List of Regulatory Actions Currently Under Review

(Agency: HHS; Rule Stage: ALL; Length of Review: ALL; Economically Significant: ALL; International Impact: ALL)


Department of Health and Human Services
AGENCY: HHS-ACF RIN: 0970-AD34 Status: Pending Review for rule 0970-AD34 Request EO Meeting for rule 0970-AD34
TITLE: Unaccompanied Alien Children Program Foundational Rule; Updates to Accord with the Hyde Amendment
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 01/23/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-AD32 Status: Pending Review for rule 0970-AD32 Request EO Meeting for rule 0970-AD32
TITLE: Reforming Federal Reporting and Assessments in Child Welfare
STAGE: Interim Final Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 07/28/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-AD47 Status: Pending Review for rule 0970-AD47 Request EO Meeting for rule 0970-AD47
TITLE: Ensuring Program Integrity for Head Start Programs
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 08/05/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-AD43 Status: Pending Review for rule 0970-AD43 Request EO Meeting for rule 0970-AD43
TITLE: Unaccompanied Alien Children Bureau Reunification of Certain Unaccompanied Alien Children with a Parent or Legal Guardian in a Country Other Than the United States
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/07/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-ZA25 Status: Pending Review for rule 0970-ZA25 Request EO Meeting for rule 0970-ZA25
TITLE: Updates to the Children's Bureau Child Welfare Policy Manual
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/14/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ACF RIN: 0970-AD48 Status: Pending Review for rule 0970-AD48 Request EO Meeting for rule 0970-AD48
TITLE: Reducing Bureaucracy and Burden for the Repatriation of Mentally Ill Nationals
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/20/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AW03 Status: Pending Review for rule 0938-AW03 Request EO Meeting for rule 0938-AW03
TITLE: Exchange Pre-Enrollment Eligibility Verification (CMS-9873)
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 04/22/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV70 Status: Pending Review for rule 0938-AV70 Request EO Meeting for rule 0938-AV70
TITLE: Strengthening the Integrity of Medicaid and CHIP Managed Care, Financing, and Access to Care (CMS-2450)
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 05/12/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV92 Status: Pending Review for rule 0938-AV92 Request EO Meeting for rule 0938-AV92
TITLE: Short-Term, Limited-Duration Insurance (CMS-9881)
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 05/30/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV74 Status: Pending Review for rule 0938-AV74 Request EO Meeting for rule 0938-AV74
TITLE: Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model (CMS-5546)
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 06/15/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AV66 Status: Pending Review for rule 0938-AV66 Request EO Meeting for rule 0938-AV66
TITLE: Global Benchmark for Efficient Drug Pricing (GLOBE) Model (CMS-5545)
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 06/26/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AW04 Status: Pending Review for rule 0938-AW04 Request EO Meeting for rule 0938-AW04
TITLE: Cutting Administrative Requirements for Excellence in Patient Care (CMS-3484)
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 07/02/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV99 Status: Pending Review for rule 0938-AV99 Request EO Meeting for rule 0938-AV99
TITLE: Patient Protection and Affordable Care Act; State Innovation Waivers and Health Care Choice Compacts (CMS-9877)
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 07/13/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV88 Status: Pending Review for rule 0938-AV88 Request EO Meeting for rule 0938-AV88
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: Yes
RECEIVED DATE: 07/20/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV89 Status: Pending Review for rule 0938-AV89 Request EO Meeting for rule 0938-AV89
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: Yes
RECEIVED DATE: 07/20/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV64 Status: Pending Review for rule 0938-AV64 Request EO Meeting for rule 0938-AV64
TITLE: Transparency in Coverage (CMS-9882)
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 07/27/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AV97 Status: Pending Review for rule 0938-AV97 Request EO Meeting for rule 0938-AV97
TITLE: Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) (CMS-6098)
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/07/2026 LEGAL DEADLINE: None  


AGENCY: HHS-CMS RIN: 0938-AW08 Status: Pending Review for rule 0938-AW08 Request EO Meeting for rule 0938-AW08
TITLE: Request for Information: Medicare Part D Reasonable and Relevant Pharmacy Contracting Standards (CMS-4217)
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/19/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-CMS RIN: 0938-AU54 Status: Pending Review for rule 0938-AU54 Request EO Meeting for rule 0938-AU54
TITLE: Amendments to Rules Governing Organ Procurement Organizations (CMS-3409)
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/20/2026 LEGAL DEADLINE: Statutory  


AGENCY: HHS-FDA RIN: 0910-ZC82 Status: Pending Review for rule 0910-ZC82 Request EO Meeting for rule 0910-ZC82
TITLE: Cannabidiol (CBD) Products Compliance and Enforcement Policy
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 03/13/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD09 Status: Pending Review for rule 0910-ZD09 Request EO Meeting for rule 0910-ZD09
TITLE: Action Levels for Cadmium in Processed Food Intended for Babies and Young Children; Draft Guidance for Industry
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 05/22/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD15 Status: Pending Review for rule 0910-ZD15 Request EO Meeting for rule 0910-ZD15
TITLE: Requirements for Additional Traceability Records for Certain Foods: Enforcement Policy for Certain Retail Food Establishments and Restaurants
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 06/01/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD23 Status: Pending Review for rule 0910-ZD23 Request EO Meeting for rule 0910-ZD23
TITLE: New Dietary Ingredient (NDI) Notifications and Related Issues; Identity and Safety Information About the NDI: Guidance for Industry
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 06/02/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AJ03 Status: Pending Review for rule 0910-AJ03 Request EO Meeting for rule 0910-AJ03
TITLE: Requirements For Additional Traceability Records For Certain Foods: Compliance Date Extension
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 06/03/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AI91 Status: Pending Review for rule 0910-AI91 Request EO Meeting for rule 0910-AI91
TITLE: Rulemaking to Provide by Regulation that an Ingredient Is Not Excluded From the Dietary Supplement Definition
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 06/05/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AI05 Status: Pending Review for rule 0910-AI05 Request EO Meeting for rule 0910-AI05
TITLE: Administrative Detention of Tobacco Products
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 07/09/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD48 Status: Pending Review for rule 0910-ZD48 Request EO Meeting for rule 0910-ZD48
TITLE: U.S.-Origin Statements on Seafood; Draft Guidance for Industry
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 07/10/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AJ27 Status: Pending Review for rule 0910-AJ27 Request EO Meeting for rule 0910-AJ27
TITLE: Nonclinical Testing Terminology
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 07/28/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD60 Status: Pending Review for rule 0910-ZD60 Request EO Meeting for rule 0910-ZD60
TITLE: White Paper: Proposed Definition of Ultra-Processed Food
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/03/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-AI83 Status: Pending Review for rule 0910-AI83 Request EO Meeting for rule 0910-AI83
TITLE: Use of Formaldehyde and Formaldehyde-Releasing Chemicals as an Ingredient in Hair Smoothing Products or Hair Straightening Products
STAGE: Proposed Rule ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/06/2026 LEGAL DEADLINE: None  


AGENCY: HHS-FDA RIN: 0910-ZD64 Status: Pending Review for rule 0910-ZD64 Request EO Meeting for rule 0910-ZD64
TITLE: Hazard Analysis and Risk-Based Preventive Controls for Human Food; Draft Guidance for Industry
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/11/2026 LEGAL DEADLINE: None  


AGENCY: HHS-NIH RIN: 0925-ZA18 Status: Pending Review for rule 0925-ZA18 Request EO Meeting for rule 0925-ZA18
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: No
RECEIVED DATE: 07/29/2026 LEGAL DEADLINE: None  


AGENCY: HHS-NIH RIN: 0925-ZA20 Status: Pending Review for rule 0925-ZA20 Request EO Meeting for rule 0925-ZA20
TITLE: FY 2026-2030 NIH Strategic Plan for HIV and HIV-Related Research
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/20/2026 LEGAL DEADLINE: None  


AGENCY: HHS-OCR RIN: 0945-AA00 Status: Pending Review for rule 0945-AA00 Request EO Meeting for rule 0945-AA00
TITLE: HIPAA Privacy Rule: Changes to Support Coordinated Care and Individual Engagement and Reduce Regulatory Burdens
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 04/02/2026 LEGAL DEADLINE: None  


AGENCY: HHS-OCR RIN: 0945-ZA12 Status: Pending Review for rule 0945-ZA12 Request EO Meeting for rule 0945-ZA12
TITLE: Dear Colleague Letter: Combating Discrimination Rooted in Antisemitism in HHS-Funded Programs and Activities
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 08/07/2026 LEGAL DEADLINE: None  


AGENCY: HHS-OCR RIN: 0945-ZA13 Status: Pending Review for rule 0945-ZA13 Request EO Meeting for rule 0945-ZA13
TITLE: FAQ: Part 2 Confidentiality Requirements for Substance Use Disorder (SUD) Patient Records and Exceptions to Medicaid Community Engagement Requirements for Certain Individuals with SUD
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
** RECEIVED DATE: 08/24/2026 LEGAL DEADLINE: None  


AGENCY: HHS-OASH RIN: 0937-ZA01 Status: Pending Review for rule 0937-ZA01 Request EO Meeting for rule 0937-ZA01
TITLE: Where the Clinic Meets the Movement: Does Gender Ideology Arm Left-Wing Authoritarian Psychology?
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
** RECEIVED DATE: 08/24/2026 LEGAL DEADLINE: None  


AGENCY: HHS-ONC RIN: 0955-AA09 Status: Pending Review for rule 0955-AA09 Request EO Meeting for rule 0955-AA09
TITLE: Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity
STAGE: Final Rule ECONOMICALLY SIGNIFICANT: Yes
RECEIVED DATE: 07/28/2026 LEGAL DEADLINE: None  


AGENCY: HHS-SAMHSA RIN: 0930-AA40 Status: Pending Review for rule 0930-AA40 Request EO Meeting for rule 0930-AA40
TITLE: Mandatory Guidelines for Federal Workplace Drug Testing Programs using Urine (UrMG)
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 06/11/2026 LEGAL DEADLINE: None  


AGENCY: HHS-SAMHSA RIN: 0930-AA41 Status: Pending Review for rule 0930-AA41 Request EO Meeting for rule 0930-AA41
TITLE: Mandatory Guidelines for Federal Workplace Drug Testing Programs using Oral Fluid (OFMG)
STAGE: Notice ECONOMICALLY SIGNIFICANT: No
RECEIVED DATE: 06/11/2026 LEGAL DEADLINE: None