# 2025-15958: HIPAA Deadlines Shift: Pharmacies Get More Time to Comply

2025-15958, Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA), National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard; Updates to Compliance and Other Related Dates, is a Federal Register rule from Health and Human Services Department published 2025-08-21, effective Updates the compliance and other dates in the December 13, 2024 final rule to conform with the subsequent final rule that appeared in the February 11, 2025 Federal Register.; deemed significant under Executive Order 12866 (as of 2026-06-11).

- Canonical: https://policyrisk.com/federal-register/2025-15958
- As of: 2026-06-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2025-15958
- Title: Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA), National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard; Updates to Compliance and Other Related Dates
- Type: Rule
- Agencies: Health and Human Services Department
- Citation: 90 FR 40746
- Published: 2025-08-21
- Effective: Updates the compliance and other dates in the December 13, 2024 final rule to conform with the subsequent final rule that appeared in the February 11, 2025 Federal Register.
- Comments close: not stated
- Significant: yes (OIRA_API)
- Touches household money: no
- Regulation identifier numbers: 0938-AU19
- Last updated: 2026-06-11

## In one line

HIPAA Deadlines Shift: Pharmacies Get More Time to Comply

## Summary

This update changes the deadlines for following new HIPAA rules about pharmacy billing and Medicaid claims. Pharmacies, insurers, and Medicaid programs need to get ready for these new dates to stay on track and avoid penalties. The changes help everyone work smoother and keep your health info safe, with clear timing to follow.

## Abstract

This document updates compliance and other dates presented in the final rule that appeared in the December 13, 2024 Federal Register titled "Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard" to conform with the subsequent final rule that appeared in the February 11, 2025 Federal Register.

## Effects PRIA read

- HIPAA pharmacy billing deadline changes: mixed, medium. The rule updates the compliance and other dates for the HIPAA modifications to the NCPDP retail pharmacy standards that were published December 13, 2024 so they conform with the later final rule published February 11, 2025. Pharmacies and insurers must follow the revised deadlines in order to stay…
- Medicaid pharmacy subrogation date update: mixed, medium. The rule updates the compliance and other dates for the modification of the Medicaid pharmacy subrogation standard from the December 13, 2024 final rule so they conform with the February 11, 2025 final rule. Medicaid programs must follow the revised deadlines to implement the subrogation standard.

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## Sources
- [2025-15958 on federalregister.gov](https://www.federalregister.gov/documents/2025/08/21/2025-15958/administrative-simplification-modifications-of-health-insurance-portability-and-accountability-act)
- [2025-15958 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2025-08-21/pdf/2025-15958.pdf)

## Related
- [Previous: 2025-15919, Delete, Delete, Delete; Removal of Obsolete Regulations](https://policyrisk.com/federal-register/2025-15919)
- [Next: 2025-15988, Pipeline Safety: Periodic Standards Update II](https://policyrisk.com/federal-register/2025-15988)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2025-15958 (as of 2026-06-11).