Office of Information and Regulatory Affairs (OIRA)

Executive Order Submissions Under Review

July 30, 2026

Department of Health and Human Services


AGENCY: HHS-ACF RIN: 0970-AD34 Status: Pending Review
TITLE:Unaccompanied Alien Children Program Foundational Rule; Updates to Accord with the Hyde Amendment
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 01/23/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-AD30 Status: Pending Review
TITLE:Modernize the Head Start Program by Reducing Requirements and Enhancing Alignment with State and Local Systems
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 05/22/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-AD32 Status: Pending Review
TITLE:Reforming Federal Reporting and Assessments in Child Welfare
STAGE: Interim Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/28/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AW03 Status: Pending Review
TITLE:Exchange Pre-Enrollment Eligibility Verification (CMS-9873)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 04/22/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV70 Status: Pending Review
TITLE:Strengthening the Integrity of Medicaid and CHIP Managed Care, Financing, and Access to Care (CMS-2450)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 05/12/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV92 Status: Pending Review
TITLE:Short-Term, Limited-Duration Insurance (CMS-9881)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 05/30/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV74 Status: Pending Review
TITLE:Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model (CMS-5546)
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 06/15/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AV73 Status: Pending Review
TITLE:Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Specified Sex-Rejecting Procedures Furnished to Children and Youth (CMS-2451)
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 06/16/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV79 Status: Pending Review
TITLE:Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; the Long-Term Care Hospital Prospective Payment System; and FY 2027 Rates (CMS-1849)
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 06/24/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AV66 Status: Pending Review
TITLE:Global Benchmark for Efficient Drug Pricing (GLOBE) Model (CMS-5545)
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 06/26/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AW04 Status: Pending Review
TITLE:Cutting Administrative Requirements for Excellence in Patient Care (CMS-3484)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/02/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV78 Status: Pending Review
TITLE:FY 2027 Hospice Wage Index, Payment Rate Update, and Quality Reporting Requirements (CMS-1851)
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/09/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AV99 Status: Pending Review
TITLE:Patient Protection and Affordable Care Act; State Innovation Waivers and Health Care Choice Compacts (CMS-9877)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/13/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV88 Status: Pending Review
TITLE:Contract Year 2028 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and PACE (CMS-4214)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/20/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV89 Status: Pending Review
TITLE:Clinical Laboratory Improvement Amendments of 1988 (CLIA) Virtual Access, Gynecologic Cytology Proficiency Testing (PT), Personnel Qualification Requirements, and Other Changes (CMS-3478)
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/20/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-ZC05 Status: Pending Review
TITLE:Regulatory Alignment for Predictable and Immediate Device (RAPID) Coverage Pathway (CMS-3487)
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/23/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV64 Status: Pending Review
TITLE:Transparency in Coverage (CMS-9882)
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/27/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AJ02 Status: Pending Review
TITLE:Substances Generally Recognized as Safe
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 12/01/2025 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZC82 Status: Pending Review
TITLE:Cannabidiol (CBD) Products Compliance and Enforcement Policy
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 03/13/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD09 Status: Pending Review
TITLE:Action Levels for Cadmium in Processed Food Intended for Babies and Young Children; Draft Guidance for Industry
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 05/22/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD15 Status: Pending Review
TITLE:Requirements for Additional Traceability Records for Certain Foods: Enforcement Policy for Certain Retail Food Establishments and Restaurants
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/01/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD23 Status: Pending Review
TITLE:New Dietary Ingredient (NDI) Notifications and Related Issues; Identity and Safety Information About the NDI: Guidance for Industry
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/02/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AJ03 Status: Pending Review
TITLE:Requirements For Additional Traceability Records For Certain Foods: Compliance Date Extension
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/03/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AI91 Status: Pending Review
TITLE:Rulemaking to Provide by Regulation that an Ingredient Is Not Excluded From the Dietary Supplement Definition
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/05/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AI05 Status: Pending Review
TITLE:Administrative Detention of Tobacco Products
STAGE: Proposed Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/09/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD48 Status: Pending Review
TITLE:U.S.-Origin Statements on Seafood; Draft Guidance for Industry
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/10/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AJ27 Status: Pending Review
TITLE:Nonclinical Testing Terminology
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/28/2026 LEGAL DEADLINE: None  


AGENCY: HHS-NIH RIN: 0925-ZA13 Status: Pending Review
TITLE:Request for Information: Draft NIH Biosafety Policy for Research Involving Biohazards
STAGE: Prerule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/17/2026 LEGAL DEADLINE: None  


AGENCY: HHS-NIH RIN: 0925-ZA16 Status: Pending Review
TITLE:Request for Information (RFI) on Proposed Changes to Reporting Outcomes from NIH Peer Review
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/23/2026 LEGAL DEADLINE: None  


AGENCY: HHS-NIH RIN: 0925-ZA17 Status: Pending Review
TITLE:Recent Updates: Supporting a Safe and Respectful Workplace at Institutions that Receive NIH Funding
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 07/23/2026 LEGAL DEADLINE: None  


AGENCY: HHS-NIH RIN: 0925-ZA18 Status: Pending Review
TITLE:Request for Information (RFI): Inviting Comments and Suggestions on the National Institute of Nursing Research (NINR) Strategic Plan for Fiscal Years 2027-2031
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
** RECEIVED DATE: 07/29/2026 LEGAL DEADLINE: None  


AGENCY: HHS-OCR RIN: 0945-AA00 Status: Pending Review
TITLE:HIPAA Privacy Rule: Changes to Support Coordinated Care and Individual Engagement and Reduce Regulatory Burdens
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 04/02/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ONC RIN: 0955-AA09 Status: Pending Review
TITLE:Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity
STAGE: Final Rule Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. Yes
RECEIVED DATE: 07/28/2026 LEGAL DEADLINE: None  


AGENCY: HHS-SAMHSA RIN: 0930-AA41 Status: Pending Review
TITLE:Mandatory Guidelines for Federal Workplace Drug Testing Programs using Oral Fluid (OFMG)
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/11/2026 LEGAL DEADLINE: None  


AGENCY: HHS-SAMHSA RIN: 0930-AA40 Status: Pending Review
TITLE:Mandatory Guidelines for Federal Workplace Drug Testing Programs using Urine (UrMG)
STAGE: Notice Economically Significant: This term refers to a regulatory action, as determined under Section 3(f)(1) of E.O. 12866, that will have an annual effect on the economy of $100 million or more or will adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities. No
RECEIVED DATE: 06/11/2026 LEGAL DEADLINE: None