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Proposed rule

Medicare Program; Ensuring Safety Through Domestic Security With Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals

Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register Jan. 29, 2026. Document 2026-01730. Updated Nov. 15, 2026.

What it does

This advance notice of proposed rulemaking solicits public comment on potential options we may consider for Medicare participating hospitals to help foster a more resilient supply chain for American- made personal protective equipment and essential medicines to secure our nation's health and safety and to reflect the additional resource costs incurred when procuring these domestically manufactured items. We seek input on a possible new "Secure American Medical Supplies" friendly designation that could be earned by hospitals that demonstrate their commitment to domestic procurement. In addition, we seek input on potential ways such a designation could facilitate the creation of new, streamlined payment policies to support hospitals in their efforts. We are also seeking input on a potential new structural quality measure as part of the Hospital Inpatient Quality Reporting (IQR) Program that could promote hospital commitments to invest in domestic procurement to secure our nation's health and safety.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What it would change

3 parts of Title 42 of the Code of Federal Regulations:

42 CFR 412, 42 CFR 413, 42 CFR 482

Before this

No earlier Federal Register document under regulation identifier 0938-AV72 since Jan. 1, 2025.

What happens next and when

To be assured consideration, comments must be received at one of the addresses provided below, no later than March 30, 2026.

The agency's dates, word for word.

Document number2026-01730
ActionAdvance notice of proposed rulemaking.
AgenciesHealth and Human Services Department; Centers for Medicare & Medicaid Services
PublishedJan. 29, 2026
Comments closeMarch 30, 2026
Regulation identifier (RIN)0938-AV72
DocketCMS-2026-0298
Significant (marked in the Federal Register)Yes

Source: the Federal Register (public domain). The document in the Federal Register