HHS Heads-Up: What's Cooking in Health Rules This Spring

2026-11530 — Employment and Training Services for Noncustodial Parents in the Child Support Program; Rescission

The government plans to cancel a recent rule that let child support agencies offer job training to noncustodial parents using federal funds. This change affects agencies and parents involved in the child support program and could shift how support services are funded and delivered. Comments on this proposal are open until August 10, 2026, so folks have time to weigh in before it’s final.

2026-11140 — Federal Independent Dispute Resolution Operations

Starting soon, health plans and insurers must share clearer info when they pay or deny surprise medical bills. They’ll use special codes to explain these decisions, especially when dealing with folks they don’t have contracts with. This helps patients and providers understand bills better and speeds up fixing disputes, with no extra costs for most people.

2026-10890 — Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model

Starting July 1, 2026, Medicare is updating the Increasing Organ Transplant Access (IOTA) Model to help kidney transplant hospitals do even better at getting more people transplanted and improving care quality. These changes affect hospitals involved in kidney transplants and aim to make the process smoother and more effective, with new payment rules that reward success. This update is part of a 6-year plan running through 2031 to save more lives and boost patient experience.

2026-10292 — Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

This proposed rule changes how states can pay Medicaid managed care plans and certain doctors to make sure payments are fair, efficient, and encourage enough providers to offer quality care. It affects states, Medicaid managed care organizations, and targeted Medicaid practitioners, aiming to keep payments balanced and services available. Comments on these changes are open until July 21, 2026, so stakeholders have time to weigh in before it’s finalized.

2026-10050 — Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program

Starting in 2027, health insurance plans on federal and state marketplaces will see new rules to make coverage fairer and easier to use. These changes affect insurance companies, agents, and people buying plans, including new fees, penalties, and better protections for those with hardships. Expect updates on plan quality, dental coverage limits, and longer-term catastrophic plans, all aiming to keep your health coverage solid and affordable.

2026-09382 — Restoring Flexibility in the Child Care and Development Fund (CCDF)

Starting July 13, 2026, states and territories get more freedom in running the Child Care and Development Fund (CCDF). This means they no longer have to limit family co-pays to 7% of income or follow strict rules on paying child care providers. These changes cut red tape and could save money, making it easier to support families and child care programs.

Previous: 2025-18327 — Spring 2025 Unified Agenda of Federal Regulatory and Deregulatory Actions

The Spring 2025 Unified Agenda is a big plan showing upcoming government rule changes that affect businesses, workers, and everyday people. It highlights new rules and cuts that could change how things work, with some actions starting soon and others still in the planning stage. This helps everyone get ready for possible costs or savings tied to these changes.

Next: 2025-18329 — Unified Agenda of Federal Regulatory and Deregulatory Actions

The Department of Homeland Security is sharing its upcoming and finished rules to keep everyone in the loop. These changes could affect travelers, businesses, and communities by making things safer or simpler. The public can join in by sharing their thoughts before new rules take effect, helping shape how DHS protects us all.