{"description":"Documents matching 'security united states amidst surge'","count":33,"total_pages":2,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=security+united+states+amidst+surge&format=json&page=2","results":[{"title":"Request for Comments on Bolstering Data Center Growth, Resilience, and Security","type":"Notice","abstract":"The National Telecommunications and Information Administration (NTIA) hereby requests comments on the challenges surrounding data center growth, resilience and security in the United States amidst a surge of computing power demand due to the development of critical and emerging technologies. This request focuses on identifying opportunities for the U.S. government to improve data centers' market development, supply chain resilience, and data security. NTIA will rely on these comments, along with other public engagements on this topic, to draft and issue a public report capturing economic and security policy considerations and policy recommendations for fostering safe, secure, and sustainable data center growth.","document_number":"2024-19524","html_url":"https://www.federalregister.gov/documents/2024/09/04/2024-19524/request-for-comments-on-bolstering-data-center-growth-resilience-and-security","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-04/pdf/2024-19524.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-19524.pdf?1725367514","publication_date":"2024-09-04","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Telecommunications and Information Administration","name":"National Telecommunications and Information Administration","id":373,"url":"https://www.federalregister.gov/agencies/national-telecommunications-and-information-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/373","parent_id":54,"slug":"national-telecommunications-and-information-administration"}],"excerpts":"challenges surrounding data center growth, resilience and <span class=\"match\">security</span> in the <span class=\"match\">United</span> <span class=\"match\">States</span> <span class=\"match\">amidst</span> a <span class=\"match\">surge</span> of computing power demand due to the development of critical and emerging technologies. This request focuses on identifying opportunities for the U.S. government to improve data centers' market development, supply chain resilience, and data <span class=\"match\">security</span>. NTIA will rely on these comments, along with other public engagements on this topic, to draft and issue a public report capturing economic and <span class=\"match\">security</span> policy considerations and policy recommendations for"},{"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 systems 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":"Securing the Border","type":"Rule","abstract":"On June 3, 2024, the President signed a Proclamation under sections 212(f) and 215(a) of the Immigration and Nationality Act (\"INA\") suspending and limiting the entry of certain noncitizens into the United States during emergency border circumstances. DHS and DOJ (\"the Departments\") issued a complementary interim final rule (\"IFR\") shortly thereafter. This final rule responds to public comments received on the IFR, makes certain revisions to the regulatory text, and seeks comment on potential changes to the Circumvention of Lawful Pathways rule as well as changes that parallel modifications made by the subsequent Proclamation.","document_number":"2024-22602","html_url":"https://www.federalregister.gov/documents/2024/10/07/2024-22602/securing-the-border","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-07/pdf/2024-22602.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-22602.pdf?1727715629","publication_date":"2024-10-07","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"},{"raw_name":"DEPARTMENT OF JUSTICE","name":"Justice Department","id":268,"url":"https://www.federalregister.gov/agencies/justice-department","json_url":"https://www.federalregister.gov/api/v1/agencies/268","parent_id":null,"slug":"justice-department"},{"raw_name":"Executive Office for Immigration Review","name":"Executive Office for Immigration Review","id":149,"url":"https://www.federalregister.gov/agencies/executive-office-for-immigration-review","json_url":"https://www.federalregister.gov/api/v1/agencies/149","parent_id":268,"slug":"executive-office-for-immigration-review"}],"excerpts":"and 1185(a), finding that because the border <span class=\"match\">security</span> and immigration systems of the <span class=\"match\">United</span> <span class=\"match\">States</span> were unduly strained, the entry into the <span class=\"match\">United</span> <span class=\"match\">States</span> of certain categories of noncitizens was detrimental to the interests of the <span class=\"match\">United</span> <span class=\"match\">States</span>, and \n \n suspending and limiting the entry of such noncitizens. 89 FR 48487, 48487-91 (June 7, 2024). The June 3 Proclamation directed DHS and DOJ to promptly consider issuing regulations addressing the circumstances at the southern border of the <span class=\"match\">United</span> <span class=\"match\">States</span>, including any warranted limitations and conditions"},{"title":"Call Authentication Trust Anchor","type":"Rule","abstract":"In this document, the Federal Communications Commission (Commission) adopts rules that strengthen the Commission's caller ID authentication requirements by establishing clear practices for providers that rely on third parties to fulfill their STIR/SHAKEN implementation obligations. The rules authorize providers with a STIR/ SHAKEN implementation obligation to engage third parties to perform the technological act of digitally \"signing\" calls consistent with the requirements of the STIR/SHAKEN technical standards so long as: the provider with the implementation obligation makes the \"attestation- level\" decisions for authenticating caller ID information; and all calls are signed using the certificate of the provider with the implementation obligation--not the certificate of a third party. The rules also explicitly require all providers with a STIR/SHAKEN implementation obligation to obtain a Service Provider Code (SPC) token from the STIR/SHAKEN Policy Administrator and present that token to a STIR/SHAKEN Certificate Authority to obtain a digital certificate. Additionally, the rules include recordkeeping requirements for third- party authentication arrangements to enable the Commission to monitor compliance with and enforce Commission rules.","document_number":"2025-15809","html_url":"https://www.federalregister.gov/documents/2025/08/19/2025-15809/call-authentication-trust-anchor","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-19/pdf/2025-15809.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-15809.pdf?1755521150","publication_date":"2025-08-19","agencies":[{"raw_name":"FEDERAL COMMUNICATIONS COMMISSION","name":"Federal Communications Commission","id":161,"url":"https://www.federalregister.gov/agencies/federal-communications-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/161","parent_id":null,"slug":"federal-communications-commission"}],"excerpts":"Secure Telephone Identity Governance Authority (STI-GA). We agree with commenters that the sharing of a provider's certificate with a third-\n \n party authenticator for the purpose of populating the identity header of a call does not create a <span class=\"match\">security</span> risk or undermine the STIR/SHAKEN trust model. As TransNexus <span class=\"match\">states</span>, STIR/SHAKEN certificates are similar to other secure certificates used extensively on the internet: “Most certificate holders provision their certificates and private keys to be hosted by third parties. These companies are experts in securing"},{"title":"Implementation of a Parole Process for Haitians","type":"Notice","abstract":"This notice describes a new effort designed to respond to and protect against a significant increase in the number of Haitian nationals crossing the border without authorization, as the U.S. Government continues to implement its broader, multi-pronged and regional strategy to address the challenges posed by irregular migration. Haitians who do not avail themselves of this process, and instead enter the United States without authorization between ports of entry (POEs), generally are subject to removal. As part of this effort, the U.S. Department of Homeland Security (DHS) is implementing a process--modeled on the successful Uniting for Ukraine (U4U) and Process for Venezuelans--for certain Haitian nationals to lawfully enter the United States in a safe and orderly manner and be considered for a case-by-case determination of parole. To be eligible, individuals must have a supporter in the United States who agrees to provide financial support for the duration of the beneficiary's parole period, pass national security and public safety vetting, and fly at their own expense to an interior POE, rather than entering at a land POE. Individuals are ineligible for this process if they have been ordered removed from the United States within the prior five years; have entered unauthorized into the United States between POEs, Mexico, or Panama after the date of this notice's publication with an exception for individuals permitted a single instance of voluntary departure or withdrawal of their application for admission to still maintain their eligibility for this process; or are otherwise deemed not to merit a favorable exercise of discretion.","document_number":"2023-00255","html_url":"https://www.federalregister.gov/documents/2023/01/09/2023-00255/implementation-of-a-parole-process-for-haitians","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-01-09/pdf/2023-00255.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-00255.pdf?1672955290","publication_date":"2023-01-09","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"}],"excerpts":"foundation for the <span class=\"match\">United</span> <span class=\"match\">States</span> to press regional partners—many of which are already taking important steps—to undertake additional actions with regards to this population, as part of a regional response. Any effort to meaningfully address the crisis in Haiti will require continued efforts by these and other regional partners. \n Importantly, the <span class=\"match\">United</span> <span class=\"match\">States</span> will only implement the new parole process while able to return or remove to Mexico Haitian nationals who enter the <span class=\"match\">United</span> <span class=\"match\">States</span> without authorization across the SWB. The <span class=\"match\">United</span> <span class=\"match\">States</span>' ability to"},{"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":"National Housing Needs and Economic, Housing, and Demographic Conditions \n FHFA received several comments from national advocacy groups and individuals on the current state of housing affordability, racial disparities in lending, and threats to economic sustainability in the <span class=\"match\">United</span> <span class=\"match\">States</span>. Two commenters argued that the lower benchmarks would improve affordable housing, strengthen communities, and reduce inequality. However, most commenters contended that the lower benchmarks would widen gaps in affordable housing availability and increase financial hardship"},{"title":"2026-2028 Enterprise Housing Goals","type":"Proposed Rule","abstract":"The Federal Housing Finance Agency (FHFA) is issuing a proposed rule and requesting comments 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 proposed rule establishes benchmark levels for the housing goals for 2026 through 2028. The proposed 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":"2025-19428","html_url":"https://www.federalregister.gov/documents/2025/10/02/2025-19428/2026-2028-enterprise-housing-goals","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-10-02/pdf/2025-19428.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-19428.pdf?1759322734","publication_date":"2025-10-02","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":"starts—which measure new construction of one-to-four-unit residential properties—registered a modest 7.3 percent increase from 2023 to 2024 but remain slightly below the decade-high levels recorded in 2021.\n 37 \n \n \n \n \n 36 \n  “Housing Inventory: Active Listing Count in the <span class=\"match\">United</span> <span class=\"match\">States</span>,” accessed on May 20, 2025, at \n https://fred.stlouisfed.org/series/ACTLISCOUUS. \n \n \n \n \n 37 \n  “New Privately-Owned Housing Units Started: Single-Family Units,” accessed on May 20, 2025, at \n https://fred.stlouisfed.org/series/ACTLISCOUUS. \n \n \n FHFA continues to monitor"},{"title":"Renewable Fuel Standard (RFS) Program: Standards for 2026 and 2027, Partial Waiver of 2025 Cellulosic Biofuel Volume Requirement, and Other Changes","type":"Proposed Rule","abstract":"Under the Clean Air Act (CAA), the Environmental Protection Agency (EPA) is required to determine the applicable volume requirements for the Renewable Fuel Standard (RFS) for years after those specified in the statute. EPA is proposing the applicable volumes and percentage standards for 2026 and 2027 for cellulosic biofuel, biomass-based diesel (BBD), advanced biofuel, and total renewable fuel. EPA is also proposing to partially waive the 2025 cellulosic biofuel volume requirement and revise the associated percentage standard due to a shortfall in cellulosic biofuel production. Finally, EPA is proposing several regulatory changes to the RFS program, including reducing the number of Renewable Identification Numbers (RINs) generated for imported renewable fuel and renewable fuel produced from foreign feedstocks and removing renewable electricity as a qualifying renewable fuel under the RFS program (eRINs).","document_number":"2025-11128","html_url":"https://www.federalregister.gov/documents/2025/06/17/2025-11128/renewable-fuel-standard-rfs-program-standards-for-2026-and-2027-partial-waiver-of-2025-cellulosic","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-06-17/pdf/2025-11128.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-11128.pdf?1750077923","publication_date":"2025-06-17","agencies":[{"raw_name":"ENVIRONMENTAL PROTECTION AGENCY","name":"Environmental Protection Agency","id":145,"url":"https://www.federalregister.gov/agencies/environmental-protection-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/145","parent_id":null,"slug":"environmental-protection-agency"}],"excerpts":"statutory goals of energy <span class=\"match\">security</span> and independence.\n \n \n \n 111 \n  IEA, “Energy <span class=\"match\">Security</span>.” \n https://www.iea.org/topics/energy-<span class=\"match\">security</span>. \n \n \n \n \n 112 \n  Greene, David L. “Measuring Energy <span class=\"match\">Security</span>: Can the <span class=\"match\">United</span> <span class=\"match\">States</span> Achieve Oil Independence?” Energy Policy 38, no. 4 (March 7, 2009): 1614-21. \n https://doi.org/10.1016/j.enpol.2009.01.041. \n \n \n \n The U.S. has witnessed a significant change in its exposure to the world oil market since the initiation of the RFS2 program in 2010, which has implications for U.S. energy <span class=\"match\">security</span>. In 2010, U.S. net imports"},{"title":"Premerger Notification; Reporting and Waiting Period Requirements","type":"Rule","abstract":"The Federal Trade Commission (\"FTC\" or \"Commission\"), with the concurrence of the Assistant Attorney General, Antitrust Division, Department of Justice (\"Assistant Attorney General\" or \"Antitrust Division\") (together the \"Agencies\"), is issuing this final rule and Statement of Basis and Purpose (\"SBP\") to amend the Premerger Notification Rules (the \"Rules\") that implement the Hart-Scott-Rodino Antitrust Improvement Act (\"the HSR Act\" or \"HSR\"), including the Premerger Notification and Report Form for Certain Mergers and Acquisitions (\"Form\") and Instructions to the Notification and Report Form for Certain Mergers and Acquisitions (\"Instructions\"). The final rule requires parties to transactions that are reportable under the HSR Act to provide documentary material and information that are necessary and appropriate for the Agencies to efficiently and effectively conduct an initial assessment to determine whether the transaction may violate the antitrust laws and whether to issue a Request for Additional Information (\"Second Request\") as provided by the HSR Act. In addition, the final rule implements certain requirements of the Merger Filing Fee Modernization Act of 2022 (\"Merger Modernization Act\") and ministerial changes to the Rules as well as the necessary amendments to the Instructions to effect the final changes.","document_number":"2024-25024","html_url":"https://www.federalregister.gov/documents/2024/11/12/2024-25024/premerger-notification-reporting-and-waiting-period-requirements","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-12/pdf/2024-25024.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25024.pdf?1731073564","publication_date":"2024-11-12","agencies":[{"raw_name":"FEDERAL TRADE COMMISSION","name":"Federal Trade Commission","id":192,"url":"https://www.federalregister.gov/agencies/federal-trade-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/192","parent_id":null,"slug":"federal-trade-commission"}],"excerpts":"com/publications/2014/mergers-acquisitions-unlocking-acquisitive-growth \n ); “Stealth Consolidation,” \n supra \n note 18.\n \n \n \n \n 146 \n  \n See, e.g., <span class=\"match\">United</span> <span class=\"match\">States</span> \n v. \n Grinnell Corp., \n 384 U.S. 563, 576, 578, 580 (1966); \n Standard Oil Co. \n v. \n <span class=\"match\">United</span> <span class=\"match\">States</span>, \n 221 U.S. 1, 31-42 (1911); \n <span class=\"match\">United</span> <span class=\"match\">States</span> \n v. \n Am. Tobacco Co., \n 221 U.S. 106, 157-60 (1911). \n See also \n Note by the <span class=\"match\">United</span> <span class=\"match\">States</span> to the OECD, Serial Acquisitions and Industry Roll-ups (Dec. 6, 2023) (DAF/COMP/WD(2023)99), \n https://one.oecd.org/document/DAF/COMP/WD(2023)99/en/pdf"},{"title":"Dairy Donation Program","type":"Rule","abstract":"This rule finalizes establishment of the Dairy Donation Program as required by the Consolidated Appropriations Act of 2021. Under the program, eligible dairy organizations that account to a Federal milk marketing order and incur a qualified expense related to certain dairy product donations may apply for and receive reimbursements for those donations. The program facilitates dairy product donations and minimizes food waste. The program works in tandem with the Milk Donation Reimbursement Program, and thus this rule also makes corresponding changes to those regulations.","document_number":"2023-18148","html_url":"https://www.federalregister.gov/documents/2023/08/24/2023-18148/dairy-donation-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-08-24/pdf/2023-18148.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-18148.pdf?1692794715","publication_date":"2023-08-24","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 animals across the <span class=\"match\">United</span> <span class=\"match\">States</span>. AMS estimates that the volume of milk dumped due to pandemic-related supply chain issues was almost triple what is typically observed during normal market conditions.\n 1 \n \n At the same time, <span class=\"match\">amidst</span> <span class=\"match\">surging</span> unemployment and economic hardship nationwide, an increasing number of individuals needed nutrient-dense foods such as dairy products. Throughout 2020 and 2021, milk and dairy products were included in food donations authorized under the Coronavirus Aid, Relief, and Economic <span class=\"match\">Security</span> Act (CARES) and through"},{"title":"Exercise of Time-Limited Authority To Increase the Numerical Limitation for FY 2023 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers","type":"Rule","abstract":"The Secretary of Homeland Security, in consultation with the Secretary of Labor, is exercising his time-limited Fiscal Year (FY) 2023 authority and increasing the total number of noncitizens who may receive an H-2B nonimmigrant visa by up to, but no more than, a total of 64,716 for the entirety of FY 2023. To assist U.S. businesses that need workers to begin work on different start dates, the Departments have decided to distribute the supplemental visas in several allocations, including two separate allocations for the second half of fiscal year 2023. Out of the total 64,716 visas made available in this rule, the Departments have decided to reserve 20,000 visas for nationals of Guatemala, El Salvador, Honduras, or Haiti. The Departments will make all 64,716 visas available only to those businesses that are suffering irreparable harm or will suffer impending irreparable harm, as attested by the employer on a new attestation form. In addition to making the additional 64,716 visas available under the FY 2023 time-limited authority, DHS is exercising its general H-2B regulatory authority to again provide temporary portability flexibility by allowing H-2B workers who are already in the United States to begin work immediately after an H-2B petition (supported by a valid temporary labor certification) is received by USCIS, and before it is approved.","document_number":"2022-27236","html_url":"https://www.federalregister.gov/documents/2022/12/15/2022-27236/exercise-of-time-limited-authority-to-increase-the-numerical-limitation-for-fy-2023-for-the-h-2b","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-12-15/pdf/2022-27236.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-27236.pdf?1670883430","publication_date":"2022-12-15","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"},{"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":"Employment and Training Administration","name":"Employment and Training Administration","id":133,"url":"https://www.federalregister.gov/agencies/employment-and-training-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/133","parent_id":271,"slug":"employment-and-training-administration"}],"excerpts":"present in the <span class=\"match\">United</span> <span class=\"match\">States</span> to transfer to a new employer more quickly and potentially extend their stay in the <span class=\"match\">United</span> <span class=\"match\">States</span> and, therefore, earn additional wages. Importantly, the rule will also help ensure information employees have about equal access to COVID-19 vaccinations and vaccine distribution sites. \n DHS recognizes that some of the effects of these provisions may occur beyond the borders of the <span class=\"match\">United</span> <span class=\"match\">States</span>. The current analysis does not seek to quantify or monetize costs or benefits that occur outside of the <span class=\"match\">United</span> <span class=\"match\">States</span>. \n U.S. workers"},{"title":"Energy Conservation Program: Energy Conservation Standards for Distribution Transformers","type":"Rule","abstract":"The Energy Policy and Conservation Act, as amended (EPCA), prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including distribution transformers. EPCA also requires the U.S. Department of Energy (DOE) to periodically review its existing standards to determine whether more stringent standards would be technologically feasible and economically justified, and would result in significant energy savings. In this final rule, DOE is adopting amended energy conservation standards for distribution transformers. It has determined that the amended energy conservation standards for these products would result in significant conservation of energy, and are technologically feasible and economically justified.","document_number":"2024-07480","html_url":"https://www.federalregister.gov/documents/2024/04/22/2024-07480/energy-conservation-program-energy-conservation-standards-for-distribution-transformers","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-22/pdf/2024-07480.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-07480.pdf?1713530715","publication_date":"2024-04-22","agencies":[{"raw_name":"DEPARTMENT OF ENERGY","name":"Energy Department","id":136,"url":"https://www.federalregister.gov/agencies/energy-department","json_url":"https://www.federalregister.gov/api/v1/agencies/136","parent_id":null,"slug":"energy-department"}],"excerpts":"at p. 7) BCBC and BCGC expressed concern that DOE's proposal could be detrimental to the resiliency of the <span class=\"match\">United</span> <span class=\"match\">States</span> electric grid because amorphous is produced from imported, unproven, and foreign-sourced materials that could compromise both energy and national <span class=\"match\">security</span> in the <span class=\"match\">United</span> <span class=\"match\">States</span>. BCBC and BCGC recommended that DOE adopt policies that increase domestic production of key materials and components to strengthen national <span class=\"match\">security</span> and self-reliance. (BCBC, No. 131 at p. 1; BCGC, No. 132 at p. 1) AISI commented that amorphous cores requires"},{"title":"Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities","type":"Rule","abstract":"This final rule with comment period revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2025 based on our continuing experience with these systems. We describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. Also, this final rule updates the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, and Hospital Inpatient Quality Reporting Program. We also summarize information received in response to a Request for Information on potential modifications to the Safety of Care measure group in the Overall Hospital Quality Star Rating methodology. In this final rule, we are also finalizing our proposal to narrow the description of \"custody\" in the Medicare payment exclusion rule and to revise the special enrollment period criteria for formerly incarcerated individuals. We are also finalizing our Medicaid and Children's Health Insurance Program (CHIP) continuous eligibility provisions. We are also finalizing the proposal to reduce the review timeframe for standard prior authorization requests for certain covered outpatient department services paid under the OPPS from 10-business days to 7-calendar days. Further, this rule finalizes updates to the Conditions of Participation (CoPs) for hospitals and critical access hospitals (CAHs) in an effort to advance the health and safety of pregnant, birthing, and postpartum women. This rule also finalizes our proposed policy to separately pay Indian Health Service (IHS) and Tribal hospitals for high-cost drugs furnished in hospital outpatient departments through an add-on payment in addition to the all-inclusive rate (AIR) under the authorities used to calculate the AIR starting January 1, 2025. Finally, we are finalizing exceptions to the Medicaid clinic services four walls requirement for IHS and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas.","document_number":"2024-25521","html_url":"https://www.federalregister.gov/documents/2024/11/27/2024-25521/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-27/pdf/2024-25521.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-25521.pdf?1730492130","publication_date":"2024-11-27","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"Technetium-99m (Tc-99m), the radioisotope used in the majority of such diagnostic imaging services, is produced through the radioactive decay of molybdenum-99 (Mo-99). Historically, most of the Mo-99 used in the <span class=\"match\">United</span> <span class=\"match\">States</span> was produced in legacy reactors outside of the <span class=\"match\">United</span> <span class=\"match\">States</span> using highly enriched uranium (HEU). \n The <span class=\"match\">United</span> <span class=\"match\">States</span> wanted to eliminate domestic reliance on these reactors and promoted the conversion of all medical radioisotope production to non-HEU sources. Alternative methods for producing Tc-99m without HEU are technologically"},{"title":"Exercise of Time-Limited Authority To Increase the Numerical Limitation for Second Half of FY 2022 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers","type":"Rule","abstract":"The Secretary of Homeland Security, in consultation with the Secretary of Labor, is exercising his time-limited Fiscal Year (FY) 2022 authority and again increasing the total number of noncitizens who may receive an H-2B nonimmigrant visa by authorizing the issuance of no more than 35,000 additional visas during the second half of FY 2022 for positions with start dates on or after April 1, 2022 through September 30, 2022, to those businesses that are suffering irreparable harm or will suffer impending irreparable harm, as attested by the employer on a new attestation form. This number is in addition to the 20,000 H-2B visas authorized by the Secretary in consultation with the Secretary of Labor in January of 2022 for petitions with start dates on or before March 31, 2022. In addition to making the additional 35,000 visas available under the FY 2022 time-limited authority, DHS is exercising its general H-2B regulatory authority to again provide temporary portability flexibility by allowing H-2B workers who are already in the United States to begin work immediately after an H-2B petition (supported by a valid temporary labor certification) is received by USCIS, and before it is approved.","document_number":"2022-10631","html_url":"https://www.federalregister.gov/documents/2022/05/18/2022-10631/exercise-of-time-limited-authority-to-increase-the-numerical-limitation-for-second-half-of-fy-2022","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-05-18/pdf/2022-10631.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-10631.pdf?1652732112","publication_date":"2022-05-18","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"},{"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":"Employment and Training Administration","name":"Employment and Training Administration","id":133,"url":"https://www.federalregister.gov/agencies/employment-and-training-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/133","parent_id":271,"slug":"employment-and-training-administration"}],"excerpts":" \n 133 \n  \n See \n 87 FR 3425 (Jan. 24, 2022) (restrictions at <span class=\"match\">United</span> <span class=\"match\">States</span>-Mexico border); 87 FR 3429 (Jan. 24, 2022) (restrictions at <span class=\"match\">United</span> <span class=\"match\">States</span>-Canada border).\n \n \n \n On November 26, 2021, the President issued another Proclamation suspending the entry into the <span class=\"match\">United</span> <span class=\"match\">States</span>, of immigrants or nonimmigrants, of noncitizens who were physically present within certain Southern African countries during the 14-day period preceding their entry or attempted entry into the <span class=\"match\">United</span> <span class=\"match\">States</span>.\n 134 \n \n On December 28, 2021, the President revoked the November"},{"title":"Exercise of Time-Limited Authority To Increase the Fiscal Year 2022 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers","type":"Rule","abstract":"The Secretary of Homeland Security, in consultation with the Secretary of Labor, is exercising his time-limited Fiscal Year (FY) 2022 authority and increasing the total number of noncitizens who may receive an H-2B nonimmigrant visa by authorizing the issuance of no more than 20,000 additional visas during FY 2022 for positions with start dates on or before March 31, 2022, to those businesses that are suffering irreparable harm or will suffer impending irreparable harm, as attested by the employer on a new attestation form. In addition to making additional visas available under the FY 2022 time-limited authority, DHS is exercising its general H-2B regulatory authority to again provide temporary portability flexibility by allowing H-2B workers who are already in the United States to begin work immediately after an H-2B petition (supported by a valid temporary labor certification) is received by USCIS, and before it is approved.","document_number":"2022-01866","html_url":"https://www.federalregister.gov/documents/2022/01/28/2022-01866/exercise-of-time-limited-authority-to-increase-the-fiscal-year-2022-numerical-limitation-for-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-01-28/pdf/2022-01866.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-01866.pdf?1643291146","publication_date":"2022-01-28","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"},{"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":"Employment and Training Administration","name":"Employment and Training Administration","id":133,"url":"https://www.federalregister.gov/agencies/employment-and-training-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/133","parent_id":271,"slug":"employment-and-training-administration"}],"excerpts":"employers with additional labor from neighboring countries who are committed to working with the <span class=\"match\">United</span> <span class=\"match\">States</span> and also promote safe and lawful immigration to the <span class=\"match\">United</span> <span class=\"match\">States</span>.\n \n \n \n 72 \n  \n See also \n National <span class=\"match\">Security</span> Council, Collaborative Migration Management Strategy, \n https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-Migration-Management-Strategy.pdf \n (July 2021) (stating that “The <span class=\"match\">United</span> <span class=\"match\">States</span> has strong national <span class=\"match\">security</span>, economic, and humanitarian interests in reducing irregular migration and promoting safe, orderly"},{"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":"reporting programs. A commenter urged CMS to leverage the Gravity Project's <span class=\"match\">United</span> <span class=\"match\">States</span> Core Data for Interoperability (USCDI) and Fast Healthcare Interoperability Resources® (FHIR®) standards to improve interoperability and integrate community-based supports.\n 260 261 \n \n \n \n \n 260 \n  Office of Disease Prevention and Health Promotion. <span class=\"match\">United</span> <span class=\"match\">States</span> Core Data for Interoperability. \n Available at https://odphp.health.gov/foodismedicine/federal-resource-hub/<span class=\"match\">united</span>-<span class=\"match\">states</span>-core-data-interoperability. \n \n \n 261 \n  eCQI Resource Center. (June, 2025)"},{"title":"Deferred Action for Childhood Arrivals","type":"Proposed Rule","abstract":"On June 15, 2012, the U.S. Department of Homeland Security (DHS) established the Deferred Action for Childhood Arrivals (DACA) policy. The policy--which describes the Secretary of Homeland Security's (Secretary's) exercise of her prosecutorial discretion in light of the limited resources that DHS has for removal of undocumented noncitizens--directed U.S. Citizenship and Immigration Services (USCIS) to create a process to defer removal of certain noncitizens who years earlier came to the United States as children, meet other criteria, and do not present other circumstances that would warrant removal. Since that time, more than 825,000 people have applied successfully for deferred action under this policy. On January 20, 2021, President Biden directed DHS, in consultation with the Attorney General, to take all appropriate actions to preserve and fortify DACA, consistent with applicable law. On July 16, 2021, the U.S. District Court for the Southern District of Texas vacated the June 2012 memorandum that created the DACA policy and what the court called the \"DACA program,\" and it permanently enjoined DHS from \"administering the DACA program and from reimplementing DACA without compliance with\" the Administrative Procedure Act (APA). However, the district court temporarily stayed its vacatur and injunction with respect to most individuals granted deferred action under DACA on or before July 16, 2021, including with respect to their renewal requests. The district court's vacatur and injunction were based, in part, on its conclusion that the June 2012 memorandum announced a legislative rule that required notice-and-comment rulemaking. The district court further remanded the \"DACA program\" to DHS for further consideration. DHS has appealed the district court's decision. Pursuant to the Secretary's broad authorities to administer and enforce the immigration laws, consistent with the district court's direction to consider a number of issues on remand, and after careful consideration of the arguments and conclusions on which the district court's decision is based, DHS puts forward for consideration the following proposed rule. DHS invites public comments on the proposed rule and possible alternatives.","document_number":"2021-20898","html_url":"https://www.federalregister.gov/documents/2021/09/28/2021-20898/deferred-action-for-childhood-arrivals","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-09-28/pdf/2021-20898.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-20898.pdf?1632746726","publication_date":"2021-09-28","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"}],"excerpts":"-us-as-children.pdf \n (hereinafter Napolitano Memorandum).\n \n \n 1. Came to the <span class=\"match\">United</span> <span class=\"match\">States</span> under the age of 16; \n 2. Continuously resided in the <span class=\"match\">United</span> <span class=\"match\">States</span> for at least 5 years preceding June 15, 2012, and were present in the <span class=\"match\">United</span> <span class=\"match\">States</span> on that date; \n 3. Are in school, have graduated from high school, have obtained a General Education Development (GED) certificate, or are an honorably discharged veteran of the Coast Guard or Armed Forces of the <span class=\"match\">United</span> <span class=\"match\">States</span>; \n 4. Have not been convicted of a felony offense, a significant misdemeanor offense"},{"title":"Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness Grant Program","type":"Rule","abstract":"The Department of Veterans Affairs (VA) issues this rule to implement a new authority requiring VA to award grants to eligible entities that will provide certain legal services for homeless veterans and veterans at risk for homelessness. This new grant program is within the continuum of VA's homeless services programs. This rulemaking specifies grant eligibility criteria, application requirements, scoring criteria, constraints on the allocation and use of the funds, and other requirements necessary to implement this grant program.","document_number":"2022-10930","html_url":"https://www.federalregister.gov/documents/2022/06/01/2022-10930/legal-services-for-homeless-veterans-and-veterans-at-risk-for-homelessness-grant-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-06-01/pdf/2022-10930.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-10930.pdf?1654001114","publication_date":"2022-06-01","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":"the Armed Forces of the <span class=\"match\">United</span> <span class=\"match\">States</span>, or an auxiliary unit or society of, or a trust or foundation for, any such post or organization—(A) organized in the <span class=\"match\">United</span> <span class=\"match\">States</span> or any of its possessions, (B) at least 75 percent of the members of which are past or present members of the Armed Forces of the <span class=\"match\">United</span> <span class=\"match\">States</span> and substantially all of the other members of which are individuals who are cadets or are spouses, widows, widowers, ancestors, or lineal descendants of past or present members of the Armed Forces of the <span class=\"match\">United</span> <span class=\"match\">States</span> or of cadets, and (C)"},{"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 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Provider and Supplier Disclosure of Ownership; and Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction","type":"Rule","abstract":"This final rule will: 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); and make other policy- related changes. This final rule also revises our regulations on the counting of days associated with individuals eligible for certain benefits provided by section 1115 demonstrations in the Medicaid fraction of a hospital's disproportionate patient percentage (DPP) used in the disproportionate share hospital (DSH) calculation.","document_number":"2023-16252","html_url":"https://www.federalregister.gov/documents/2023/08/28/2023-16252/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-08-28/pdf/2023-16252.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-16252.pdf?1690920924","publication_date":"2023-08-28","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":"all-urban <span class=\"match\">States</span>, with no expiration date, using the methodology described in 42 CFR 412.64(h)(4)(vi) as in effect for FY 2018. We refer readers to the FY 2022 IPPS/LTCH PPS final rule (86 FR 45176 through 45178) for further discussion of the original imputed floor calculation methodology implemented in FY 2005 and the alternative methodology implemented in FY 2013. \n Based on data available for this final rule, <span class=\"match\">States</span> that will be all-urban <span class=\"match\">States</span> as defined in section 1886(d)(3)(E)(iv)(IV) of the Act, and thus hospitals in such <span class=\"match\">States</span> that will"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19","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 (CY) 2023 based on our continuing experience with these systems. We describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. Also, this final rule updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program; the ASC Quality Reporting (ASCQR) Program; and the Rural Emergency Hospital Quality Reporting (REH) Program. We also make updates to the requirements for Organ Acquisition, REHs, Prior Authorization, and Overall Hospital Quality Star Rating. We are establishing a new provider type for REHs, and we are finalizing proposals regarding payment policy, quality measures, and enrollment policy for REHs. In addition, we are finalizing the Conditions of Participation that REHs must meet in order to participate in the Medicare and Medicaid programs. This rule also finalizes changes to the Critical Access Hospitals (CAH) CoPs for the location and distance requirements, patient's rights requirements, and flexibilities for CAHs that are part of a larger health system. Finally, we are finalizing as implemented a number of provisions included in the COVID-19 interim final rules with comment period (IFCs).","document_number":"2022-23918","html_url":"https://www.federalregister.gov/documents/2022/11/23/2022-23918/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-11-23/pdf/2022-23918.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-23918.pdf?1667506528","publication_date":"2022-11-23","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":"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":"assembly, must be performed in the <span class=\"match\">United</span> <span class=\"match\">States</span>.\n 137 \n \n \n \n \n 135 \n  \n https://www.trade.gov/berry-amendment \n .\n \n \n \n \n 136 \n  \n https://www.trade.gov/berry-amendment-implementation \n .\n \n \n \n \n 137 \n  \n https://sgp.fas.org/crs/misc/R44850.pdf \n .\n \n \n \n The Berry Amendment has been critical to the viability of the textile and clothing production base in the <span class=\"match\">United</span> <span class=\"match\">States</span> and has been critical to maintaining the safety and <span class=\"match\">security</span> of our armed forces, by requiring covered items to be produced in the <span class=\"match\">United</span> <span class=\"match\">States</span>.\n 138 \n \n In the CY 2023 OPPS/ASC"}]}