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Regulatory Intelligence

Compliance Updates & Regulatory News

Auto-fed daily from GuardWell's regulatory intelligence engine — Federal Register agency feeds, OCR enforcement, CMS rules, OSHA, DEA, FDA, and more. Below: the most recent items the engine flagged as relevant to small medical practices.

May 2026

May 12, 2026HIPAAOSHADEACMSLive

Administrative Declaration of a Disaster for the State of Texas

This is notice of an Administrative declaration of a disaster for the state of Texas dated May 7, 2026. Incident: Severe Storms and Tornadoes.

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Source: Federal Register — Office of Inspector General (HHS)
May 12, 2026OIGLive

Combined Notice of Filings

Summary unavailable — click through to read the source.

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Source: Federal Register — Office of Inspector General (HHS)
May 12, 2026CMSCLIALive

Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Detect and Identify Microorganism Nucleic Acids and Resistance Markers From Patients With Suspected Orthopedic Infection

The Food and Drug Administration (FDA) is classifying the device to detect and identify microorganism nucleic acids and resistance markers from patients with suspected orthopedic infection into class II (special controls). The special controls that apply to the device type are i…

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Source: Federal Register — Department of Health and Human Services
May 12, 2026CMSLive

Agency Information Collection Activities: Submission for OMB Review; Comment Request

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Reg…

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Source: Federal Register — Department of Health and Human Services
May 12, 2026CMSLive

Proposed Data Collection Submitted for Public Comment and Recommendations

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the public and other federal agencies to comment on a continuing information collection, as required by the…

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Source: Federal Register — Department of Health and Human Services
May 12, 2026CLIALive

21st Century Cures Act: Annual Compilation of Notices of Updates From the Susceptibility Test Interpretive Criteria web page

The Food and Drug Administration (FDA, the Agency, or we) is announcing the availability of the Agency's annual compilation of notices of updates to the Agency's Susceptibility Test Interpretive Criteria web page. The Agency established the Susceptibility Test Interpretive Crite…

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Source: Federal Register — Department of Health and Human Services
May 12, 2026CMSLive

Proposed Data Collection Submitted for Public Comment and Recommendations

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a continuing information collect…

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Source: Federal Register — Department of Health and Human Services
May 12, 2026CMSLive

Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Reopening of Comment Period

The Centers for Medicare & Medicaid Services (CMS) is reopening the comment period for a limited time for a collection of information notice that published in the Federal Register on April 22, 2026. The notice is entitled "Medicaid and Children's Health Insurance Program (CHIP)…

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Source: Federal Register — Department of Health and Human Services
May 11, 2026HIPAACMSLive

Extension of Compliance Dates for Nondiscrimination on the Basis of Disability; Accessibility of Web Content and Mobile Applications of Recipients of Departmental Financial Assistance

By this interim final rule ("IFR"), the Department of Health and Human Services ("Department") is revising the Department's regulations implementing section 504 of the Rehabilitation Act ("section 504") to extend the compliance dates for the requirements for web content and mobi…

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Source: Federal Register — Department of Health and Human Services
May 8, 2026CMSLive

Agency Information Collection Activities: Submission for OMB Review; Comment Request

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Reg…

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Source: Federal Register — Department of Health and Human Services
May 7, 2026CMSLive

Agency Information Collection Activities: Proposed Collection; Comment Request

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Reg…

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Source: Federal Register — Department of Health and Human Services
May 6, 2026CLIALive

Medical Devices; Immunology and Microbiology Devices; Classification of the Device To Preserve and Stabilize Relative Abundances of Microbial Nucleic Acids in Clinical Samples

The Food and Drug Administration (FDA) is classifying the device to preserve and stabilize relative abundances of microbial nucleic acids in clinical samples into class II (special controls). The special controls that apply to the device type are identified in this order and wil…

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Source: Federal Register — Department of Health and Human Services
May 6, 2026CMSCLIALive

Medical Devices; Immunology and Microbiology Devices; Classification of the Circulating Tumor Cell Enrichment Device

The Food and Drug Administration (FDA) is classifying the circulating tumor cell enrichment device into class II (special controls). The special controls that apply to the device type are identified in this order and will be part of the codified language for classification of th…

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Source: Federal Register — Department of Health and Human Services
May 5, 2026OSHACLIALive

Agency for Toxic Substances and Disease Registry; Availability of Draft Toxicological Profile for Xylene

The Agency for Toxic Substances and Disease Registry (ATSDR), within the Department of Health and Human Services (HHS), announces the opening of a docket to obtain comments on a draft of the updated Toxicological Profile for Xylene. This action is necessary as this is an opportu…

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Source: Federal Register — Department of Health and Human Services
May 1, 2026CMSLive

Agency Information Collection Activities: Submission for OMB Review; Comment Request

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Reg…

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Source: Federal Register — Department of Health and Human Services
May 1, 2026OIGCMSALLERGYLive

List of Bulk Drug Substances for Which There Is a Clinical Need Under Section 503B of the Federal Food, Drug, and Cosmetic Act

The Food and Drug Administration (FDA, the Agency, or we) is evaluating substances that have been nominated for inclusion on a list of bulk drug substances (active pharmaceutical ingredients) for which there is a clinical need for outsourcing facilities to use in compounding (th…

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Source: Federal Register — Department of Health and Human Services
May 1, 2026CMSLive

Medical Devices; General and Plastic Surgery Devices; Classification of the Phototherapy Device for Reducing the Appearance of Acute Post-Surgical Incisions

The Food and Drug Administration (FDA) is classifying the phototherapy device for reducing the appearance of acute post-surgical incisions into class II (special controls). The special controls that apply to the device type are identified in this order and will be part of the co…

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Source: Federal Register — Department of Health and Human Services
May 1, 2026OSHACLIALive

Current List of HHS-Certified Laboratories and Instrumented Initial Testing Facilities Which Meet Minimum Standards To Engage in Urine and Oral Fluid Drug Testing for Federal Agencies

The Department of Health and Human Services (HHS) provides notice of the laboratories and Instrumented Initial Testing Facilities (IITFs) currently certified to meet the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory Guidelines) usin…

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Source: Federal Register — Department of Health and Human Services
May 1, 2026CMSCLIALive

Medicare Program: Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for Calendar Year 2027

This notice announces a public meeting to receive comments and recommendations (including data on which recommendations are based) on the appropriate basis for establishing payment amounts for new or substantially revised Healthcare Common Procedure Coding System codes being con…

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Source: Federal Register — Department of Health and Human Services
May 1, 2026CMSCLIALive

Medicare Program: Rechartering, Membership, and Meeting Announcement for the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests

This notice announces the rechartering of the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests (the Panel), appointment of five new members to the Panel, and the next public meeting dates for the Panel on Tuesday, July 14, 2026, and Wednesday, July 15, 2026. The p…

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Source: Federal Register — Department of Health and Human Services

February 2026

February 16, 2026HIPAA

42 CFR Part 2 Aligns with HIPAA — Substance Use Disorder Records

The final rule aligning 42 CFR Part 2 with HIPAA took effect February 16, 2026. Substance use disorder (SUD) treatment records can now be disclosed under the same framework as other protected health information, reducing the separate-consent burden for providers while maintaining patient protections against use in legal proceedings.

What this means for your practice

Practices that handle SUD records should update their Notice of Privacy Practices and train staff on the streamlined disclosure rules.

Source: SAMHSA / HHS

November 2025

November 1, 2025CMS

CMS Finalizes 2026 MIPS Performance Thresholds and MVPs

CMS released the 2026 Medicare Physician Fee Schedule final rule with updated MIPS performance thresholds. The performance threshold increased to 82 points (from 75), and additional MIPS Value Pathways (MVPs) are now available for specialty-focused reporting.

What this means for your practice

Review your MIPS reporting strategy, especially if you use traditional MIPS. Consider transitioning to an MVP that aligns with your specialty.

Source: Centers for Medicare & Medicaid Services

January 2025

January 15, 2025OIG

OIG Releases 2025 Work Plan: Healthcare Fraud Priorities

The HHS Office of Inspector General published its 2025 Work Plan highlighting enforcement priorities for healthcare providers — telehealth billing oversight, Medicare Advantage risk adjustment audits, opioid prescribing patterns, and laboratory test utilization reviews.

What this means for your practice

Review your billing practices for telehealth services and ensure documentation supports medical necessity. Audit high-risk CPT codes flagged in the plan.

Source: HHS Office of Inspector General
January 6, 2025HIPAA

HHS Proposes Major HIPAA Security Rule Overhaul

HHS published a Notice of Proposed Rulemaking to modernize the HIPAA Security Rule for the first time since 2013. Key proposals include mandatory encryption of ePHI at rest and in transit, required multi-factor authentication, annual compliance audits, and more prescriptive technical safeguard standards. The comment period has closed and a final rule is anticipated in 2026.

What this means for your practice

Start preparing now: assess current encryption practices, evaluate MFA readiness, and review your Security Risk Analysis process.

Source: HHS Office for Civil Rights

June 2024

June 25, 2024HIPAA

HIPAA Privacy Rule Update: Reproductive Health Information Protections

The final rule adding protections for reproductive health information under HIPAA took effect June 25, 2024. Covered entities and business associates are now prohibited from disclosing PHI related to lawful reproductive healthcare for non-healthcare purposes such as investigations or legal proceedings in states where the care was legally provided.

What this means for your practice

Update your Notice of Privacy Practices to reflect new reproductive health attestation requirements and train staff on permissible disclosures.

Source: HHS Office for Civil Rights

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