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Final ruleTook effect Oct. 1, 2026

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; Other Policy Changes; and Adoption of Updated Versions of Certain Health Information Technology Standards

Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register Aug. 4, 2026. Document 2026-15833. Updated Nov. 7, 2026.

What it does

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); update and make changes to requirements for certain quality programs; and make other policy- related changes. ONC also adopts certain health information technology (health IT) standards and specifications on behalf of HHS.

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

What changed in the regulation

8 parts of Title 42, 45 of the Code of Federal Regulations:

42 CFR 405, 42 CFR 412, 42 CFR 413, 42 CFR 415, 42 CFR 419, 42 CFR 495, 42 CFR 512, 45 CFR 170

Wording on eCFR: the day before it took effect and from the day it took effect (first part listed).

Compared with

The Centers for Medicare & Medicaid Services has published 24 final rules in 2026 so far, compared with 12 in all of 2025.

Counted by the Tribune from Federal Register records since Jan. 1, 2025.

What happens next and when

These regulations are effective on October 1, 2026. The incorporation by reference of certain material listed in this rule is approved by the Director of the Federal Register as of October 1, 2026. The incorporation of reference of certain other material listed in the rule was approved by the Director of the Federal Register as of October 1, 2025.

The agency's dates, word for word.

Document number2026-15833
ActionFinal rule.
AgenciesHealth and Human Services Department; Centers for Medicare & Medicaid Services
PublishedAug. 4, 2026
Effective dateOct. 1, 2026
DocketCMS-2026-1256

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