{"description":"Documents matching 'support more robust health infrastructure'","count":2750,"total_pages":50,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=support+more+robust+health+infrastructure&format=json&page=2","results":[{"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 currently in 45 CFR 170.215(j)(1) through (3), (k)(1), (m), and (n), provided that the proposals to adopt the newer versions of these adopted standards are finalized. These updated standards versions could <span class=\"match\">support</span> a <span class=\"match\">more</span> <span class=\"match\">robust</span> <span class=\"match\">health</span> IT <span class=\"match\">infrastructure</span>, create consistency for industry, and facilitate interoperability by ensuring that <span class=\"match\">health</span> IT leveraging these standards under different HHS programs use the same baseline standards for the same use cases, such as electronic prior authorization.\n \n \n \n 14 \n  ASTP/ONC is now referred to as ONC, pursuant"},{"title":"Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures","type":"Rule","abstract":"This final rule implements requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, enacted on March 30, 2010--collectively, the Affordable Care Act. Specifically, this final rule adopts standards for health care claims attachments transactions, which will support health care claims transactions, and a standard for electronic signatures to be used in conjunction with health care claims attachments transactions.","document_number":"2026-05676","html_url":"https://www.federalregister.gov/documents/2026/03/24/2026-05676/administrative-simplification-adoption-of-standards-for-health-care-claims-attachments-transactions","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-24/pdf/2026-05676.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-05676.pdf?1774037709","publication_date":"2026-03-24","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":"affecting both <span class=\"match\">health</span> plans and <span class=\"match\">health</span> care providers. \n Section 1173(a) of the Act provides that the Secretary must adopt standards for financial and administrative transactions, and data elements for those transactions, to enable <span class=\"match\">health</span> information to be exchanged electronically. The original HIPAA provisions require the Secretary to adopt standards for the following transactions: (1) <span class=\"match\">health</span> claims or equivalent encounter information; (2) <span class=\"match\">health</span> claims attachments; (3) enrollment and disenrollment in a <span class=\"match\">health</span> plan; (4) eligibility for a <span class=\"match\">health</span> plan; (5)"},{"title":"Reforming the High-Cost Program for an All-IP Future, Connect America Fund: A National Broadband Plan for Our Future High-Cost Universal Support","type":"Proposed Rule","abstract":"In this document, the Federal Communications Commission (FCC or Commission) adopted a Notice of Proposed Rulemaking (NPRM) that kicks off a process to examine how the Commission can make some of its high-cost mechanisms even more efficient and effective into the future. Ensuring a predictable High-Cost Program for years to come--call it High-Cost Modernization--will provide continuing support for our Build America Agenda, supercharge American leadership in Artificial Intelligence (AI) by efficiently supporting the broadband-capable networks upon which AI-enhanced applications and services will be delivered and accessed, and will help accelerate the transition to Internet Protocol (IP) networks.","document_number":"2026-11353","html_url":"https://www.federalregister.gov/documents/2026/06/05/2026-11353/reforming-the-high-cost-program-for-an-all-ip-future-connect-america-fund-a-national-broadband-plan","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-05/pdf/2026-11353.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-11353.pdf?1780577120","publication_date":"2026-06-05","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":"Commission focus <span class=\"match\">support</span> on capital expenditures or operating expenses? Would there be benefits to establishing a new <span class=\"match\">support</span> mechanism that would enable the deployment of high-speed networks where gaps remain and/or <span class=\"match\">support</span> the ongoing costs of existing networks that were built using high-cost funds? If so, would model-based <span class=\"match\">support</span> be the most appropriate? If a new <span class=\"match\">support</span> mechanism was established to <span class=\"match\">support</span> only operating expenses for existing high-cost networks, should it be limited to certain operating costs? To what extent is <span class=\"match\">support</span> necessary for"},{"title":"Mental Health Service Professional Demonstration Grant Program","type":"Notice","abstract":"The Department of Education (Department) announces final priorities, requirements, and definitions under the Mental Health Service Professional Demonstration Grant Program (MHSP), Assistance Listing Number (ALN) 84.184X. We may use one or more of these priorities, requirements, and definitions for competitions in fiscal year (FY) 2025 and later years. These final priorities, requirements, and definitions are designed to better target activities to address shortages of school-based mental health services providers, specifically school psychologists, in high-need local educational agencies (LEAs). These priorities, requirements, and definitions replace the Notice of Final Priorities, Requirements, and Definitions published in the Federal Register on October 4, 2022 (87 FR 60083). However, those priorities, requirements, and definitions remain in effect for previous grant competitions in which the notices inviting applications (NIAs) were published before the Department finalized the proposed priorities, requirements, and definitions in this notice.","document_number":"2025-18893","html_url":"https://www.federalregister.gov/documents/2025/09/29/2025-18893/mental-health-service-professional-demonstration-grant-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-09-29/pdf/2025-18893.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-18893.pdf?1758890722","publication_date":"2025-09-29","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"appreciate the comments expressing <span class=\"match\">support</span> for the priorities, requirements, and definitions. The Department recognizes the connection between mental <span class=\"match\">health</span> and learning. Students facing mental <span class=\"match\">health</span> challenges may be unable to focus on learning, and increasing the capacity of schools to provide needed services to students may <span class=\"match\">support</span> these students' academic engagement. In addition, the Department is committed to implementing the Bipartisan Safer Communities Act as planned, which requires the Department to <span class=\"match\">support</span> mental <span class=\"match\">health</span> grant programs through FY"},{"title":"Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions To Unleash Prosperity","type":"Proposed Rule","abstract":"This proposed rule focuses on deregulatory actions identified in HHS regulations regarding Health information technology standards, implementation specifications, and certification criteria and certification programs for health information technology, and information blocking. This proposed rule seeks to reduce burden, offer flexibility to both developers and providers, and support innovation through the removal and revisions of certain certification criteria and regulatory provisions. This proposed rule also seeks to address reported misuse and abuse of information blocking definitions and exceptions.","document_number":"2025-23896","html_url":"https://www.federalregister.gov/documents/2025/12/29/2025-23896/health-data-technology-and-interoperability-astponc-deregulatory-actions-to-unleash-prosperity","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-29/pdf/2025-23896.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-23896.pdf?1766438109","publication_date":"2025-12-29","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":"highest possible quality of life for each citizen. ASTP/ONC is issuing this proposed rule in an effort to streamline and reduce administrative burdens on <span class=\"match\">health</span> care providers, <span class=\"match\">health</span> information technology (IT) developers, and the <span class=\"match\">health</span> IT community overall. This proposed rule would also improve patient and <span class=\"match\">health</span> care provider access to electronic <span class=\"match\">health</span> information (EHI) and promote <span class=\"match\">health</span> IT and <span class=\"match\">health</span> care market competition with proposals to revise the information blocking regulations.\n \n \n \n 1 \n  \n https://www.federalregister.gov/documents/202"},{"title":"Notice of Order Under Sections 362 and 365 of the Public Health Service Act Suspending Introduction of Certain Persons From Countries Where a Communicable Disease Exists","type":"Notice","abstract":"The Centers for Disease Control and Prevention (CDC), a component of the Department of Health and Human Services (HHS), announces the issuance of an Order under Section 362 and 365 of the Public Health Service Act that suspends the introduction of certain persons from countries where an outbreak of a communicable disease exists for a period of 30 days. The Order was issued on May 18, 2026.","document_number":"2026-10157","html_url":"https://www.federalregister.gov/documents/2026/05/21/2026-10157/notice-of-order-under-sections-362-and-365-of-the-public-health-service-act-suspending-introduction","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-21/pdf/2026-10157.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10157.pdf?1779194716","publication_date":"2026-05-21","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 Disease Control and Prevention","name":"Centers for Disease Control and Prevention","id":44,"url":"https://www.federalregister.gov/agencies/centers-for-disease-control-and-prevention","json_url":"https://www.federalregister.gov/api/v1/agencies/44","parent_id":221,"slug":"centers-for-disease-control-and-prevention"}],"excerpts":"treatment capacity <span class=\"match\">more</span> effectively. In the context of a rapidly evolving Bundibugyo virus disease outbreak with significant international mobility, prioritizing surveillance efforts toward a smaller and <span class=\"match\">more</span> traceable traveler population would strengthen the overall effectiveness of U.S. disease containment and border <span class=\"match\">health</span> security operations. \n IV. Legal Basis for This Order Under Sections 362 and 365 of the Public <span class=\"match\">Health</span> Service Act and 42 CFR 71.40 \n CDC is issuing this Order pursuant to sections 362 and 365 of the Public <span class=\"match\">Health</span> Service Act (42"},{"title":"Notice of an Amended Order Under Sections 362 and 365 of the Public Health Service Act Suspending Introduction of Certain Persons From Countries Where a Communicable Disease Exists","type":"Notice","abstract":"The Centers for Disease Control and Prevention (CDC), a component of the Department of Health and Human Services (HHS), announces the issuance of an Amended Order under Section 362 and 365 of the Public Health Service Act that suspends the introduction of certain persons from countries where an outbreak of a communicable disease exists for a period of 30 days. The Amended Order was issued on May 22, 2026.","document_number":"2026-10701","html_url":"https://www.federalregister.gov/documents/2026/05/29/2026-10701/notice-of-an-amended-order-under-sections-362-and-365-of-the-public-health-service-act-suspending","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-29/pdf/2026-10701.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10701.pdf?1779885920","publication_date":"2026-05-29","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 Disease Control and Prevention","name":"Centers for Disease Control and Prevention","id":44,"url":"https://www.federalregister.gov/agencies/centers-for-disease-control-and-prevention","json_url":"https://www.federalregister.gov/api/v1/agencies/44","parent_id":221,"slug":"centers-for-disease-control-and-prevention"}],"excerpts":"capacity <span class=\"match\">more</span> effectively. In the context of a rapidly evolving Bundibugyo virus disease outbreak with significant international mobility, prioritizing surveillance efforts toward a smaller and <span class=\"match\">more</span> traceable traveler population would strengthen the overall effectiveness of U.S. disease containment and border <span class=\"match\">health</span> security operations. \n IV. Legal Basis for This Amended Order Under Sections 362 and 365 of the Public <span class=\"match\">Health</span> Service Act and 42 CFR 71.40 \n CDC is issuing this Amended Order pursuant to sections 362 and 365 of the Public <span class=\"match\">Health</span> Service"},{"title":"Order Under Sections 362 and 365 of the Public Health Service Act Continuing the Suspension of the Right To Introduce Certain Persons From Countries Where a Quarantinable Communicable Disease Exists","type":"Notice","abstract":"The Centers for Disease Control and Prevention (CDC), a component of the Department of Health and Human Services (HHS), announces it is issuing an Order under Section 362 and 365 of the Public Health Service Act, and associated implementing regulations, continuing the suspension of the right to introduce certain persons from countries where an outbreak of a quarantinable communicable disease exists. This Order was issued on June 21, 2026, and shall remain in effect through 4:59 p.m. Eastern Daylight Time (EDT) on Tuesday, July 21, 2026. This Order may be amended or rescinded prior to that time at the discretion of the Director.","document_number":"2026-12790","html_url":"https://www.federalregister.gov/documents/2026/06/25/2026-12790/order-under-sections-362-and-365-of-the-public-health-service-act-continuing-the-suspension-of-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-06-25/pdf/2026-12790.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-12790.pdf?1782305112","publication_date":"2026-06-25","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Disease Control and Prevention","name":"Centers for Disease Control and Prevention","id":44,"url":"https://www.federalregister.gov/agencies/centers-for-disease-control-and-prevention","json_url":"https://www.federalregister.gov/api/v1/agencies/44","parent_id":221,"slug":"centers-for-disease-control-and-prevention"}],"excerpts":"may assist in the enforcement of public <span class=\"match\">health</span> measures under 42 CFR 71.40(d)(2). Accordingly, CDC may coordinate with DHS and other federal agencies, as appropriate, to <span class=\"match\">support</span> implementation of the public <span class=\"match\">health</span> orders.\n \n \n Comment: \n Airlines for America (A4A), a trade association for U.S. passenger and cargo air carriers, also submitted a comment on behalf of its members. A4A generally <span class=\"match\">supports</span> CDC's efforts to prevent the introduction of Ebola disease into the United States but urges CDC to adopt a <span class=\"match\">more</span> risk-informed and operationally flexible"},{"title":"The National Institutes of Health Public Access Policy","type":"Notice","abstract":"The 2024 National Institutes of Health (NIH) Public Access Policy implements additional steps to accelerate free public access to scholarly publications resulting from the research that NIH supports, building upon NIH's long history of providing public access to research results.","document_number":"2024-29929","html_url":"https://www.federalregister.gov/documents/2024/12/18/2024-29929/the-national-institutes-of-health-public-access-policy","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-18/pdf/2024-29929.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-29929.pdf?1734443161","publication_date":"2024-12-18","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":"National Institutes of Health","name":"National Institutes of Health","id":353,"url":"https://www.federalregister.gov/agencies/national-institutes-of-health","json_url":"https://www.federalregister.gov/api/v1/agencies/353","parent_id":221,"slug":"national-institutes-of-health"}],"excerpts":"April 2023, and in November 2023, NIH sponsored a workshop \n https://www.nationalacademies.org/our-work/enhancing-public-access-to-the-results-of-research-<span class=\"match\">supported</span>-by-the-department-of-<span class=\"match\">health</span>-and-human-services-a-workshop \n held by the National Academies of Sciences, Engineering and Medicine (NASEM) on Enhancing Public Access to the Results of Research <span class=\"match\">Supported</span> by the U.S. Department of <span class=\"match\">Health</span> and Human Services (HHS). Commenters and attendees included academic institutional officials, researchers at various career stages, patient advocates, publishers"},{"title":"Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA)","type":"Rule","abstract":"This final rule has finalized certain proposals from a proposed rule published in August 2024 and in doing so advances interoperability and supports the access, exchange, and use of electronic health information. Specifically, this final rule amends the information blocking regulations by including definitions related to the Trusted Exchange Framework and Common Agreement (TEFCA) Manner Exception. It also implements provisions related to the TEFCA, which will support the reliability, privacy, security, and trust within TEFCA. Lastly, this final rule includes corrections and updates to current regulatory provisions of the Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program.","document_number":"2024-29163","html_url":"https://www.federalregister.gov/documents/2024/12/16/2024-29163/health-data-technology-and-interoperability-trusted-exchange-framework-and-common-agreement-tefca","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-16/pdf/2024-29163.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-29163.pdf?1733924732","publication_date":"2024-12-16","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":"rule also adopted a proposal to change the Program's name to the “ONC <span class=\"match\">Health</span> IT Certification Program” from the ONC HIT Certification Program, modified the Program to make it <span class=\"match\">more</span> accessible to other types of <span class=\"match\">health</span> IT beyond EHR technology and for <span class=\"match\">health</span> IT that <span class=\"match\">supports</span> care and practice settings beyond the ambulatory and inpatient settings, and adopted new and revised Principles of Proper Conduct (PoPC) for ONC-ACBs. \n After issuing a proposed rule on March 2, 2016, “ONC <span class=\"match\">Health</span> IT Certification Program: Enhanced Oversight and Accountability” (81"},{"title":"Health Data, Technology, and Interoperability: Protecting Care Access","type":"Rule","abstract":"This final rule has finalized certain proposals from the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability Proposed Rule (HTI-2 Proposed Rule) and in doing so supports the access, exchange, and use of electronic health information. Specifically, this final rule amends the information blocking regulations to revise two existing information blocking exceptions and establish an additional reasonable and necessary activity that does not constitute information blocking referred to as the Protecting Care Access Exception.","document_number":"2024-29683","html_url":"https://www.federalregister.gov/documents/2024/12/17/2024-29683/health-data-technology-and-interoperability-protecting-care-access","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-17/pdf/2024-29683.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-29683.pdf?1734356733","publication_date":"2024-12-17","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"excerpts":"official website, \n HealthIT.gov \n , for <span class=\"match\">more</span> information on the ONC <span class=\"match\">Health</span> IT Certification Program, TEFCA, and a wide variety of other <span class=\"match\">health</span> IT topics in addition to information blocking and note that we continue to work alongside federal partners and other interested parties, including providers and payers, to serve as a resource to the entire <span class=\"match\">health</span> system in <span class=\"match\">support</span> of the adoption of <span class=\"match\">health</span> information technology and the promotion of nationwide, standards-based <span class=\"match\">health</span> information exchange to improve <span class=\"match\">health</span> care.\n \n \n Comments. \n A couple of commenters"},{"title":"Secretarial Comments on the Consensus-Based Entity's (CBE) (Battelle Memorial Institute) 2025 Activities: Report to Congress and the Secretary of the Department of Health and Human Services","type":"Notice","abstract":"This notice acknowledges the Secretary of the Department of Health and Human Services' (the Secretary's) receipt and review of Battelle Memorial Institute's 2025 Annual Activities Report to Congress. The Battelle Memorial Institute is the consensus-based entity (CBE) under a contract with the Secretary, as mandated by section 1890(b)(5) of the Social Security Act (the Act). The Secretary has reviewed CBE's 2025 Annual Report and is publishing the report in the Federal Register together with the Secretary's comments on the report not later than 6 months after receiving the report in accordance with section 1890(b)(5)(B) of the Act. This notice fulfills the statutory requirements. The Act requires the Secretary to review and publish the report; however, this statutory obligation does not constitute endorsement by the Secretary of the CBE's annual report or its specific recommendations.","document_number":"2026-13865","html_url":"https://www.federalregister.gov/documents/2026/07/09/2026-13865/secretarial-comments-on-the-consensus-based-entitys-cbe-battelle-memorial-institute-2025-activities","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-07-09/pdf/2026-13865.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-13865.pdf?1783514718","publication_date":"2026-07-09","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"(B) of the Act, the CBE must provide for the endorsement of standardized <span class=\"match\">health</span> care performance measures. This process must consider whether measures are evidence-based, reliable, valid, verifiable, relevant to enhanced <span class=\"match\">health</span> outcomes, actionable at the caregiver level, feasible to collect and report, responsive to variations in patient characteristics such as <span class=\"match\">health</span> status, language capabilities, race or ethnicity, and income level and are consistent across types of <span class=\"match\">health</span> care providers, including hospitals and physicians.\n \n \n Maintenance of"},{"title":"Supporting the Head Start Workforce and Consistent Quality Programming","type":"Rule","abstract":"This final rule makes regulatory changes to the Head Start Program Performance Standards (HSPPS) to support and stabilize the Head Start workforce and improve the quality of services Head Start programs provide to children and families. These changes include requirements for wages and benefits, breaks for staff, and enhanced support for staff health and wellness. The changes also include enhancements to mental health services to better integrate mental health into every aspect of program service delivery. Enhancements are also included in the areas of family service worker family assignments, identifying and meeting community needs, ensuring child safety, services for pregnant women and other pregnant people, and alignment with State early childhood systems. Finally, the changes include minor clarifications to promote better transparency and clarity of understanding for grant recipients.","document_number":"2024-18279","html_url":"https://www.federalregister.gov/documents/2024/08/21/2024-18279/supporting-the-head-start-workforce-and-consistent-quality-programming","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-08-21/pdf/2024-18279.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-18279.pdf?1723821314","publication_date":"2024-08-21","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"excerpts":"mental <span class=\"match\">health</span> consultants to be available at least once a month. The final rule includes additional flexibility to <span class=\"match\">support</span> implementation of the frequency of mental <span class=\"match\">health</span> services. Specifically, the final rule includes a new provision that allows other licensed mental <span class=\"match\">health</span> professionals or behavioral <span class=\"match\">health</span> <span class=\"match\">support</span> specialists to work in coordination and consultation with the mental <span class=\"match\">health</span> consultant to provide mental <span class=\"match\">health</span> <span class=\"match\">supports</span> on at least a monthly basis. This change maintains the requirement for every program to have a mental <span class=\"match\">health</span> consultant"},{"title":"Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program","type":"Rule","abstract":"This final rule contains provisions to improve implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This final rule also includes provisions related to civil money penalties (CMPs) for noncompliant issuers and other responsible entities; standards governing agents, brokers, and web-brokers; the expansion and codification of hardship exemption eligibility; implementation of the State Exchange Improper Payment Measurement (SEIPM); provider access standards and essential community provider standards for QHP certification; QHP certification of non-network plans; a prohibition on issuers from including routine non-pediatric dental services as an Essential Health Benefit (EHB); requirements related to defrayal for the cost of any State-required benefits in addition to the EHB; cost- sharing flexibilities for catastrophic and individual market bronze plans; establishment of catastrophic plans with plan terms of up to 10 consecutive plan years; QHP issuer quality improvement strategies (QISs); and revisions affecting which enrollees are included in Federal Basic Health Program (BHP) payment calculations to States. This final rule also includes amendments to implement certain provisions of the Working Families Tax Cut (WFTC) legislation.","document_number":"2026-10050","html_url":"https://www.federalregister.gov/documents/2026/05/20/2026-10050/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2027-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-05-20/pdf/2026-10050.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-10050.pdf?1779135308","publication_date":"2026-05-20","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"determines that a State is fully ready to meet the requirements of a State Exchange and adequately <span class=\"match\">support</span> its consumers. \n Moreover, as discussed in the proposed rule, the technology <span class=\"match\">infrastructure</span> available today to States for implementation of State Exchanges has become <span class=\"match\">more</span> compatible, such that the technology used to <span class=\"match\">support</span> one State Exchange implementation could be leveraged by another State Exchange. For example, there may be State vendor-<span class=\"match\">supported</span> informational technology platforms, such as call center technology, developed for one State Exchange"},{"title":"Freight Car Safety Standards Implementing the Infrastructure Investment and Jobs Act","type":"Rule","abstract":"FRA is amending the Freight Car Safety Standards (FCSS) to implement section 22425 of the Infrastructure Investment and Jobs Act (Act). The Act places certain restrictions on newly built freight cars placed into service in the United States (U.S.) including limiting content that originates from a country of concern (COC) or is sourced from a state-owned enterprise (SOE) and prohibiting sensitive technology that originates from a COC or is sourced from a SOE. The Act mandates that FRA issue a regulation to monitor and enforce industry's compliance with the Act's standards.","document_number":"2024-30030","html_url":"https://www.federalregister.gov/documents/2024/12/19/2024-30030/freight-car-safety-standards-implementing-the-infrastructure-investment-and-jobs-act","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-12-19/pdf/2024-30030.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-30030.pdf?1734529517","publication_date":"2024-12-19","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 Railroad Administration","name":"Federal Railroad Administration","id":185,"url":"https://www.federalregister.gov/agencies/federal-railroad-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/185","parent_id":492,"slug":"federal-railroad-administration"}],"excerpts":"operated— \n (i) Primarily on track that is inside an industrial or other non-railroad installation; and \n (ii) Only occasionally over track of a railroad; \n (2) The cars are not operated— \n (i) At speeds of <span class=\"match\">more</span> than 15 miles per hour; and \n (ii) Over track of a railroad— \n (A) For <span class=\"match\">more</span> than 30 miles in one direction; or \n (B) On a round trip of <span class=\"match\">more</span> than 60 miles; \n (3) The cars are not freely interchanged among railroads; \n (4) The words “Dedicated Service” are stenciled, or otherwise displayed, in clearly legible letters on each side of the car body;"},{"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":"49 \n  \n Id. \n \n \n 2. <span class=\"match\">Health</span> Information Technology for Economic and Clinical <span class=\"match\">Health</span> (HITECH) Act \n \n On February 17, 2009, Congress enacted the <span class=\"match\">Health</span> Information Technology for Economic and Clinical <span class=\"match\">Health</span> Act of 2009 (HITECH Act), part of the American Recovery and Reinvestment Act of 2009 (ARRA),\n 50 \n \n promoting the nationwide adoption and standardization of <span class=\"match\">health</span> information technology (<span class=\"match\">health</span> IT) to <span class=\"match\">support</span> the electronic sharing of clinical data. The HITECH Act created financial incentives for <span class=\"match\">health</span> IT use among <span class=\"match\">health</span> care practitioners"},{"title":"Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability","type":"Proposed Rule","abstract":"This proposed rule seeks to advance interoperability, improve transparency, and support the access, exchange, and use of electronic health information through proposals for: standards adoption; adoption of certification criteria to advance public health data exchange; expanded uses of certified application programming interfaces, such as for electronic prior authorization, patient access, care management, and care coordination; and information sharing under the information blocking regulations. It proposes to establish a new baseline version of the United States Core Data for Interoperability. The proposed rule would update the ONC Health IT Certification Program to enhance interoperability and optimize certification processes to reduce burden and costs. The proposed rule would also implement certain provisions related to the Trusted Exchange Framework and Common Agreement (TEFCA), which would support the reliability, privacy, security, and trust within TEFCA.","document_number":"2024-14975","html_url":"https://www.federalregister.gov/documents/2024/08/05/2024-14975/health-data-technology-and-interoperability-patient-engagement-information-sharing-and-public-health","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-08-05/pdf/2024-14975.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-14975.pdf?1721825115","publication_date":"2024-08-05","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":"Office of the Secretary"}],"excerpts":"Certification Criteria for <span class=\"match\">Health</span> IT Modules <span class=\"match\">Supporting</span> Public <span class=\"match\">Health</span> Data Exchange \n e. New Certification Criteria for <span class=\"match\">Health</span> IT Modules <span class=\"match\">Supporting</span> Public <span class=\"match\">Health</span> Data Exchange \n f. New Standardized API for Public <span class=\"match\">Health</span> Data Exchange \n 14. Bulk Data Enhancements \n a. Background \n b. Proposal \n 15. New Requirements to <span class=\"match\">Support</span> Dynamic Client Registration Protocol in the Program \n a. Background to Dynamic Client Registration \n b. Adoption of HL7 UDAP Security IG v1 \n c. Revision of Standardized API for Patient and Population Services to <span class=\"match\">Support</span> Dynamic Client"},{"title":"Lifeline and Link Up Reform and Modernization; Bridging the Digital Divide for Low-Income Consumers; Telecommunications Carriers Eligible for Universal Service Support; Affordable Connectivity Program; Emergency Broadband Benefit Program","type":"Proposed Rule","abstract":"In this document, the Federal Communications Commission (Commission) seeks to ensure that Lifeline services are used to benefit and support eligible low-income Americans, that the program's funding is protected from waste, fraud, and abuse, and that service providers are in compliance with Commission rules. The Commission also seeks to update and streamline Lifeline and related rules.","document_number":"2026-06531","html_url":"https://www.federalregister.gov/documents/2026/04/03/2026-06531/lifeline-and-link-up-reform-and-modernization-bridging-the-digital-divide-for-low-income-consumers","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-03/pdf/2026-06531.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06531.pdf?1775133915","publication_date":"2026-04-03","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":"Commission can better understand consumer usage of fixed services <span class=\"match\">supported</span> by the Lifeline program and how these differ from mobile uses? Are there existing resources documenting such usage, or can service providers readily share that information with the Commission? \n <span class=\"match\">Support</span> for Consumers Reliant on Voice Services \n \n The Commission seeks comments on whether to maintain <span class=\"match\">support</span> for voice-only services in the Lifeline program and whether changes to the ongoing phase-down of <span class=\"match\">support</span> for voice service are necessary. In the \n 2016 Lifeline Report and"},{"title":"Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program","type":"Proposed Rule","abstract":"This proposed rule contains provisions to improve implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This proposed rule also includes provisions related to civil money penalties (CMPs) for noncompliant issuers and other responsible entities; standards governing agents, brokers, and web-brokers; the expansion and codification of hardship exemption eligibility; implementation of the State Exchange Improper Payment Measurement (SEIPM); provider access standards and essential community provider standards for QHP certification; QHP certification of non-network plans; a prohibition on issuers from including routine non-pediatric dental services as an Essential Health Benefit (EHB); cost-sharing flexibilities for catastrophic and individual market bronze plans; establishment of catastrophic plans with plan terms of up to 10 consecutive years; QHP issuer quality improvement strategies (QISs); revisions affecting which enrollees are included in Federal Basic Health Program (BHP) payment calculations to States; and seeks comment on potential adjustments to other Federal standards, including the Federal medical loss ratio (MLR) standard in the individual market. This proposed rule also includes amendments to implement certain provisions of the Working Families Tax Cut (WFTC) legislation.","document_number":"2026-02769","html_url":"https://www.federalregister.gov/documents/2026/02/11/2026-02769/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2027-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-02-11/pdf/2026-02769.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-02769.pdf?1770671709","publication_date":"2026-02-11","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":"framework that relies on and benefits from the government working within the existing <span class=\"match\">health</span> insurance coverage <span class=\"match\">infrastructure</span> rather than taking a purely governmental or public approach to advancing coverage for the individually insured population. The Affordable Care Act does not establish new government-provided <span class=\"match\">health</span> plans but instead creates Exchanges to facilitate the purchase of government-subsidized QHPs through the individual <span class=\"match\">health</span> insurance market. Exchanges <span class=\"match\">support</span> specific statutory functions that make QHPs available to purchase. These functions"},{"title":"Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to the City of Kodiak St. Herman Harbor Infrastructure Rebuild Project Kodiak, Alaska","type":"Notice","abstract":"NMFS has received a request from the City of Kodiak for authorization to take marine mammals incidental to 2 years of construction activities associated with the St. Herman Harbor Infrastructure Rebuild Project (SHHIRP) in Kodiak, Alaska. Pursuant to the Marine Mammal Protection Act (MMPA), NMFS is requesting comments on its proposal to issue two consecutive 1-year incidental harassment authorizations (IHAs) to incidentally take marine mammals during the specified activities. NMFS is also requesting comments on possible one- time, 1-year renewals that could be issued under certain circumstances and if all requirements are met, as described in Request for Public Comments at the end of this notice. NMFS will consider public comments prior to making any final decision on the issuance of the requested MMPA authorizations and agency responses will be summarized in the final notice of our decision.","document_number":"2026-04885","html_url":"https://www.federalregister.gov/documents/2026/03/13/2026-04885/takes-of-marine-mammals-incidental-to-specified-activities-taking-marine-mammals-incidental-to-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-03-13/pdf/2026-04885.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-04885.pdf?1773319507","publication_date":"2026-03-13","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"National Oceanic and Atmospheric Administration","name":"National Oceanic and Atmospheric Administration","id":361,"url":"https://www.federalregister.gov/agencies/national-oceanic-and-atmospheric-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/361","parent_id":54,"slug":"national-oceanic-and-atmospheric-administration"}],"excerpts":"for vessels displaced during Phase II. Phase II construction would begin after Phase II is complete and is anticipated to take no <span class=\"match\">more</span> than one year to complete. Phase II construction will involve removing and replacing the main harbor <span class=\"match\">infrastructure</span> and will include the removal of 12 existing concrete headwalks, mainwalks, slip floats, and piles. These will be replaced with 14 new floats and associated piles in a <span class=\"match\">more</span> efficient configuration. Phase II will also include dredging approximately 1,900 cubic yards (yd\n 3 \n ) (1,453 cubic meters (m\n 3"}]}