Base
Rule2026-158332026-08-04

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

Health and Human Services Department, Centers for Medicare & Medicaid Services,

Abstract

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.

Action & Dates

Action
Final rule.
Dates
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.
Effective Date
2026-10-01

CFR References

Topics

Administrative practice and procedureComputer technologyDiseasesHealthHealth careHealth facilitiesHealth insuranceHealth maintenance organizations (HMO)Health professionsHealth recordsHospitalsIncorporation by referenceIntergovernmental relationsLaboratoriesMedicaidMedical devicesMedicarePenaltiesPrivacyPublic healthPuerto RicoReporting and recordkeeping requirementsRural areasX-rays

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 Centers for Medicare & Medicaid Services Office of the Secretary 42 CFR Parts 405, 412, 413, 415, 419, 495, and 512 45 CFR Part 170 [CMS-1849-F and CMS-0062-F] RINs 0938-AV79 and 0938-AV44 ( printed page 49570) AGENCY: Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services (HHS). ACTION: Final rule. SUMMARY: 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. DATES: 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. FOR FURTHER INF

Read full document on FederalRegister.gov →

Full Document

Citation: 91 FR 49570