Small business rule changes · compliance updates · daily

The Small Business
Rule Change Brief

Vol. 1 · No. 1118

Friday, October 9, 2026

1118 issues in archive

Rule lifecycle · RIN:0938-AV76

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program; Correction

Department of Health and Human Services, Centers for Medicare & Medicaid Services — observed across 3 documents over 178 days. Use the source documents below before deciding whether this affects your business.

In plain English

Medicare corrected its 2027 payment rates and quality-reporting standards for rehabilitation hospitals treating seniors in the program. Facility owners should verify your new Medicare reimbursement amounts and update your systems to meet the latest quality-tracking and reporting requirements.

First seen

Apr 6, 2026

Last seen

Oct 1, 2026

Latest stage

Rule

PRORULE → RULE

119d

Effective on

Thursday, October 1, 2026

Stage timeline

  1. Proposed·Apr 6, 2026

    Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program

    comments close Jun 1, 2026#2026-06642

  2. Final·Aug 3, 2026·91 FR 48982

    Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program

    effective Oct 1, 2026#2026-15652

  3. Final·Oct 1, 2026·91 FR 62327

    Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program; Correction

    effective Oct 1, 2026#2026-20131