024-04419/inclusive-competition-and-market-integrity-under-the-packers-and-stockyards-act","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-03-06/pdf/2024-04419.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-04419.pdf?1709646316","publication_date":"2024-03-06","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"to these comments. \n vii. Sufficiency of Proposed Anti-Retaliation <span class=\"match\">Provision's</span> Protection Regardless of Covered Producer's Type of <span class=\"match\">Business</span> Organization \n AMS requested comment on whether the proposed anti-retaliation <span class=\"match\">provision</span> provides sufficient protection for all types of covered producer <span class=\"match\">business</span> organizations. \n \n Comment: \n An agricultural advocacy organization indicated that this <span class=\"match\">provision</span> provides sufficient protection regardless of the covered producer's type of <span class=\"match\">business</span> organization.\n \n \n AMS Response: \n AMS made no changes in response"},{"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":"Preparation and <span class=\"match\">Provision</span> of Antigens for Allergen Immunotherapy (CPT Codes 95145, 95146, 95147, 95148, 95149) \n \n An interested party nominated the professional supervision of preparation and <span class=\"match\">provision</span> of stinging insect venom for allergen immunotherapy described by CPT codes 95145 (\n Professional services for the supervision of preparation and <span class=\"match\">provision</span> of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom \n ), 95146 (\n Professional services for the supervision of preparation and <span class=\"match\">provision</span> of antigens for"},{"title":"Poultry Grower Payment Systems and Capital Improvement Systems","type":"Proposed Rule","abstract":"The U.S. Department of Agriculture's (USDA) Agricultural Marketing Service (AMS or the Agency) is soliciting comments on proposed revisions to its regulations under the Packers and Stockyards Act, 1921 (P&S Act or Act). The proposal would prohibit certain payment practices under poultry grower ranking systems (commonly known as tournaments) in contract poultry production for broiler chickens, require live poultry dealers (LPDs) to adopt policies and procedures for operating a fair ranking system for broiler growers, and require LPDs to provide certain information to broiler growers when the LPD requests or requires the grower to make additional capital investments (ACIs). AMS proposes these changes in response to numerous complaints from growers about the use of tournament systems. AMS intends for the proposed regulations to increase transparency and address deception and unfairness in broiler grower payments, tournament operations, and capital improvement systems.","document_number":"2024-12415","html_url":"https://www.federalregister.gov/documents/2024/06/10/2024-12415/poultry-grower-payment-systems-and-capital-improvement-systems","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-06-10/pdf/2024-12415.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-12415.pdf?1717764319","publication_date":"2024-06-10","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":" “Severability,” to subpart N of part 201 to ensure that if any <span class=\"match\">provision</span> of subpart N or any component of any <span class=\"match\">provision</span> is declared invalid, or the applicability thereof to any person or circumstances is held invalid, it is AMS's intention that the validity of the remainder of this subpart or the applicability thereof to other persons or circumstances shall not be affected thereby with the remaining <span class=\"match\">provision</span>, or component of any <span class=\"match\">provision</span>, to continue in effect. Such a <span class=\"match\">provision</span> is typical in AMS regulations that cover several different topics"},{"title":"Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality","type":"Rule","abstract":"This final rule will advance CMS's efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. The final rule addresses standards for timely access to care and States' monitoring and enforcement efforts, reduces State burdens for implementing some State directed payments (SDPs) and certain quality reporting requirements, adds new standards that will apply when States use in lieu of services and settings (ILOSs) to promote effective utilization and that specify the scope and nature of ILOSs, specifies medical loss ratio (MLR) requirements, and establishes a quality rating system for Medicaid and CHIP managed care plans.","document_number":"2024-08085","html_url":"https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-05-10/pdf/2024-08085.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-08085.pdf?1713816918","publication_date":"2024-05-10","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":"data to calculate a baseline over a multi-year period and then use that to inform the <span class=\"match\">development</span> of a benchmark for improved access that is both feasible and meaningful.\n \n \n Response: \n We appreciate the many comments on our 10- and 15-<span class=\"match\">business</span> day appointment wait time proposal. In developing this proposal, we considered other appointment wait time standards including 30 <span class=\"match\">business</span> days and 45 <span class=\"match\">business</span> days. However, we believe 30 <span class=\"match\">business</span> days and 45 <span class=\"match\">business</span> days as the maximum wait time may be too long as a standard; we understand it may be a"},{"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":"purposes of the RFA, small entities include small <span class=\"match\">businesses</span>, nonprofit organizations, and small government jurisdictions. The North American Industry Classification System (NAICS) was adopted in 1997 and is the current standard used by the Federal statistical agencies related to the U.S. <span class=\"match\">business</span> economy. Hospitals and most other health care providers and suppliers are small entities, either by being nonprofit organizations or by meeting the Small <span class=\"match\">Business</span> Administration (SBA) definition of a small <span class=\"match\">business</span> (having revenues of less than $9.0 million to"},{"title":"Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments","type":"Rule","abstract":"This final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for, the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; updates to the Medicare Diabetes Prevention Program expanded model; payment for dental services inextricably linked to specific covered medical services; updates to drugs and biological products paid under Part B including immunosuppressive drugs and clotting factors; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; Medicare coverage of opioid use disorder services furnished by opioid treatment programs; updates to policies for Rural Health Clinics and Federally Qualified Health Centers; electronic prescribing for controlled substances for a covered Part D drug under a prescription drug plan or a Medicare Advantage Prescription Drug (MA-PD) plan under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act); update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to Clinical Laboratory Fee Schedule regulations; updates to the diabetes payment structure and PHE flexibilities; expansion of colorectal cancer screening and Hepatitis B vaccine coverage and payment; establishing payment for drugs covered as additional preventive services; Medicare Parts A and B Overpayment Provisions of the Affordable Care Act and Medicare Parts C and D Overpayment Provisions of the Affordable Care Act.","document_number":"2024-25382","html_url":"https://www.federalregister.gov/documents/2024/12/09/2024-25382/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-09/pdf/2024-25382.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25382.pdf?1730492138","publication_date":"2024-12-09","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"replacement, we believe that establishing appropriate coding and payment <span class=\"match\">mechanisms</span> can facilitate the <span class=\"match\">provision</span> of these services more effectively in the office and hospital settings. Given provided information, we proposed assigning contractor pricing to this PE-only code for CY 2025. We proposed a new code, HCPCS code G0555 (<span class=\"match\">Provision</span> of replacement patient electronics system (for example, system pillow) for home pulmonary artery pressure monitoring including <span class=\"match\">provision</span> of materials for use in the home and reporting of test results to physician"},{"title":"Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program","type":"Proposed Rule","abstract":"This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2027. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule proposes to update the requirements for the ESRD Quality Incentive Program.","document_number":"2026-12925","html_url":"https://www.federalregister.gov/documents/2026/06/26/2026-12925/medicare-program-cy-2027-changes-to-the-end-stage-renal-disease-esrd-prospective-payment-system","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-26/pdf/2026-12925.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12925.pdf?1782332109","publication_date":"2026-06-26","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"number of ESRD facilities that are either considered small <span class=\"match\">businesses</span> or nonprofit organizations. \n \n According to the Small <span class=\"match\">Business</span> Administration's (SBA) March 2023 size standards, an ESRD facility (NAICS code 621492) is classified as a small <span class=\"match\">business</span> if it has average revenues of less than $47 million across the past 5 years.\n 97 \n \n The U.S. Census Statistics of U.S. <span class=\"match\">Businesses</span> (SUSB) data shows there are 459 firms below this threshold.\n \n \n \n 97 \n  \n http://www.sba.gov/content/small-<span class=\"match\">business</span>-size-standards. \n \n \n As shown in Table 33, approximately"},{"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":"we are also finalizing the proposed methodology. \n 2. Final Data <span class=\"match\">Development</span> and Calculation of Costs Used for Ratesetting \n \n In this section of this final rule with comment period, we discuss the use of claims to calculate the OPPS payment rates for CY 2026. The Hospital OPPS page on the CMS website on which this final rule is posted (\n https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient \n ) provides an accounting of claims used in the <span class=\"match\">development</span> of the final payment rates. That accounting provides additional detail"},{"title":"Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program","type":"Rule","abstract":"This final rule will improve the electronic exchange of health care data and streamline processes related to prior authorization through new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs). This final rule will also add new measures for eligible hospitals and critical access hospitals (CAHs) to report under the Medicare Promoting Interoperability Program and for MIPS eligible clinicians to report under the Promoting Interoperability performance category of the Merit-based Incentive Payment System (MIPS). These policies, taken together, will reduce overall payer and provider burden and improve patient access to health information while continuing CMS's drive toward interoperability in the health care market.","document_number":"2024-00895","html_url":"https://www.federalregister.gov/documents/2024/02/08/2024-00895/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-advancing-interoperability","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-02-08/pdf/2024-00895.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-00895.pdf?1705612517","publication_date":"2024-02-08","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":"API under applicable state law. A commenter stated that 1 <span class=\"match\">business</span> day would not be feasible for Medicaid agencies due to the necessary updates to the Medicaid Management Information System (MMIS) systems.\n \n Many commenters recommended that CMS instead consider requiring a 2 <span class=\"match\">business</span> day response requirement. A commenter recommended extending the proposed requirement to 2 <span class=\"match\">business</span> days until electronic Prior Authorization APIs are widely adopted and proven, and only then consider a 1 <span class=\"match\">business</span> day requirement. Another commenter recommended that CMS"}]}