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HHS/CMS RIN: 0938-AV65 Publication ID: 2026 
Title: Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model (CMS-5544) 
Abstract:

This final rule updates and revises the Increasing Organ Transplant Access (IOTA) Model for Performance Year (PY) 2. 

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
EO 14192 Designation: Other 
CFR Citation: 42 CFR 512   
Legal Authority: 42 U.S.C. 1315a   
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.  12/11/2028 

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  12/11/2025  90 FR 57598   
NPRM Comment Period End  02/09/2026 
Final Action  12/00/2028 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Amy Turner
Deputy Director
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare and Medicaid Innovation, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6781
Email: amy.turner@cms.hhs.gov