BEGIN:VCALENDAR VERSION:2.0 PRODID:-//Civibrief//Brief deadlines//EN CALSCALE:GREGORIAN METHOD:PUBLISH X-WR-CALNAME:Health Care Costs deadlines ยท Civibrief BEGIN:VEVENT UID:act-frl-2026-19493:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20260922 SUMMARY:Takes effect: Patient Protection and Affordable Care Act; Temporar y Moratoria on Certain Agent and Broker Registration To Participate in th e Exchanges DESCRIPTION:This interim final rule with comment period (IFC) codifies the Department of Health and Human Services' (HHS) authority to impose a tem porary moratorium pausing the registration of agents and brokers that do not have a current Plan Year registration with the Federally- facilitated Exchanges at the time the moratorium is effective and are seeking to ent er into Exchange agreements with the Centers for Medicare & Medicaid Serv ices (CMS) to assist consumers with enrollment through the Federally-faci litated Exchange (FFE) and State-based Exchanges that use the Federal pla tform (SBE-FPs) (hereinafter collectively referred to as the "Federally-f acilitated Exchanges"). HHS is issuing this rule on an interim final basi s. For the reasons explained in this rule\, HHS finds good cause under th e Administrative Procedure Act (APA) to waive prior notice and comment be cause providing advance notice would be contrary to the public interest a nd impracticable. HHS further finds good cause under the APA for this rul e to become effective immediately upon publication. HHS nevertheless invi tes public comment and will consider comments in determining whether to r etain\, modify\, or rescind the codified authority established by this ru le. Further\, CMS provides notice that\, on behalf of HHS\, the agency is immediately imposing a temporary moratorium to pause the registration of agents and brokers that do not have Plan Year 2026 Exchange agreements w ith the Federally- facilitated Exchanges and are seeking to enter into ag reements with CMS to assist consumers with enrollment through the Federal ly-facilitated Exchanges for Plan Year 2027. This temporary moratorium do es not affect registrations on the State-based Exchanges (SBEs). This mor atorium will be in place while CMS implements enhanced program-integrity safeguards designed to prevent instances of noncompliance and fraud\, was te\, and abuse perpetrated by agents and brokers\, including unauthorized enrollment activity\, misuse of consumer personally identifiable informa tion (PII)\, and other conduct that does not comply with Exchange standar ds and threatens consumers and the integrity of the Federally- facilitate d Exchanges. Agents and brokers that do not have Plan Year 2026 Exchange agreements with CMS will not be able to complete registration with the Fe derally-facilitated Exchanges for Plan Year 2027 until the moratorium end s on February 1\, 2027.\nRecord: https://civibrief.com/actions/frl-2026-1 9493 URL:https://civibrief.com/actions/frl-2026-19493 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-15833:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261001 SUMMARY:Takes effect: Medicare Program; Hospital Inpatient Prospective Pay ment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospi tal Prospective Payment System and Policy Changes and Fiscal Year (FY) 20 27 Rates; Requirements for Quality Programs; Other Policy Changes; and Ad option of Updated Versions of Certain Health Information Technology Stand ards DESCRIPTION:This final rule will revise the Medicare hospital inpatient pr ospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; make changes relating to Medicare graduate medic al education (GME) for teaching hospitals; update the payment policies an d the annual payment rates for the Medicare prospective payment system (P PS) for inpatient hospital services provided by long-term care hospitals (LTCHs); update and make changes to requirements for certain quality prog rams; and make other policy- related changes. ONC also adopts certain hea lth information technology (health IT) standards and specifications on be half of HHS.\nRecord: https://civibrief.com/actions/frl-2026-15833 URL:https://civibrief.com/actions/frl-2026-15833 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21697:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261023 SUMMARY:Takes effect: Privacy Act of 1974; System of Records DESCRIPTION:As required by the Privacy Act of 1974\, notice is hereby give n that VA is modifying an existing system of records titled\, "Veterans a nd Uniformed Services Personnel Programs of U.S. Government Life Insuranc e--VA" (36VA29). This system is housed within a cloud-based computer syst em called "Life Insurance Policy Administration Solution" (LIPAS)\, which is a managed service solution leveraging commercial off-the-shelf (COTS) software applications hosted in the VA Enterprise Cloud Amazon Web Servi ces GovCloud (VAEC-AWS) High environment. LIPAS replaced the retired Insu rance Payment System mainframe and Veterans Insurance Claim Tracking and Response System (VICTARS). By using LIPAS to integrate with VA Enterprise shared services\, LIPAS provides the components necessary for VA Insuran ce policy administration and management.\nRecord: https://civibrief.com/a ctions/frl-2026-21697 URL:https://civibrief.com/actions/frl-2026-21697 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-19563:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261109 SUMMARY:Comments close: Improving Patient Access to Deceased Donor Islet C ells and Cell Products; Request for Information DESCRIPTION:The Department of Health and Human Services (HHS) is opening a public docket to solicit input\, supporting data\, and comments to assis t HHS as it considers how best to regulate deceased donor islet cells and /or deceased donor islet cell products for the treatment of Type 1 diabet es (T1D). The purpose of this information is to allow HHS agencies to bet ter understand how best to regulate these therapies\, including whether a nd how regulation could differ between isolated and otherwise unmodified deceased donor islet cells and deceased donor islet cell products. In thi s request for information\, HHS will specify the type where appropriate o r will refer to both types under the umbrella term of islet therapies. HH S seeks information on whether sufficient publicly available information exists to establish standards for how to transplant deceased donor islet cells and/or develop deceased donor islet cell products\, as well as whet her other publicly available data exist to support their safe and effecti ve use. Additionally\, HHS seeks input on the possibility of defining unm odified deceased donor islet cells as organs\, which would allow the proc urement\, allocation\, and transplantation of these cells to be performed in accordance with applicable Organ Procurement and Transplantation Netw ork (OPTN) policy and regulated by HRSA. Doing so would require OPTN esta blishing appropriate standards for safety\, effectiveness\, quality and c onsistency of islet cell processing and isolation\, and surveillance and policies regarding the training and experience of transplant surgeons and transplant physicians in designated pancreatic islet cell transplant pro grams.\nComment: http://www.regulations.gov/commenton/FDA-2026-N-10738-00 01\nRecord: https://civibrief.com/actions/frl-2026-19563 URL:https://civibrief.com/actions/frl-2026-19563 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-20757:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261109 SUMMARY:Takes effect: Schedules of Controlled Substances; Removal of Exemp tion Status for Inactive Butalbital Products DESCRIPTION:The Drug Enforcement Administration (DEA) is revoking the exem pted status for certain nonnarcotic prescription products that are curren tly on DEA's Table of Exempted Prescription Products\, but whose National Drug Codes (NDC) are inactive because they are no longer available and/o r the company that applied for the exemption no longer exists. These prod ucts will be removed from DEA's Table of Exempted Prescription Products a nd will no longer be considered exempt prescription products under the Co ntrolled Substances Act. This action does not impact exempted prescriptio n products with active NDC numbers.\nRecord: https://civibrief.com/action s/frl-2026-20757 URL:https://civibrief.com/actions/frl-2026-20757 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-20660:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261109 SUMMARY:Comments close: Optional Practical Training Fees DESCRIPTION:This rule proposes new fees for Optional Practical Training (O PT) to combat fraud\, strengthen the integrity of the immigration system\ , and protect U.S. workers. The following fees would apply for each F-1 n onimmigrant student to engage in OPT through a Student and Exchange Visit or Program-certified institution: $70\,000 for initial OPT; and $30\,000 for any subsequent OPT.\nComment: http://www.regulations.gov/commenton/IC EB-2026-0100-0001\nRecord: https://civibrief.com/actions/frl-2026-20660 URL:https://civibrief.com/actions/frl-2026-20660 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21094:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261114 SUMMARY:Comments close: Privacy Act of 1974; System of Records DESCRIPTION:Pursuant to the provisions of the Privacy Act of 1974\, as ame nded (5 U.S.C. 552a)\, notice is hereby given that the Farm Credit Admini stration (FCA or Agency) is amending an existing system of records\, FCA- 1--Employee Attendance\, Leave\, and Payroll Records--FCA. The Employee A ttendance\, Leave\, and Payroll Records--FCA system is used to prepare pa yroll\, meet Government payroll recordkeeping and reporting requirements\ , prepare reports\, and retrieve and supply payroll and leave information as required for Agency needs. The Agency is updating the notice to refle ct changes to the categories of individuals and records maintained in the system\, as well as to the Policies and Practices for Storage of Records and the Administrative\, Technical and Physical Safeguards sections.\nRe cord: https://civibrief.com/actions/frl-2026-21094 URL:https://civibrief.com/actions/frl-2026-21094 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-18944:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261116 SUMMARY:Comments close: Federal Employees Health Benefits Program: Optimiz ing FEHB Plan Offerings DESCRIPTION:This request for information (RFI) seeks public input on how t o optimize health benefits plan options offered in the Federal Employees Health Benefits (FEHB) Program\, which includes the Postal Service Health Benefits (PSHB) Program\, to give enrollees high value choices at compet itive costs while ensuring the appropriate number and distribution of opt ions are available to enrollees. Currently\, health benefits plans in the FEHB Program are limited to offering three options or two options and a high-deductible health plan (HDHP) pursuant to 5 CFR 890.201(b)(3)(i). Th e information gathered through this RFI will inform the Office of Personn el Management (OPM) as to whether modifications to the current FEHB regul ations are needed through future notice and comment rulemaking as OPM exp lores ways to optimize the FEHB and PSHB portfolio and provide enrollees with high value choices at competitive costs.\nComment: http://www.regula tions.gov/commenton/OPM-2026-0661-0001\nRecord: https://civibrief.com/act ions/frl-2026-18944 URL:https://civibrief.com/actions/frl-2026-18944 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21316:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261118 SUMMARY:Takes effect: Managing Senior Professional Performance DESCRIPTION:The Office of Personnel Management (OPM) and the Office of Man agement and Budget (OMB) are issuing a final rule to strengthen the perfo rmance appraisal of senior-level (SL) and scientific or professional (ST) employees\, collectively referred to as "senior professionals." This fin al rule establishes a new subpart dedicated exclusively to senior profess ional performance appraisal that aligns more closely with Senior Executiv e Service (SES) performance appraisal regulations. The rule also eliminat es senior professional appraisal programs\, removes the prohibition of a standardized distribution of performance rating levels\, and enhances ove rsight of the appraisal process.\nRecord: https://civibrief.com/actions/f rl-2026-21316 URL:https://civibrief.com/actions/frl-2026-21316 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21491:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261120 SUMMARY:Comments close: Privacy Act of 1974; Matching Program DESCRIPTION:In accordance with subsection (e)(12) of the Privacy Act of 19 74\, as amended\, the Department of Health and Human Services (HHS)\, Cen ters for Medicare & Medicaid Services (CMS)\, is providing notice of a co mputer matching program between CMS and the Department of Veterans Affair s (VA)\, Veterans Health Administration (VHA). The purpose of the matchin g program is to identify beneficiaries enrolled in both Medicare and VHA health care and to identify medical claims for which both agencies made p ayment for the same health care services. Under this agreement\, the VHA will provide CMS with a finder file on a recurring basis\, of all Veteran beneficiaries enrolled in VHA health care that CMS will use to identify dually enrolled beneficiaries. CMS and VHA will use the results of the ma tching program to recover duplicate payments\, improve payment accuracy\, and identify potential fraud\, waste\, and abuse.\nComment: http://www.r egulations.gov/commenton/CMS_FRDOC_0001-4472\nRecord: https://civibrief.c om/actions/frl-2026-21491 URL:https://civibrief.com/actions/frl-2026-21491 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21697:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261123 SUMMARY:Comments close: Privacy Act of 1974; System of Records DESCRIPTION:As required by the Privacy Act of 1974\, notice is hereby give n that VA is modifying an existing system of records titled\, "Veterans a nd Uniformed Services Personnel Programs of U.S. Government Life Insuranc e--VA" (36VA29). This system is housed within a cloud-based computer syst em called "Life Insurance Policy Administration Solution" (LIPAS)\, which is a managed service solution leveraging commercial off-the-shelf (COTS) software applications hosted in the VA Enterprise Cloud Amazon Web Servi ces GovCloud (VAEC-AWS) High environment. LIPAS replaced the retired Insu rance Payment System mainframe and Veterans Insurance Claim Tracking and Response System (VICTARS). By using LIPAS to integrate with VA Enterprise shared services\, LIPAS provides the components necessary for VA Insuran ce policy administration and management.\nComment: http://www.regulations .gov/commenton/VA-2026-VACO-0001-0476\nRecord: https://civibrief.com/acti ons/frl-2026-21697 URL:https://civibrief.com/actions/frl-2026-21697 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21702:comments-close@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261123 SUMMARY:Comments close: Privacy Act of 1974; System of Records DESCRIPTION:Pursuant to the Privacy Act of 1974\, notice is hereby given t hat the VA is modifying the system of records titled\, "Readjustment Coun seling Service (RCS) Vet Center Program-VA" (64VA10). This system is used to maintain client confidentiality and to collect and maintain demograph ic and clinical information required by Vet Center counselors to provide quality readjustment counseling to eligible veterans\, service members in cluding National Guard and Reserve components\, and their families.\nComm ent: http://www.regulations.gov/commenton/VA-2026-VACO-0001-0475\nRecord: https://civibrief.com/actions/frl-2026-21702 URL:https://civibrief.com/actions/frl-2026-21702 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-20281:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261130 SUMMARY:Takes effect: Global Benchmark for Efficient Drug Pricing (GLOBE) Model DESCRIPTION:This final rule implements the Global Benchmark for Efficient Drug Pricing Model (GLOBE Model)\, a new mandatory Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model will tes t whether a payment model that uses an alternative method for calculating Medicare Part B drug inflation rebate amounts for certain separately pay able Medicare Part B drugs and biological products reduces costs for Orig inal Medicare (OM) beneficiaries and the Medicare program while preservin g quality of care. The term OM has the same meaning as Medicare fee-for-s ervice and the traditional Medicare program.\nRecord: https://civibrief.c om/actions/frl-2026-20281 URL:https://civibrief.com/actions/frl-2026-20281 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-20447:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20261207 SUMMARY:Takes effect: Transparency in Coverage DESCRIPTION:These final rules set forth requirements that amend the regula tions under the Public Health Service Act\, the Employee Retirement Incom e Security Act of 1974\, and the Internal Revenue Code regarding price tr ansparency reporting requirements for non- grandfathered group health pla ns and health insurance issuers offering non-grandfathered group and indi vidual health insurance coverage. Specifically\, these final rules are in tended to improve the standardization\, accuracy\, and accessibility of p ublic pricing disclosures in line with the goals of Executive Order 14221 \, "Making America Healthy Again by Empowering Patients With Clear\, Accu rate\, and Actionable Healthcare Pricing Information." With respect to th e In- network Rate and out-of-network Allowed Amount machine-readable fil es\, these final rules aim to achieve these goals by adding new contextua l files and additional data elements like product type\, provider network name\, and provider network identifier; changing the reporting level for aggregation of data; removing in-network rates for unlikely provider- to -service mappings; increasing the reporting period and lowering the claim s threshold for out-of-network historical data; and reducing the reportin g cadence. These final rules also aim to improve the findability of all p ublicly disclosed machine-readable files required under the Transparency in Coverage rules\, including the prescription drug file\, by requiring a text file containing contact information for the files\, and a footer wi th website URLs. These final rules also require pricing information that is made available through an online consumer tool and on paper (upon requ est)\, to also be made available by phone\, and establish that the satisf action of such requirement also satisfies the requirements of section 114 of the No Surprises Act (including for grandfathered group health plans and health insurance issuers offering grandfathered group and individual health insurance coverage that are not otherwise subject to these final r ules).\nRecord: https://civibrief.com/actions/frl-2026-20447 URL:https://civibrief.com/actions/frl-2026-20447 END:VEVENT BEGIN:VEVENT UID:act-frl-2026-21817:effective@civibrief.com DTSTAMP:20261027T031233Z DTSTART;VALUE=DATE:20270218 SUMMARY:Takes effect: Establishment of Class E Airspace; Canton\, IL DESCRIPTION:This action establishes Class E airspace at Graham Hospital He liport\, Canton\, IL. This action supports new instrument procedures and instrument flight rule (IFR) operations.\nRecord: https://civibrief.com/a ctions/frl-2026-21817 URL:https://civibrief.com/actions/frl-2026-21817 END:VEVENT END:VCALENDAR