HRSA Seeks Feedback on Health Data Reporting Tune-Up
Published Date: 12/10/2025
Notice
Summary
HRSA is asking for public feedback on updates to the Uniform Data System, which helps nearly 1,400 health centers report important info about the care they provide to over 32 million people. These changes aim to keep data collection smooth and useful without adding extra hassle. Comments are due by February 9, 2026, so now’s the time to weigh in!
Analyzed Economic Effects
6 provisions identified: 5 benefits, 0 costs, 1 mixed.
Remove Managed Care Utilization Reporting
HRSA will remove managed care utilization measures (Capitated Member Months, Fee-for-Service Member Months, and Total Member Months — Table 4, Lines 13a–13c) from the 2026 Uniform Data System (UDS). HRSA says this change is intended to reduce reporting burden because payer structures and payment arrangements vary across health centers.
Remove Selected Clinical Measures
HRSA will remove several clinical measures from Table 6A for the 2026 UDS to streamline reporting and reduce burden. Measures listed for removal include Novel coronavirus (SARS‑CoV‑2) disease (Line 4c), Long COVID (Line 4d), respiratory conditions related to COVID‑19 (Line 6a), abnormal breast and cervical findings (Lines 7–8), several dermatology and dental service lines (Lines 12, 30, 33–34), COVID diagnostic and antibody tests (Lines 21c–21d), mammogram (Line 22), and Pap test (Line 23).
Add Patient Characteristics and Supports
HRSA will add new measures to Table 6A in the 2026 UDS: Type 1 Diabetes (Line 9a); Intellectual and Developmental Disabilities (Line 20g); Autism Spectrum Disorder screening (Line 26g); four Patient Support Services measures (case management, eligibility assistance, transportation, and language assistance — Lines 35–38); and four Health‑Related Needs measures moved from Appendix D into core Table 6A (Lines 39–42). HRSA states these additions will improve understanding of patient prevalence and support efforts to enhance access and quality of care.
Change Financial Reporting Lines
For the 2026 UDS, HRSA will remove detailed overhead and enabling services cost lines from Table 8A and consolidate enabling services costs into a single Patient Support Services line; remove detailed BPHC and other federal grant lines from Table 9E; and add Net Patient Services Revenue (Line 16, Column g), Pharmacy Net Patient Service Revenue (Line 17, Column g), and Third‑Party Incentive Revenue (Line 18, Column g) to Table 9D. HRSA states these changes reduce reporting burden and better align financial reporting with generally accepted accounting principles.
Align Clinical Quality Measures with CMS
HRSA will update clinical quality measures in Tables 6B and 7 for the 2026 UDS to align with electronic clinical quality measure (eCQM) specifications issued by CMS on May 8, 2025. HRSA says aligning measures across national programs promotes standardization, quality, transparency, and decreases reporting burden for providers participating in multiple federal programs.
Appendix D/E: Add APM Questions, Remove Some Items
HRSA will remove several Electronic Health Record implementation and health‑related needs screening questions from Appendix D and will remove Appendix E; in their place, Appendix D will add three questions on Alternative Payment Models (APMs) asking: (1) what payor arrangements your health center has for value‑based purchasing contracts, (2) the types of APMs your health center is involved in, and (3) what percentage of your health center's revenue during the year is tied to value‑based payment contracts. HRSA says these additions aim to capture participation in APMs and improve understanding of the evolving payment landscape.
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