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Advisory
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

Advisory
The Centers for Medicare & Medicaid Services (CMS) Nov. 21 released its calendar year (CY) 2026 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care, Post-Acute Care, Advocacy & Public Policy, Medicare, Access to Behavioral Health, Reimbursement
Advisory
Member

DEA and HHS Extend Waivers for Prescribing Controlled Substances Through Telemedicine

Advisory
The Department of Health and Human Services (HHS) and Drug Enforcement Administration (DEA) Dec. 30 released a temporary rule extending for the fourth time waiver flexibilities for prescribing controlled substances via telemedicine.
Telemedicine, Prescription Drugs, Access to Behavioral Health, Opioid Use Disorder, Advocacy & Public Policy, Telehealth
Advisory
Member

CMS Updates Guidance on State-directed Payment Provisions

Advisory
The Centers for Medicare & Medicaid Services (CMS) Feb. 2 issued updated preliminary guidance implementing section 71116 of the Working Families Tax Cuts (WFTC) legislation, which had formerly been referred to as the One Big Beautiful Bill Act, Public Law 119-21, which imposed new limits on Medicaid state-directed payments (SDPs).
One Big Beautiful Bill Act (OBBBA), Medicaid
Advisory
Member

CMS Issues Proposed Notice of Benefit and Payment Parameters for 2027

Advisory
The Centers for Medicare & Medicaid Services (CMS) Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees.
Health Insurance, Marketplace Issues/Stability, Cost Management, Making Healthcare More Affordable, Program Integrity, Enroll in Health Insurance
Advisory
Member

CMS Issues Proposed Rule for CY 2027 Medicare Advantage, Prescription Drug Plans

Advisory
The Centers for Medicare & Medicaid Services (CMS) Nov. 28 released its proposed Policy and Technical Changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program and Programs of All-Inclusive Care for the Elderly for Contract Year (CY) 2027.
Medicare Advantage, Drug Prices, Prescription Drugs
Advisory
Member

Telemedicine Prescribing of Controlled Substances

Advisory
The Department of Health and Human Services (HHS) and Drug Enforcement Administration (DEA) Jan. 15 released a proposed rule on special registration for prescribing of controlled substances and a final rule on telemedicine prescribing of buprenorphine.
Telemedicine, Telehealth, Opioid Use Disorder, Access to Behavioral Health, Advocacy & Public Policy
Advisory
Member

Update: Congress Passes Health Care Funding, Extends Key Health Care Provisions

Advisory
Congress has passed the Consolidated Appropriations Act of 2026 (H.R.7148), which consists of a short-term continuing resolution for the Department of Homeland Security (DHS) appropriations bill and a package of five full-year appropriations bills, containing conferenced legislation for the Departments of Defense, Labor, Health and Human Services, Education,
Legislation and Legislative Advocacy, Medicaid, Medicare, Medicare Sequestration Payment Reductions, Cybersecurity, Rural issues, Workforce, Child and Adolescent Health, Maternal Health, Medical Education and Research, Access to Behavioral Health, Substance Use Disorder, Disaster Preparedness, 340B Drug Pricing Program
Issue Brief

Issue Brief | Care Delivery Transformation Framework

Issue Brief
This issue brief describes each component of the Health Care Transformation Framework.
Care Delivery, Clinical Integration, Access to Behavioral Health, Innovation/New Models of Care
Letter/Comment
Public

AHA Letter Opposing the Physician Led and Rural Access to Quality Care Act (H.R.2191)

Letter/Comment
AHA expresses opposition to H.R. 2191, the Physician Led and Rural Access to Quality Care Act.
Rural issues, Physician Self-Referral Law/Stark law, Marketplace Issues/Stability, Access to Care in Vulnerable Communities
Advisory
Member

CMS Releases Guidance on One Big Beautiful Bill Act Provisions on State-directed Payments

Advisory
The CMS Sept. 9 issued preliminary guidance implementing section 71116 of the One Big Beautiful Bill Act (OBBBA).
Medicaid, Legislation and Legislative Advocacy