💰Proposed Medicare and Medicaid Payment Policies for CY 2026
This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to the Medicare Diabetes Prevention Program expanded model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to the Medicare Promoting Interoperability Program.
Learn More🏥Medicare and Medicaid Proposed Rule on Home Health Payment Updates
This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule proposes permanent and temporary behavior adjustments and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. Lastly, this proposed rule proposes policy changes to the face-to-face encounter policy. It also proposes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it would update the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it proposes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.
Learn More🛠️New Rule Facilitates Non-Permissible PAPR Usage in Mining
MSHA is proposing to allow the use of non-permissible Powered Air Purifying Respirators (PAPRs) in specified underground areas of mines, if the equipment meets certain technical specifications and is operated under specific conditions. This proposed rule would codify technical specifications and working conditions to allow the use of non-permissible PAPRs in underground gassy mines. This proposed rule would reduce burden because mine operators would no longer need to submit a petition for modification to use non-permissible PAPRs.
Learn More💡Proposed Rule to Remove Photometer Requirement in Mining Safety Regulations
MSHA proposes to revise title 30 of the Code of Federal Regulations (30 CFR) part 75 by removing requirements for methods in measuring luminous intensity with a photometer. Removing this provision would provide greater flexibility in measurement procedures while maintaining protection for miners.
Learn More⚒️MSHA Proposes Removal of Outdated Trolley Safety Regulations
MSHA is proposing to remove and revise provisions for metal and nonmental (MNM) mines and coal mines regarding the use of trolleys for transportation of mined ore, coal, material, and personnel. Trolleys are an outdated technology that have been replaced by more efficient belt conveyor haulage systems for transporting mined ore and coal. Diesel and battery-operated mobile equipment are now used to transport personnel and equipment. Trolleys are no longer used in MNM or coal mines and there is no anticipated future use of this legacy equipment in MNM and coal mines.
Learn More⚒️Proposed Rule to Rescind Outdated Coal Mine Safety Regulations
MSHA proposes to rescind requirements for the final mining of pillars. This practice is outdated and no longer used due to safety concerns.
Learn More⚠️Proposed Rule for Foam Generator System Regulations in Coal Mines
MSHA is proposing to revise 30 CFR part 75 to remove outdated requirements regarding the installation of foam generator systems located in underground coal mines. Removal of this standard would not result in the reduction of safety protections for miners at these mines.
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