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HHS/CMS RIN: 0938-AV25 Publication ID: 2026 
Title: Repeal of Minimum Staffing Standards for Long-Term Care Facilities (CMS-3442) 
Abstract:

This rule finalizes the December 3, 2025 interim final rule with comment period that repealed provisions of the final rule titled "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional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.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Deregulatory 
CFR Citation: 42 CFR 483    42 CFR 442    42 CFR 438   
Legal Authority: 42 U.S.C. 181    42 U.S.C. 1919    42 U.S.C. 1902    Pub L 119-21   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  12/03/2028 

Overall Description of Deadline: 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.

Timetable:
Action Date FR Cite
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 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Center for Clinical Standards and Quality
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3000
Email: healthandsafetyinquiries@cms.hhs.gov