Federal Health Data Form Gets Minor Annual Update
Published Date: 6/16/2026
Notice
Summary
HRSA is asking for public feedback on updates to its Uniform Data System, which helps track how health centers serve over 32 million people across the U.S. and territories. This update affects health centers and similar groups that report data yearly, with a comment deadline of July 16, 2026. No big cost changes are expected, but your input helps keep health care reporting clear and useful!
Analyzed Economic Effects
7 provisions identified: 5 benefits, 0 costs, 2 mixed.
Large Reporting Burden Reduction for Health Centers
HRSA estimates the total annual burden hours for the UDS ICR will drop from 377,317 hours in 2025 to about 304,616 hours in 2026, a decrease of approximately 72,701 hours total and an average reduction of 42 hours per health center. These streamlining changes affect roughly 1,596 Universal Report respondents (health centers, look-alikes, and select nursing program awardees).
New Patient & Social-Needs Measures Added
HRSA is adding several new patient-level measures to the 2026 UDS: Type 1 Diabetes (Table 6A line 9a), Intellectual and Developmental Disabilities (line 20g), Autism Spectrum Disorder Screening (line 26g), four Patient Support Services measures (case management, eligibility assistance, transportation, language assistance — lines 35–38), and four Upstream Drivers of Health measures (lines 39–42) moved into the core tables. HRSA says these additions will capture non-clinical supports and social needs to better understand access and services provided by health centers.
Financial Reporting Consolidation and New Revenue Lines
HRSA is consolidating and removing several detailed financial reporting lines (e.g., collapsing payer category detail in Table 9D and aggregating Health Center BPHC grant lines into a single Total Health Center BPHC Grants line in Table 9E) while adding new lines such as Bad Debt Write-Offs and Allowances (Table 9D line 15 column G), Net Patient Service Revenue (line 16 column G), Pharmacy Net Patient Service Revenue (line 17), and Third-Party Incentive Revenue (line 18). HRSA says these changes are to reduce burden and better align with generally accepted accounting principles.
Fall Risk Screening Measure for Seniors
A new fall risk screening measure is being added to Table 6B (line 24) to capture the number of patients age 65 and older screened for future fall risk, aligned with eCQM CMS139v14. This measure applies to patients who are 65 years of age and older.
PMHNPs Added to Staffing Categories
HRSA will add Psychiatric Mental Health Nurse Practitioners (PMHNPs) as a distinct drop-down option on Table 5, line 20b, under Other Licensed Mental Health Providers to better classify mental health workforce composition. HRSA says this will allow more accurate staffing classification for behavioral health providers.
UDS Will Ask About Services for Under-19 Youth
HRSA is adding Appendix D Question 20 asking whether health centers provide services for individuals under 19 that use puberty blockers, sex hormones, or surgical procedures to transform physical appearance. The question lists examples (e.g., GnRH agonists, androgen blockers, estrogen, testosterone) and surgical procedures and is intended to capture whether such services are provided.
COVID Measure Retention and Removals
Of five COVID-related measures included in the 2025 UDS, HRSA will retain two measures (Novel coronavirus (SARS-CoV-2) disease — Table 6A line 4c — and Long COVID — line 4d) and remove three others (including Respiratory conditions related to COVID-19 line 6a, SARS-CoV-2 diagnostic test line 21c, and antibody test line 21d) as part of streamlining efforts.
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