ACTIVEIDR Gateway / NSA Operations Rule
Final rule published May 28, 2026. IDR administrative fee dropped to $15 (from $115). New documentation requirements effective June 11. Gateway portal forthcoming.
PENDINGUSPSTF Membership & Appointments
VP chairs Wong & Davis fired May 21. New member appointments anticipated July 2026. Monitor for coverage mandate risk from compositional changes.
ACTIVEReconciliation — Medicaid & ACA Provisions
CMS-2454-IFC published June 1. Medicaid work requirements effective July 31. ACA premium tax credit cliff watch ongoing. House target: end of July.
WATCHACIP Vaccine Schedule EO
Trump EO signed May 29 directing CDC/ACIP to review childhood vaccine schedule. ACA §2713 coverage obligations follow "A" and "B" grade recommendations.
ONGOINGHTI-5 Proposed Rule (ONC)
Comment period closed Feb 27. Deregulatory. Monitor for final rule timing and interoperability/PA certification implications.
ONGOINGCY 2027 MA / Part D Rate Notice
Final rate announcement due. Proposed: +0.09% net avg increase. Unlinked chart review exclusion proposal: −$7.2B impact. Monitor finalization.
