0938-AV25 202510 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Repeal of Minimum Staffing Standards for Long-Term Care Facilities (CMS-3442)

This rule finalizes the December 3, 2025 interim final rule with comment period that repealed provisions of the final rule titled "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting.” This action is taken in view of changes made by the One Big Beautiful Bill Act of 2025, which precludes HHS from implementing, administering, or enforcing certain provisions of the final rule until September 30, 2034.

]]> Economically Significant Previously Published in The Unified Agenda Long-Term Actions Yes No Deregulatory 42 CFR 483 42 CFR 442 42 CFR 438 42 U.S.C. 181 42 U.S.C. 1919 42 U.S.C. 1902 Pub L 119-21 Statutory Final 12/03/2028 MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule. Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner. No NPRM 09/06/2023 88 FR 61352 NPRM Comment Period End 11/06/2023 Final Action 05/10/2024 89 FR 40876 Final Action Effective 06/21/2024 Interim Final Rule 12/03/2025 90 FR 55687 Interim Final Rule Comment Period End 02/02/2026 Interim Final Rule Effective 02/02/2026 2nd Final Action 12/00/2028 No State Yes No No Center for Clinical Standards and Quality 0938 Centers for Medicare & Medicaid Services CMS 410 786-3000 healthandsafetyinquiries@cms.hhs.gov 7500 Security Boulevard, Baltimore MD 21244