Regs.gov: Department of Health and Human Services

Interoperability Standards for Prior Authorization APIs for Medicare Advantage, Medicaid, CHIP, and QHP Issuers

CMS proposes requiring Medicare Advantage organizations, Medicaid FFS programs, CHIP FFS programs, Medicaid managed care plans, CHIP managed care entities, and QHP issuers on FFEs to implement electronic prior authorization APIs for drugs. The rule would extend existing interoperability requirements to cover drug prior authorizations, adopt HL7 FHIR standards as HIPAA-covered transaction standards, require API endpoint reporting to CMS, and add a definition of failure to report for civil monetary penalty purposes.

HHS Proposed Rule Comment Submission Form

HHS is accepting public comments on a proposed rule through Regulations.gov. The submission form enables commenters to provide feedback up to 5,000 characters and attach supporting files, with the comment period closing May 8, 2025.

HHS Final Rule Adopts Health Care Claims Attachment Standards

The Department of Health and Human Services (HHS) has issued a final rule establishing standards for health care claims attachments transactions and electronic signatures. This rule, effective May 26, 2026, aims to reduce administrative burden and improve data exchange efficiency between health plans and providers.

ACA Benefit Parameters and Basic Health Program Correction Proposed Rule

The Department of Health and Human Services (HHS) is issuing a correction to a proposed rule concerning the Affordable Care Act (ACA) benefit parameters and the Basic Health Program. This correction addresses technical errors, specifically the omission of column headings in several tables within the original proposed rule published on February 11, 2026.

HHS Drug Testing Panel Guidelines

The Department of Health and Human Services (HHS) has issued updated guidelines for authorized drug testing panels used in federal workplace drug testing programs. The current drug testing panels for urine and oral fluid, along with the required nomenclature for laboratory and Medical Review Officer Reports, remain in effect as of July 7, 2025, with minor edits to footnotes for clarity.

HHS Proposes Rescinding LGBTQI+ Children Placement Rule

The Administration for Children and Families (ACF) proposes to remove a final rule concerning designated placement requirements for LGBTQI+ children in foster care. This action follows a court decision vacating the rule, which the court found exceeded HHS's statutory authority. The public comment period for this proposed rescission ends April 6, 2026.

HHS Opioid Use Disorder Medications Correction

The Department of Health and Human Services (HHS) is issuing a correcting amendment to the final rule on Medications for the Treatment of Opioid Use Disorder. This document corrects outdated references within the regulation, with an effective date of February 23, 2026.

HHS Modifies Privacy Act System of Records

The Department of Health and Human Services (HHS) is modifying a Privacy Act system of records, System No. 09-90-0052, to include reporting on substance use disorder patient records. The comment period for these modifications ends on March 19, 2026.