Notice 29 Aug 2025 compliance, puerto rico, economic development, foreign-trade zones, business expansion

🌍Application for Expansion of Foreign-Trade Zone 163 in Ponce, PR

The Department of Commerce's Foreign-Trade Zones Board has received an application from CODEZOL, C.D. to reorganize and expand Foreign-Trade Zone 163 in Ponce, Puerto Rico. The proposed changes include expanding Site 1 at the Port of Ponce and removing Site 6 from the zone, allowing for further investment and development in the area. Public comments on the application are invited.

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Rule 5 Aug 2025 inpatient psychiatric facilities, payment system, puerto rico, reporting and recordkeeping requirements, regulation, fiscal year 2026, medicare, administrative practice and procedure, health facilities, healthcare

💵Medicare IPF Payment System Updates for FY 2026

This final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This final rule also revises the payment adjustment factors for teaching status and for IPFs located in rural areas. These changes will be effective for IPF discharges occurring during the fiscal year beginning October 1, 2025, through September 30, 2026. We are finalizing changes to measures used in the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, updating and codifying the Extraordinary Circumstances Exception policy, and summarizing comments received through requests for information regarding future changes to the IPFQR Program.

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Rule 5 Aug 2025 rehabilitation facilities, regulations, puerto rico, reporting and recordkeeping requirements, medicare, payment updates, administrative practice and procedure, health facilities, healthcare

💵Medicare Updates IRF Payment Rates for FY 2026

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2026. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2026. It also continues the second year of the 3-year phaseout of the rural adjustment, which began in FY 2025. Additionally, the final rule includes updates to the IRF Quality Reporting Program.

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Rule 4 Aug 2025 compliance, puerto rico, administrative practice and procedure, reporting and recordkeeping requirements, incorporation by reference, medicare, intergovernmental relations, penalties, health professions, health care, health facilities, health, medicaid, public health, laboratories, privacy, health records, health insurance, hospitals, computer technology, payment systems, health maintenance organizations (hmo), healthcare regulation, quality programs, hospital policy

🏥Medicare IPPS FY 2026 Regulations

This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; updates 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); updates and makes changes to requirements for certain quality programs; and makes other policy- related changes. We are also finalizing the provisions of the interim final action with comment period regarding the changes to the FY 2025 IPPS rates due to the court decision in Bridgeport Hosp. v. Becerra. Lastly, it finalizes certain updates to the ONC Health Information Technology (IT) Certification Program.

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Rule 4 Aug 2025 puerto rico, reporting and recordkeeping requirements, medicare, health facilities, diseases, healthcare regulations, quality reporting, skilled nursing facilities, payment system

💼Medicare SNF Payment System Updates for FY 2026

This final rule finalizes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year 2026. This final rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.

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Proposed Rule 30 Jul 2025 puerto rico, reporting and recordkeeping requirements, security measures, harbors, coast guard, security zone, waterways, marine safety, navigation (water), maritime regulations, san juan

⚓Proposed Security Zone Regulation by Coast Guard for San Juan, PR

The Coast Guard is proposing to revise the Base San Juan security zone in San Juan Puerto Rico. This action is needed for national security reasons to protect the public and the Coast Guard base from potential subversive acts. This proposed rulemaking would prohibit persons and vessels from being in the security zone extending 120 yards seaward from the water's edge of the Coast Guard Base San Juan unless authorized by the Captain of the Port Sector San Juan or a designated representative. We invite your comments on this proposed rulemaking.

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Proposed Rule 17 Jul 2025 puerto rico, administrative practice and procedure, reporting and recordkeeping requirements, medicare, health professions, health facilities, rural areas, laboratories, hospitals, payment systems, diseases, pricing transparency, x-rays, ambulatory surgical center, hospital outpatient

🏥Proposed Changes to Medicare Outpatient Payment Regulations

This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. This proposed rule would also update and refine the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. This rule also contains requests for information on measure concepts regarding Well-Being and Nutrition for consideration in future years for all three programs (OQR, REHQR, and ASCQR; expanding the method to control for unnecessary increases in the volume of covered OPD services to on- campus clinic visits; software as a service; and adjusting payment under the OPPS for services predominately performed in the ambulatory surgical center or physician office settings.

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Notice 15 Jul 2025 puerto rico, automotive industry, foreign-trade zones, trade compliance, customs

🇵🇷Foreign-Trade Zone Application for Centro Automotriz Santa Rosa

The DEPARTMENT OF COMMERCE's Foreign-Trade Zones Board received an application for subzone status for Centro Automotriz Santa Rosa, Inc. in Puerto Rico. The application seeks to enhance operational flexibility without current production approval, urging public comments until August 25, 2025. The process aims to bolster trade efficiency and regulatory compliance in the region.

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Notice 7 Jul 2025 puerto rico, regulatory compliance, customs, petroleum, gauging services

⛽Altol Petroleum Products Services Approved as Commercial Gauger

Notice is hereby given, pursuant to CBP regulations, that Altol Petroleum Products Services, Inc., (Levittown, Toa Baja, Puerto Rico), has been approved to gauge petroleum and certain petroleum products for customs purposes for the next three years as of February 27, 2024.

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Proposed Rule 2 Jul 2025 compliance, puerto rico, administrative practice and procedure, reporting and recordkeeping requirements, medicare, intergovernmental relations, penalties, health care, health facilities, medicaid, privacy, health insurance, diseases, healthcare regulation, payment system, esrd, dialysis

💰Proposed Updates to ESRD Payment System Impacting Business

This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2026. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule proposes to update requirements for the ESRD Quality Incentive Program and to terminate and modify requirements for the ESRD Treatment Choices Model.

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