Hospital Mortgage Program Forms Get Another Federal Paperwork Review
Published Date: 11/10/2026
Notice
Summary
HUD wants to keep collecting info using special forms for hospitals that get mortgage insurance under FHA's Section 242 program. This helps hospitals get loans to build or improve their facilities. If you’re involved with these hospital loans, HUD needs your feedback by January 11, 2027, to keep things running smoothly—no extra costs, just a quick check-in!
Analyzed Economic Effects
3 provisions identified: 0 benefits, 1 costs, 2 mixed.
HUD continues hospital loan forms collection
HUD is seeking OMB approval to reinstate and continue collecting a comprehensive set of 41 HUD forms used for FHA Section 242 hospital mortgage insurance. The collection covers applications, underwriting, endorsements, asset management, and construction and reporting, and HUD estimates 718 respondents, 1,302 responses, an average 112 hours per response, and total estimated burden costs of $8,674,172. Comments on this request are due January 11, 2027 (OMB Control No. 2502-0602).
Regulatory agreement updates change reporting and sharing
The revised Regulatory Agreement form (HUD-92466-OHF) adds language allowing HUD to share Borrower information with the lender and HUD's authorized representatives and makes specific changes to Sections on Financial Reports, Board Review/Business Plan/Consultants' Report triggers and reporting, Additional Indebtedness, and After Acquired Property requirements. These revisions change what borrower information can be shared and clarify financial reporting and other obligations for hospitals with Section 242-insured loans.
Construction contract form aligned with Davis‑Bacon update
HUD substantially re-wrote the Supplementary Conditions of the Contract for Construction form (HUD-92554-OHF) to align with the Office of Multifamily Housing's HUD-92554M and to reflect the Department of Labor's Final Rule updating Davis‑Bacon and Related Acts regulations (published in 2023). This revised form will be used on Section 242 hospital construction projects.
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