Federal items in the IHS change log, by the numbers: September 21 to October 2, 2026
IHS's change log recorded 21 federal items in two weeks: 17 from CMS, 3 from HRSA and 1 from SAMHSA. Each links to its source page, opened October 3, 2026.
From September 21 to October 2, 2026, the IHS change log recorded 21 federal items that map to an IHS service line. CMS issued 17 of them, HRSA 3 and SAMHSA 1. Every item below links to its source page, either an agency page or the Federal Register issue on govinfo.gov, and we opened each of those pages on October 3, 2026.
How the count was made
The change log is IHS's record of federal rules, notices, transmittals, survey memos, press releases and agency newsletter items, read from the agencies' sites and the Federal Register issues on govinfo.gov. Its automated daily run began on October 3, 2026. The log keeps only items that map to an IHS service line, so it holds a subset of what the agencies published. An item is counted once, on the date shown on the agency's page or Federal Register issue. A single newsletter issue can carry several items, so the 21 items come from 16 distinct pages. Topic tags are IHS's, and one item can carry more than one tag, so the topic counts add up to more than 21.
By agency
- Centers for Medicare & Medicaid Services (CMS): 17 items
- Health Resources and Services Administration (HRSA): 3 items
- Substance Abuse and Mental Health Services Administration (SAMHSA): 1 item
By kind of document
- MLN Connects newsletter item: 7
- Federal Register document: 7
- CMS transmittal: 5
- Press release: 1
- Survey and certification policy memo (QSO): 1
By topic (IHS tags)
- Rural providers and health centers: 7
- Hospitals: 4
- Quality measurement: 4
- Telehealth: 3
- Behavioral health: 3
- Privacy and security: 2
- Laboratory: 2
- Hospice: 2
- Home health: 2
- Emergency transport: 1
- Rehabilitation: 1
- Health plans: 1
- Drug testing: 1
- Fraud and compliance: 1
- Correctional health: 1
- DMEPOS: 1
- Pharmacy: 1
Every item counted
- October 2, 2026, CMS: Trump Administration Announces $7.2 Million to Expand Ambulance-Based Telemedicine and Upgrade Emergency Communications Across South Dakota. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-7-2-million-expand-ambulance-based-telemedicine-upgrade-emergency (page opened October 3, 2026)
- October 1, 2026, CMS: Delaware: Nearly $23M to Modernize Rural Health Centers, Expand Mobile Care & Make It Easier to Manage Chronic Disease. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-1-2026 (page opened October 3, 2026)
- October 1, 2026, CMS: Short-Term Acute Care Hospitals: Download Your Q2 FY 2026 PEPPER. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-1-2026 (page opened October 3, 2026)
- October 1, 2026, CMS: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program; Correction (Final rule; correction; FR Doc. 2026-20131). https://www.govinfo.gov/content/pkg/FR-2026-10-01/html/2026-20131.htm (page opened October 3, 2026)
- October 1, 2026, CMS: Medicare Advantage & Medicare Prescription Drug Programs Expected to Remain Stable in 2027. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-1-2026 (page opened October 3, 2026)
- October 1, 2026, CMS: South Dakota: $13M Investment to Expand Behavioral Health Care & Create a 24/7 Mobile Crisis Response Service. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-1-2026 (page opened October 3, 2026)
- September 30, 2026, SAMHSA: 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 (Notice; FR Doc. 2026-20004). https://www.govinfo.gov/content/pkg/FR-2026-09-30/html/2026-20004.htm (page opened October 3, 2026)
- September 30, 2026, CMS: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2027 (Transmittal R13976CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13976cp (page opened October 3, 2026)
- September 30, 2026, CMS: Updates to Chapter 6, Sections 6.2 of Publication (Pub) 100-08 - Program Integrity Manual (PIM) to Include Allowed Practitioners in the Home Health Manual Instruction (Transmittal R13972PI). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13972pi (page opened October 3, 2026)
- September 30, 2026, CMS: Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements; Correction (Final rule; correction; FR Doc. 2026-20067). https://www.govinfo.gov/content/pkg/FR-2026-09-30/html/2026-20067.htm (page opened October 3, 2026)
- September 30, 2026, CMS: Quarterly Update to Home Health (HH) Grouper (Transmittal R13974CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13974cp (page opened October 3, 2026)
- September 29, 2026, HRSA: AIM Incarcerated Women Resource Kit (Notice of supplemental funding; FR Doc. 2026-19886). https://www.govinfo.gov/content/pkg/FR-2026-09-29/html/2026-19886.htm (page opened October 3, 2026)
- September 29, 2026, CMS: October Quarterly Update for 2026 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule (Transmittal R13956CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13956cp (page opened October 3, 2026)
- September 29, 2026, CMS: Updates to Internet Only Manual (IOM) Publication (Pub.) 100-04 Medicare Claims Processing Manual, Chapter 9 -Rural Health Clinics/Federally Qualified Health Centers (Transmittal R13975CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13975cp (page opened October 3, 2026)
- September 29, 2026, CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates; Requirements for Quality Programs; Other Policy Changes; and Adoption of Updated Versions of Certain Health Information Technology Standards; Correction (Final rule; correction; FR Doc. 2026-19946). https://www.govinfo.gov/content/pkg/FR-2026-09-29/html/2026-19946.htm (page opened October 3, 2026)
- September 24, 2026, CMS: South Carolina: $167M to Build Rural Care Sites, Upgrade Health Technology & Strengthen Prevention. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-september-24-2026 (page opened October 3, 2026)
- September 24, 2026, CMS: CMS Announces New Preliminary Medicare Payment Rates for Laboratory Services, Saving Taxpayers an Estimated $1B Annually. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-september-24-2026 (page opened October 3, 2026)
- September 24, 2026, CMS: New Mexico: $74M to Expand Specialty, Maternal & Behavioral Health Care. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-september-24-2026 (page opened October 3, 2026)
- September 21, 2026, HRSA: Notice of Supplemental Funding, Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement (Notice of supplemental funding; FR Doc. 2026-19234). https://www.govinfo.gov/content/pkg/FR-2026-09-21/html/2026-19234.htm (page opened October 3, 2026)
- September 21, 2026, HRSA: Notice of Supplemental Funding, Rural Quality Improvement Technical Assistance Program (Notice of supplemental funding; FR Doc. 2026-19221). https://www.govinfo.gov/content/pkg/FR-2026-09-21/html/2026-19221.htm (page opened October 3, 2026)
- September 21, 2026, CMS: REVISED: Electronic Form CMS-10455, Report of a Hospital Death Associated with Restraint or Seclusion (QSO-20-04-Hospital-CAH DPU REVISED). https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and/electronic-form-cms-10455-report-hospital-death-associated-restraint-or-seclusion (page opened October 3, 2026)
Not in the count
Two earlier CMS items from June 16, 2026 sit in the same log under IHS's accreditation and deeming tag: Publication of the Strengthening Oversight of Accrediting Organizations (AOs) (CMS-3367-FC) Final Rule with Comment Period (QSO-26-10-[ALL]), https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/policy-memos/policy-memos-states-cms-locations/publication-strengthening-oversight-accrediting-organizations-aos-cms-3367-fc-final-rule-comment; Medicare Program; Strengthening Oversight of Accrediting Organizations (AOs) and Preventing AO Conflicts of Interest, and Related Provisions (Final rule with comment period; FR Doc. 2026-12069), https://www.govinfo.gov/content/pkg/FR-2026-06-16/html/2026-12069.htm. They fall outside the two-week window and are not counted above. Both pages were opened on October 3, 2026. The log holds no other items dated before September 21.
What this is not
This is a count of the items in the IHS change log, not of everything the agencies published, and not a judgment of what any item requires of a given organization. Read the agency's page for the text that applies. For the running list, see the IHS standards-change page at https://www.integralhs.com/insights/changes.