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-AV79

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; Other Policy Changes; and Adoption of Updated Versions of Certain Health Information Technology Standards; Correction

Health and Human Services Department, Centers for Medicare & Medicaid Services — observed across 2 documents over 130 days. Use the source documents below before deciding whether this affects your business.

In plain English

Medicare is changing how much it pays hospitals and long-term care facilities for patient services starting October 1st and adding new quality and technology standards. If you operate a hospital or long-term care facility, review how the updated payment rates affect your revenue and ensure your billing and quality programs comply with the new requirements.

First seen

May 22, 2026

Last seen

Sep 29, 2026

Latest stage

Rule

PRORULE → RULE

130d

Effective on

Thursday, October 1, 2026

Stage timeline

  1. Proposed·May 22, 2026·91 FR 30269

    Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction

    #2026-10276

  2. Final·Sep 29, 2026·91 FR 61328

    Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; Other Policy Changes; and Adoption of Updated Versions of Certain Health Information Technology Standards; Correction

    effective Oct 1, 2026#2026-19946