{"description":"Documents matching 'security automated system stated social narrative compliance'","count":1056,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=security+automated+system+stated+social+narrative+compliance&format=json&page=2","results":[{"title":"Proposed Information Collection Activity; Case Plan Requirement, Title IV-E of the Social Security Act","type":"Notice","abstract":"The Administration for Children and Families (ACF) is requesting a 3-year extension of the information collection Case Plan Requirement, Title IV-E of the Social Security Act, (Office of Management and Budget (OMB) #0970-0428, expiration September 30, 2026). There are no changes to the requirements, but burden estimates have been updated to reflect a reduction in average time to complete a case plan and the current numbers of children in foster care.","document_number":"2026-03445","html_url":"https://www.federalregister.gov/documents/2026/02/23/2026-03445/proposed-information-collection-activity-case-plan-requirement-title-iv-e-of-the-social-security-act","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-23/pdf/2026-03445.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-03445.pdf?1771595110","publication_date":"2026-02-23","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"authorized in sections 422(b)(8)(A)(ii) and 471(a)(16), and defined in sections 475 and 475A of the <span class=\"match\">Social</span> <span class=\"match\">Security</span> Act (the Act). Statutory requirements in the Act mandate that states, territories, and tribes with an approved title IV-E plan develop a case review <span class=\"match\">system</span> and case plan for each child in the foster care <span class=\"match\">system</span> for whom the <span class=\"match\">state</span>, territory, or tribe receives title IV-E reimbursement of foster care maintenance payments. The case review <span class=\"match\">system</span> assures that each child has a case plan designed to achieve placement in a safe setting that is"},{"title":"Agency Information Collection Activities: Proposed Collection; Comment Request-Supplemental Nutrition Assistance Program (SNAP): Operating Guidelines, Forms, Waivers, and Annual State Report on Verification of SNAP Participation","type":"Notice","abstract":"In accordance with the Paperwork Reduction Act of 1995, this notice invites the general public and other public agencies to comment on this information collection. This is a revision of a currently approved collection. This information collection consists of several components of State agency reporting and/or recordkeeping: State Plan of Operations, Puerto Rico Plan of Operations, Territory Memoranda of Understanding (MOUs), budget projection statement, program activity report, waiver requests submitted via the Waiver Information Management System (WIMS), and other plans and submissions such as advance planning documents (APD) for information systems and for electronic benefit transfer systems. Also included in this collection are the activities related to the Annual State Report on Verification of SNAP Participation,\\1\\ which ensures that no person who is deceased, or who has been permanently disqualified from SNAP, improperly received SNAP benefits for the Federal fiscal year (FY) preceding the report submission. Each State agency emails their FNA Regional Office annually to confirm compliance with this requirement. ---------------------------------------------------------------------------","document_number":"2026-11918","html_url":"https://www.federalregister.gov/documents/2026/06/15/2026-11918/agency-information-collection-activities-proposed-collection-comment-request-supplemental-nutrition","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-15/pdf/2026-11918.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-11918.pdf?1781268308","publication_date":"2026-06-15","agencies":[{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"},{"raw_name":"Food and Nutrition Administration","name":"Food and Nutrition Administration","id":625,"url":"https://www.federalregister.gov/agencies/food-and-nutrition-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/625","parent_id":12,"slug":"food-and-nutrition-administration"}],"excerpts":"require that each <span class=\"match\">State</span> agency establish a <span class=\"match\">system</span> to verify and ensure that benefits are not issued to individuals who are deceased. That data source is the <span class=\"match\">Social</span> <span class=\"match\">Security</span> Administration's (SSA) Death Master File. The information required for the Annual <span class=\"match\">State</span> Report on Verification of SNAP Participation is obtained by validating that the <span class=\"match\">State</span> had the appropriate <span class=\"match\">systems</span> in place and followed procedures currently mandated at 7 CFR 272.14 and 7 CFR 273.16 for the preceding FY. The burdens associated with establishing a <span class=\"match\">system</span> to verify and ensure"},{"title":"Proposed Information Collection Activity; Child and Family Services Plan, Annual Progress and Services Report, and Annual Budget Expenses Request and Estimated Expenditures (Child and Family Services-101)","type":"Notice","abstract":"The Children's Bureau (CB), Administration for Children and Families (ACF) is requesting a 3-year extension of the collection of information under the Child and Family Services Plan (CFSP), the Annual Progress and Services Report (APSR), and the Annual Budget Expenses Request and Estimated Expenditures (CFS-101) collection (Office of Management and Budget #: 0970-0426, expiration July 31, 2026). There are minor changes to the CFS-101 form and changes to the way the information is collected in narrative form to reduce burden and duplicative reporting.","document_number":"2026-09512","html_url":"https://www.federalregister.gov/documents/2026/05/13/2026-09512/proposed-information-collection-activity-child-and-family-services-plan-annual-progress-and-services","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-13/pdf/2026-09512.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09512.pdf?1778589917","publication_date":"2026-05-13","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"the information collection.\n \n \n \n \n SUPPLEMENTARY INFORMATION: \n \n \n Description: \n Currently under title IV-B, subparts 1 and 2 of the <span class=\"match\">Social</span> <span class=\"match\">Security</span> Act (the Act), states, territories, and tribes are required to submit a CFSP. The CFSP lays the groundwork for a <span class=\"match\">system</span> of coordinated and integrated family services for the subsequent 5 years (45 CFR 1357.15(a)(1)). The CFSP outlines \n \n activities the <span class=\"match\">state</span>, tribe, or territory will carry out in administering programs and services to promote the safety, permanency, and well-being of children and"},{"title":"Privacy Act of 1974; System of Records","type":"Notice","abstract":"Pursuant to the Privacy Act of 1974, notice is hereby given that VA is modifying the system of records titled \"Patient Medical Records-VA\" (24VA10A7). This system is used for ongoing treatment of individuals and patients; documentation of treatment provided; payment; health care operations such as producing various management and patient follow-up reports; responding to patient and other inquiries; for epidemiological research and other health care related studies; statistical analysis, resource allocation, and planning; providing clinical and administrative support to patient medical care; and determining entitlement and eligibility for VA benefits.","document_number":"2026-13454","html_url":"https://www.federalregister.gov/documents/2026/07/02/2026-13454/privacy-act-of-1974-system-of-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-02/pdf/2026-13454.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13454.pdf?1782909925","publication_date":"2026-07-02","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":" \n \n \n \n SUPPLEMENTARY INFORMATION: \n VA is modifying the <span class=\"match\">system</span> by revising the <span class=\"match\">System</span> Number; <span class=\"match\">System</span> Location; <span class=\"match\">System</span> Manager; Purpose; Categories of Records in the <span class=\"match\">System</span>; Records Source Categories; Routine Uses of Records Maintained in the <span class=\"match\">System</span>; Policies and Practices for Storage of Records; Policies and Practices for Retrieval of Records; Administrative, Technical and Physical Safeguards; Record Access Procedures; Contesting Record Procedures; and Notification Procedure. \n <span class=\"match\">System</span> Number is being updated from 24VA10A7 to 24VA10 to reflect"},{"title":"Privacy Act of 1974; System of Records","type":"Notice","abstract":"Pursuant to Privacy Act of 1974, notice is hereby given that VA proposes to modify an existing system of records, \"Compensation, Pension, Education, and Vocational Rehabilitation and Employment (VR&E) Records--VA\" (58VA21/22/28).","document_number":"2025-17709","html_url":"https://www.federalregister.gov/documents/2025/09/15/2025-17709/privacy-act-of-1974-system-of-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-09-15/pdf/2025-17709.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-17709.pdf?1757681108","publication_date":"2025-09-15","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":"controlled by the site <span class=\"match\">security</span> officer who is responsible for authorizing access to the BDN, LCM, VBMS, and VETSNET by a claimant's representative or attorney approved for access in accordance with VA regulations. The site <span class=\"match\">security</span> officer is responsible for ensuring that the hardware, software, and <span class=\"match\">security</span> practices of a representative or attorney satisfy VA <span class=\"match\">security</span> requirements before granting access. The <span class=\"match\">security</span> requirements applicable to the access of <span class=\"match\">automated</span> claims files by VA employees also apply to the access of <span class=\"match\">automated</span> claims files by claimants'"},{"title":"Electronic Submission of Certain Materials Under the Securities Exchange Act of 1934; Amendments Regarding the FOCUS Report","type":"Rule","abstract":"The Securities and Exchange Commission (\"Commission\" or \"SEC\") is amending its rules to require electronic filing or submission of certain forms and other filings or submissions that are required to be filed with or submitted to the Commission under the Securities Exchange Act of 1934 (\"Exchange Act\") and the rules and regulations under the Exchange Act. The amendments require the electronic filing or submission on the Commission's Electronic Data Gathering, Analysis, and Retrieval (\"EDGAR\") system, using structured data where appropriate, for certain forms filed or submitted by self- regulatory organizations (\"SROs\"). The amendments require the information currently contained in Form 19b-4(e) to be publicly posted on the SRO's website and remove the manual signature requirements for SRO proposed rule change filings. The Commission is also requiring that a clearing agency post supplemental material to its website. In addition, the Commission is amending rules under the Exchange Act and the Securities Act of 1933 (\"Securities Act\") to require the electronic filing or submission on EDGAR, using structured data where appropriate, of certain forms, reports, and notices provided by broker- dealers, security-based swap dealers, and major security-based swap participants. The amendments also require withdrawal in certain circumstances of notices filed in connection with an exception to counting certain dealing transactions toward determining whether a person is a security-based swap dealer. Finally, the Commission is allowing electronic signatures in certain broker-dealer filings, and amending the Financial and Operational Combined Uniform Single Report (\"FOCUS Report\") to harmonize with other rules, make technical corrections, and provide clarifications.","document_number":"2024-30433","html_url":"https://www.federalregister.gov/documents/2025/01/21/2024-30433/electronic-submission-of-certain-materials-under-the-securities-exchange-act-of-1934-amendments","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-01-21/pdf/2024-30433.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-30433.pdf?1737121512","publication_date":"2025-01-21","agencies":[{"raw_name":"SECURITIES AND EXCHANGE COMMISSION","name":"Securities and Exchange Commission","id":466,"url":"https://www.federalregister.gov/agencies/securities-and-exchange-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/466","parent_id":null,"slug":"securities-and-exchange-commission"}],"excerpts":"of new derivative <span class=\"match\">securities</span> product (\n e.g., \n clearinghouse, broker-dealer, corporation, etc.); (b) class of new derivative <span class=\"match\">securities</span> product; (c) name of underlying instrument; (d) if the underlying instrument is an index, <span class=\"match\">state</span> whether it is broad-based or narrow-based; (e) ticker symbol(s) of new derivative <span class=\"match\">securities</span> product; (f) market(s) upon which <span class=\"match\">securities</span> composing the underlying instrument trade; (g) settlement methodology of new derivative <span class=\"match\">securities</span> product; and (h) position limits of new derivative <span class=\"match\">securities</span> product (if applicable)"},{"title":"HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information","type":"Proposed Rule","abstract":"The Department of Health and Human Services (HHS or \"Department\") is issuing this notice of proposed rulemaking (NPRM) to solicit comment on its proposal to modify the Security Standards for the Protection of Electronic Protected Health Information (\"Security Rule\") under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act). The proposed modifications would revise existing standards to better protect the confidentiality, integrity, and availability of electronic protected health information (ePHI). The proposals in this NPRM would increase the cybersecurity for ePHI by revising the Security Rule to address: changes in the environment in which health care is provided; significant increases in breaches and cyberattacks; common deficiencies the Office for Civil Rights has observed in investigations into Security Rule compliance by covered entities and their business associates (collectively, \"regulated entities\"); other cybersecurity guidelines, best practices, methodologies, procedures, and processes; and court decisions that affect enforcement of the Security Rule.","document_number":"2024-30983","html_url":"https://www.federalregister.gov/documents/2025/01/06/2024-30983/hipaa-security-rule-to-strengthen-the-cybersecurity-of-electronic-protected-health-information","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-01-06/pdf/2024-30983.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-30983.pdf?1735334119","publication_date":"2025-01-06","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":"Office of the Secretary"}],"excerpts":"Memorandum on National <span class=\"match\">Security</span> Memorandum on Critical Infrastructure <span class=\"match\">Security</span> and Resilience, National <span class=\"match\">Security</span> Memorandum/NSM-22, The White House (Apr. 30, 2024), \n https://www.whitehouse.gov/briefing-room/presidential-actions/2024/04/30/national-<span class=\"match\">security</span>-memorandum-on-critical-infrastructure-<span class=\"match\">security</span>-and-resilience/ \n (“Critical infrastructure comprises the physical and virtual assets and <span class=\"match\">systems</span> so vital to the Nation that their incapacity or destruction would have a debilitating impact on national <span class=\"match\">security</span>, national economic <span class=\"match\">security</span>, or national public"},{"title":"Adoption and Foster Care Analysis and Reporting System","type":"Rule","abstract":"This rule finalizes revisions to the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations proposed on February 23, 2024. This final rule requires state title IV-E agencies to collect and report to ACF additional data related to the Indian Child Welfare Act of 1978 (ICWA) for children in the AFCARS Out-of-Home Care Reporting Population.","document_number":"2024-28072","html_url":"https://www.federalregister.gov/documents/2024/12/05/2024-28072/adoption-and-foster-care-analysis-and-reporting-system","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-05/pdf/2024-28072.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-28072.pdf?1733233519","publication_date":"2024-12-05","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":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"inform reducing the rate at which AI/AN children and youth enter the child welfare <span class=\"match\">system</span> and improving outcomes for AI/AN children and youth that do enter the <span class=\"match\">system</span> and that these data elements may help improve outcomes for AI/AN children by facilitating targeted ICWA trainings, efficient resource allocation, and/or improved policymaking. \n In response to the concern from one <span class=\"match\">state</span> about the potential for the <span class=\"match\">state</span> to be penalized for any legal <span class=\"match\">system's</span> non-<span class=\"match\">compliance</span> regarding notification and other requirements of ICWA, ACF wants to be clear that"},{"title":"Permitted Payment Stablecoin Issuer Anti-Money Laundering/Countering the Financing of Terrorism Program and Sanctions Compliance Program Requirements","type":"Proposed Rule","abstract":"The Department of the Treasury's Financial Crimes Enforcement Network (FinCEN) and Office of Foreign Assets Control (OFAC) are jointly issuing this proposed rule to implement provisions of the Guiding and Establishing National Innovation for U.S. Stablecoins Act (GENIUS Act). Specifically, it implements the GENIUS Act's directive to treat permitted payment stablecoin issuers (PPSIs) as financial institutions for purposes of the Bank Secrecy Act, proposes anti-money laundering obligations for PPSIs, and proposes certain specific obligations required by the GENIUS Act for PPSIs. It also implements the GENIUS Act's directive to require PPSIs to maintain effective sanctions compliance programs.","document_number":"2026-06963","html_url":"https://www.federalregister.gov/documents/2026/04/10/2026-06963/permitted-payment-stablecoin-issuer-anti-money-launderingcountering-the-financing-of-terrorism","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-10/pdf/2026-06963.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06963.pdf?1775738715","publication_date":"2026-04-10","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":"Office of Foreign Assets Control","name":"Foreign Assets Control Office","id":203,"url":"https://www.federalregister.gov/agencies/foreign-assets-control-office","json_url":"https://www.federalregister.gov/api/v1/agencies/203","parent_id":497,"slug":"foreign-assets-control-office"},{"raw_name":"Financial Crimes Enforcement Network","name":"Financial Crimes Enforcement Network","id":194,"url":"https://www.federalregister.gov/agencies/financial-crimes-enforcement-network","json_url":"https://www.federalregister.gov/api/v1/agencies/194","parent_id":497,"slug":"financial-crimes-enforcement-network"}],"excerpts":"Proposed 31 CFR 1010.100(www)—<span class=\"match\">State</span> Payment Stablecoin Regulator \n \n FinCEN is proposing to define the term “<span class=\"match\">State</span> payment stablecoin regulator” as provided in the GENIUS Act, 12 U.S.C. 5901(30), with certain modifications in light of preexisting FinCEN regulatory definitions. Under the proposed rule, the term “<span class=\"match\">State</span> payment stablecoin regulator” would mean a <span class=\"match\">state</span> agency that has the primary regulatory and supervisory authority in such <span class=\"match\">state</span> over entities that issue payment stablecoins. Under the GENIUS Act, the term “<span class=\"match\">State</span>” includes “each of the several"},{"title":"Privacy Act of 1974; Systems of Records","type":"Notice","abstract":"Pursuant to the Privacy Act of 1974 and Office of Management and Budget (OMB) Circular No. A-108, to ensure the system of records notices remain accurate, the U.S. Nuclear Regulatory Commission (NRC) staff reviews each notice on a periodic basis. As a result of this review, the NRC is republishing 16 of its system of records notices and has made various revisions to ensure that the NRC's notices remain clear, accurate, and up to date. Three of the system notices--NRC 37, Information Security Files and Associated Records, NRC 44, Employee Fitness Center Records, and NRC 46, Health Emergency Records--are subject to a 30-day comment period based on the nature of their revisions. The revisions to these systems are in effect upon this publication with the exception of the NRC 37, NRC 44 and NRC 46 modifications, which will go into effect 30 days after this publication. The remaining systems revisions are minor corrective and administrative changes that do not meet the threshold criteria established by OMB for either a new or altered system of records. The minor modifications include updating authorities, system managers, retention schedules, and various other minor updates, in accordance with OMB Circular A-108.","document_number":"2024-15922","html_url":"https://www.federalregister.gov/documents/2024/07/19/2024-15922/privacy-act-of-1974-systems-of-records","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-19/pdf/2024-15922.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-15922.pdf?1721306725","publication_date":"2024-07-19","agencies":[{"raw_name":"NUCLEAR REGULATORY COMMISSION","name":"Nuclear Regulatory Commission","id":383,"url":"https://www.federalregister.gov/agencies/nuclear-regulatory-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/383","parent_id":null,"slug":"nuclear-regulatory-commission"}],"excerpts":"(I), and (f). \n <span class=\"match\">SYSTEM</span> NAME AND NUMBER: \n Drug Testing Program Records—NRC 35. \n <span class=\"match\">SECURITY</span> CLASSIFICATION: \n Unclassified. \n <span class=\"match\">SYSTEM</span> LOCATION: \n Primary <span class=\"match\">system</span>—Division of Facilities and <span class=\"match\">Security</span>, Office of Administration, NRC, Two White Flint North, 11545 Rockville Pike, Rockville, Maryland. \n Duplicate <span class=\"match\">system</span>—Duplicate <span class=\"match\">systems</span> exist in part at the NRC Regional office locations listed in Addendum I, Part 2 (for a temporary period of time); and at the current contractor testing laboratories, collection/evaluation facilities. \n <span class=\"match\">SYSTEM</span> MANAGER(S): \n Director"},{"title":"Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges","type":"Proposed Rule","abstract":"These proposals are intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry. We are proposing 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), including issuers that offer small group market QHPs on the Federally-facilitated Small Business Health Options Program (FF- SHOP) Exchanges (hereinafter referred to as \"small group market QHP issuers on the FF-SHOPs\") (collectively \"impacted payers\"), to make available electronic prior authorization for drugs. We are also proposing to extend many existing interoperability requirements for the prior authorization of non-drug items and services to include prior authorizations for drugs to further reduce patient and provider burden. We are also proposing to require impacted payers to report their application programming interfaces (API) endpoints and related information for the Patient Access, Provider Directory, Provider Access, Payer-to-Payer, and Prior Authorization APIs to CMS. To help assess the impact of our policies, we are proposing to collect API usage metrics. In addition, we are proposing to apply the existing interoperability requirements to small group market QHP issuers on the FF-SHOPs as impacted payers. To improve impacted payers' ability to exchange health information while continuing CMS's drive toward interoperability, we are proposing to require certain Health Level Seven (HL7[supreg]) Fast Healthcare Interoperability Resources (FHIR[supreg]) implementation guides (IGs) that are currently recommended. In addition, HHS is proposing to adopt the HL7 FHIR base standard and certain associated specifications and IGs as the Health Insurance Portability and Accountability Act of 1996 (hereinafter referred to as \"HIPAA\") (Pub. L. 104-191, enacted Aug. 21, 1996) standards for dental, professional, and institutional \"referral certification and authorization\" transactions and \"eligibility for a health plan\" transactions associated with prior authorization. We are proposing to add a definition for \"failure to report,\" which would allow CMS to impose a civil monetary penalty (CMP) on applicable manufacturers or applicable group purchasing organizations (GPOs) if those entities fail to grant CMS timely access to documents for the purposes of an audit. Finally, ONC is using this rulemaking to propose to adopt updated versions of certain health information technology (health IT) standards and specifications for HHS use, such as CMS's interoperability requirements, to support a more robust health IT infrastructure.","document_number":"2026-07205","html_url":"https://www.federalregister.gov/documents/2026/04/14/2026-07205/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-standards","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-14/pdf/2026-07205.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07205.pdf?1775852111","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"},{"raw_name":"Office of the Secretary"}],"excerpts":"specifications for <span class=\"match\">security</span> (including authentication) at scale through UDAP via the FHIR at Scale Taskforce (FAST) <span class=\"match\">Security</span> for Scalable Registration, Authentication, and Authorization IG (FAST <span class=\"match\">Security</span> IG) (89 FR 8802). We are recommending the FAST <span class=\"match\">Security</span> IG \n 67 \n \n to support standardized dynamic registration, authentication, and authorization requirements for the Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs to provide a more uniform, standardized, and <span class=\"match\">automated</span> application registration pathway. The FAST <span class=\"match\">Security</span> IG enables"},{"title":"Enhancement of Emerging Growth Company Accommodations and Simplification of Filer Status for Reporting Companies","type":"Proposed Rule","abstract":"The Securities and Exchange Commission (\"Commission\") proposes amendments to streamline filer statuses for Securities Exchange Act of 1934 (\"Exchange Act\") reporting companies into two primary categories: large accelerated filers and non-accelerated filers. The Commission further proposes to raise the threshold and seasoning requirements for large accelerated filer status and extend certain existing accommodations and scaled disclosures, including those for smaller reporting companies and emerging growth companies, to all non-accelerated filers, while continuing to require compliance with non-scaled disclosure from large accelerated filers. The Commission also proposes to extend the deadlines to file periodic reports for the smallest non-accelerated filers, as measured by total assets. Finally, the Commission also proposes to update the rules that define which issuers are considered small entities for purposes of the Regulatory Flexibility Act (\"RFA\").","document_number":"2026-10222","html_url":"https://www.federalregister.gov/documents/2026/05/21/2026-10222/enhancement-of-emerging-growth-company-accommodations-and-simplification-of-filer-status-for","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-21/pdf/2026-10222.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10222.pdf?1779281120","publication_date":"2026-05-21","agencies":[{"raw_name":"SECURITIES AND EXCHANGE COMMISSION","name":"Securities and Exchange Commission","id":466,"url":"https://www.federalregister.gov/agencies/securities-and-exchange-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/466","parent_id":null,"slug":"securities-and-exchange-commission"}],"excerpts":"Commission adopted the “integrated disclosure <span class=\"match\">system</span>” in 1982 following several years of analysis of the disclosure rules under the <span class=\"match\">Securities</span> Act and the Exchange Act.\n 41 \n \n Prior to the adoption of the integrated disclosure <span class=\"match\">system</span>, separate disclosure regimes applied to <span class=\"match\">Securities</span> Act registration statements and Exchange Act registration and periodic reporting, which often resulted in overlapping and duplicative requirements. At the time the integrated disclosure <span class=\"match\">system</span> was adopted, the Commission <span class=\"match\">stated</span> that the “goal of the Commission's integrated"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. In addition, this proposed rule would update and refine the requirements for the Hospital Outpatient Quality Reporting Program and the Ambulatory Surgical Center Quality Reporting Program. There are no changes to the Rural Emergency Hospital Quality Reporting Program. We propose to expand the prior authorization requirement to include additional Botulinum Toxin Injection services. We also propose to implement certain provisions of the Consolidated Appropriations Act, 2026, for off-campus outpatient departments of a provider. In addition, this proposed rule announces notices of closure of teaching hospitals and opportunities to apply for available slots. This rule also requests information regarding potential approaches to improve comparability and standardization, particularly for complex contracting methodologies, of the HPT information reported in machine- readable files and consumer-friendly displays. We propose hospital AOs with deeming authority to assess compliance with certain Emergency Medical Treatment and Labor Act (EMTALA) administrative requirements during accreditation and reaccreditation surveys. Finally, we are soliciting comments on a potential separate payment under the Inpatient Prospective Payment System (IPPS) for domestic procurement of personal protective equipment and essential medicines.","document_number":"2026-13656","html_url":"https://www.federalregister.gov/documents/2026/07/07/2026-13656/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-07/pdf/2026-13656.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13656.pdf?1782996328","publication_date":"2026-07-07","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"for devices that were eligible to apply under the alternative pathway. \n (a) Altius® Direct Electrical Nerve Stimulation <span class=\"match\">System</span> \n \n Neuros® Medical, Inc. submitted an application for a new device category for transitional pass-through payment status for the Altius® Direct Electrical Nerve Stimulation <span class=\"match\">System</span> (the Altius® <span class=\"match\">System</span>) for CY 2027. According to the applicant, the Altius® <span class=\"match\">System</span> is an implantable neuromodulation <span class=\"match\">system</span> that provides continuous, high frequency, high amplitude nerve stimulation to either the sciatic nerve or both the tibial"},{"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":"and their MS-DRG assignment.\n \n Therefore, for the reasons <span class=\"match\">stated</span>, for FY 2027, we are proposing to maintain the current structure of MS-DRGs 163, 164, and 165. \n 3. MDC 05 (Diseases and Disorders of the Circulatory <span class=\"match\">System</span>): WiSE® CRT <span class=\"match\">System</span> \n The WiSE® CRT <span class=\"match\">System</span> is an implantable cardiac pacing <span class=\"match\">system</span> that delivers left ventricular endocardial pacing (LVEP) specifically for cardiac resynchronization therapy (CRT) without the use of wires or leads going into the heart. The WiSE® CRT <span class=\"match\">System</span> was designed to stimulate the endocardial surface of the"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 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":"2025-06271","html_url":"https://www.federalregister.gov/documents/2025/04/30/2025-06271/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-04-30/pdf/2025-06271.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-06271.pdf?1744402510","publication_date":"2025-04-30","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"be revised to reflect “Craniotomy with Acute Complex Central Nervous <span class=\"match\">System</span> Principal Diagnosis with MCC or Chemotherapy Implant or Major Device Implant or Epilepsy with Neurostimulator.” \n The requestor performed their own analysis and <span class=\"match\">stated</span> they found that the majority of cases reporting the implantation of a DBS <span class=\"match\">system</span> are assigned to the lower severity level MS-DRG 024. The requestor also <span class=\"match\">stated</span> that in their analysis, the cases reporting the implantation of a DBS <span class=\"match\">system</span> assigned to MS-DRG 024 have average costs that are 20% greater than all"},{"title":"Proposed Information Collection Activity; Case Plan Requirement, Title IV-E of the Social Security Act","type":"Notice","abstract":"The Administration for Children and Families (ACF) is requesting a three-year extension of the information collection Case Plan Requirement, Title IV-E of the Social Security Act, (Office of Management and Budget (OMB)) #0970-0428, expiration September 9, 2023). There are no changes to the requirements, but burden estimates have been updated to reflect current numbers of children in foster care.","document_number":"2023-10800","html_url":"https://www.federalregister.gov/documents/2023/05/22/2023-10800/proposed-information-collection-activity-case-plan-requirement-title-iv-e-of-the-social-security-act","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-05-22/pdf/2023-10800.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-10800.pdf?1684500320","publication_date":"2023-05-22","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":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"authorized in sections 422(b)(8)(A)(ii) and 471(a)(16) and defined in sections 475 and 475A of the <span class=\"match\">Social</span> <span class=\"match\">Security</span> Act (the Act). Statutory requirements in the Act mandate that States, Territories, and Tribes with an approved title IV-E plan develop a case review <span class=\"match\">system</span> and case plan for each child in the foster care <span class=\"match\">system</span> for whom the <span class=\"match\">State</span>, Territory, or Tribe receives title IV-E reimbursement of foster care maintenance payments. The case review <span class=\"match\">system</span> assures that each child has a case plan designed to achieve placement in a safe setting that is"},{"title":"Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: The Maternal, Infant, and Early Childhood Home Visiting Program Statewide Needs Assessment Update","type":"Notice","abstract":"In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.","document_number":"2024-22182","html_url":"https://www.federalregister.gov/documents/2024/09/27/2024-22182/agency-information-collection-activities-proposed-collection-public-comment-request-information","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-27/pdf/2024-22182.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-22182.pdf?1727354725","publication_date":"2024-09-27","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"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":"assessment and <span class=\"match\">state</span>-level early childhood grants, such as those funded through the Preschool Development Grant Birth through Five. HRSA considered this comment; however, no changes will be made to the information collection because the 2020 SIR guidance has already provided flexibility for awardees to leverage national, <span class=\"match\">state</span>, or local data sources across programs and <span class=\"match\">systems</span> to provide justification for their selections of additional at-risk communities. \n The fourth comment discussed the accuracy of the burden estimate and the usage of <span class=\"match\">automated</span> collection"},{"title":"Semiannual Reporting","type":"Proposed Rule","abstract":"The Securities and Exchange Commission (\"Commission\") is proposing amendments to allow companies to file semiannual reports on new Form 10-S in lieu of quarterly reports on Form 10-Q to meet their interim reporting obligations under the Securities Exchange Act of 1934 (\"Exchange Act\"). The Commission is also proposing changes to the financial statement requirements of Regulation S-X to facilitate semiannual reporting and to simplify rules regarding the age of financial statements.","document_number":"2026-09095","html_url":"https://www.federalregister.gov/documents/2026/05/07/2026-09095/semiannual-reporting","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-07/pdf/2026-09095.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-09095.pdf?1778071532","publication_date":"2026-05-07","agencies":[{"raw_name":"SECURITIES AND EXCHANGE COMMISSION","name":"Securities and Exchange Commission","id":466,"url":"https://www.federalregister.gov/agencies/securities-and-exchange-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/466","parent_id":null,"slug":"securities-and-exchange-commission"}],"excerpts":"11 and Exchange Act Section 18.\n 66 \n \n \n \n \n 66 \n  <span class=\"match\">Securities</span> Act Section 11 provides for liability for an untrue statement of a material fact in a <span class=\"match\">Securities</span> Act registration statement and for an omission to <span class=\"match\">state</span> a material fact required to be <span class=\"match\">stated</span> therein or necessary to make the statements therein not misleading. Many public companies commonly make registered offerings of <span class=\"match\">securities</span> and thus are subject to potential Section 11 liability. Exchange Act Section 18 provides for liability for a false or misleading statement with respect to a material"},{"title":"Restoring Integrity to the Issuance of Non-Domiciled Commercial Drivers Licenses (CDL)","type":"Rule","abstract":"FMCSA amends the Federal regulations for State Driver's Licensing Agencies (SDLAs) issuing commercial driving credentials to non-domiciled individuals. This final rule reaffirms, with minor changes, the provisions of the interim final rule (IFR) published on September 29, 2025. Specifically, this final rule limits eligibility for non-domiciled Commercial Learner's Permits (CLPs) and Commercial Driver's Licenses (CDLs) for foreign-domiciled individuals to those who hold specific, verifiable employment-based nonimmigrant status. This rule reaffirms the IFR requirements, aligning the issuance of non- domiciled CDLs with FMCSA's statutory mandate to ensure the fitness of all drivers who operate a CMV. By limiting eligibility to statuses subject to enhanced consular vetting of driver history and interagency screening, FMCSA restores the integrity of the CDL system, closes a significant safety gap, and enhances the safety of the traveling public.","document_number":"2026-02965","html_url":"https://www.federalregister.gov/documents/2026/02/13/2026-02965/restoring-integrity-to-the-issuance-of-non-domiciled-commercial-drivers-licenses-cdl","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-13/pdf/2026-02965.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-02965.pdf?1770844509","publication_date":"2026-02-13","agencies":[{"raw_name":"DEPARTMENT OF TRANSPORTATION","name":"Transportation Department","id":492,"url":"https://www.federalregister.gov/agencies/transportation-department","json_url":"https://www.federalregister.gov/api/v1/agencies/492","parent_id":null,"slug":"transportation-department"},{"raw_name":"Federal Motor Carrier Safety Administration","name":"Federal Motor Carrier Safety Administration","id":181,"url":"https://www.federalregister.gov/agencies/federal-motor-carrier-safety-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/181","parent_id":492,"slug":"federal-motor-carrier-safety-administration"}],"excerpts":"report convictions and withdrawals, <span class=\"match\">compliance</span> with FMCSA's physical qualification and Drug and Alcohol Clearinghouse programs, issuance of non-domiciled CDLs, and other areas. \n \n At the conclusion of the APR, if FMCSA makes a preliminary determination that a <span class=\"match\">State</span> does not meet one or more of the minimum standards for substantial <span class=\"match\">compliance</span> under Part 384, Subpart B, FMCSA notifies the \n \n <span class=\"match\">State</span> accordingly.\n 26 \n \n A <span class=\"match\">State</span> has 30 calendar days to respond to the preliminary determination explaining the <span class=\"match\">State's</span> corrective action or, alternatively"},{"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":"internet on the CMS website. \n \n ER25NO25.068 \n \n 12. CVi® Contrast Delivery <span class=\"match\">System</span> \n The CVi® Contrast Delivery <span class=\"match\">System</span> is an <span class=\"match\">automated</span> Contrast Management <span class=\"match\">System</span> with multiuse syringes. Contrast Management <span class=\"match\">Systems</span> are designed to assist physicians in infusing iodinated contrast media administered to patients in common angiograph procedures. Contrast with angiography procedures is often administered through a handheld, manual injection device. <span class=\"match\">Automated</span> contrast management <span class=\"match\">systems</span> use variable rate technology to deliver a specific amount of contrast."}]}