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RuleSignificant2026-056762026-03-24

Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures

Health and Human Services Department,

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.

Action & Dates

Action
Final rule.
Dates
Effective Date: This final rule is effective on May 26, 2026. The incorporation by reference of certain material listed in this rule is approved by the Director of the Federal Register as of May 26, 2026.
Effective Date
2026-05-26

CFR References

Topics

Administrative practice and procedureComputer technologyHealth careHealth facilitiesHealth insuranceHealth recordsHospitalsIncorporation by referenceMedicaidMedicareReporting and recordkeeping requirements

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Office of the Secretary 45 CFR Parts 160 and 162 [CMS-0053-F] RIN 0938-AT38 ( printed page 14350) AGENCY: Office of the Secretary, Department of Health and Human Services (HHS). ACTION: Final rule. SUMMARY: 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. DATES: Effective Date: This final rule is effective on May 26, 2026. The incorporation by reference of certain material listed in this rule is approved by the Director of the Federal Register as of May 26, 2026. Compliance Date: Compliance with these regulations is required by May 26, 2028. FOR FURTHER INFORMATION CONTACT: Geanelle G. Herring, (410) 786-4466. Shaheen Halim, (410) 786-0641. Shelley Harrow, (410) 786-6875—Regulatory Impact Analysis. Christopher Wilson, (410) 786-3178. SUPPLEMENTARY INFORMATION: I. Executive Summary A. Purpose/Need for the Regulatory Action Despite the health care industry's widespread u

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Full Document

Citation: 91 FR 14350