Federal items in the IHS change log, by the numbers: October 3, 2026 to October 9, 2026
IHS's change log recorded 16 federal items in 7 days: all 16 from CMS. Each links to its source page, opened October 10, 2026.
From October 3, 2026 to October 9, 2026, the IHS change log recorded 16 federal items that map to an IHS service line: all 16 from CMS. 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 10, 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 16 items come from 12 distinct pages. A Federal Register document issued jointly by more than one agency is counted once, under the agency the log assigns, and the item list names every issuing agency. Topic tags are IHS's, and one item can carry more than one tag, so the topic counts add up to more than 16.
By agency
- Centers for Medicare & Medicaid Services (CMS): 16 items
By kind of document
- CMS transmittal: 6
- MLN Connects newsletter item: 5
- Press release: 3
- Federal Register document: 1
- Policy memo to states and CMS locations: 1
By topic (IHS tags)
- Rural health and health centers: 6
- Telehealth and digital health: 3
- Behavioral health: 2
- Home health and home care: 2
- Hospitals: 2
- Nursing homes and long-term care: 2
- Ambulatory and office-based surgery: 1
- DMEPOS: 1
- EMS and medical transport: 1
- Health IT and interoperability: 1
- Hospice and palliative care: 1
- Laboratories: 1
- Privacy and security (HIPAA): 1
- Quality measurement and reporting: 1
- Substance use disorder treatment: 1
Every item counted
- October 9, 2026, CMS: Trump Administration Announces $37.7 Million to Train and Recruit More Rural Healthcare Workers Across Louisiana. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-37-7-million-train-recruit-more-rural-healthcare-workers-across (page opened October 10, 2026)
- October 9, 2026, CMS: Trump Administration Announces $209 Million to Expand Advanced Medical Care, Maternal Telehealth, and Cancer Prevention Across Rural Iowa. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-209-million-expand-advanced-medical-care-maternal-telehealth-cancer (page opened October 10, 2026)
- October 9, 2026, CMS: REVISED: Instructions for Completing Exhibit 286, Hospital/Critical Access Hospital (CAH)/Rural Emergency Hospital (REH) Database Worksheet (S&C-12-06-Hospitals/CAHs/REH REVISED). https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/policy-and-memos-to-states-and-regions-items/cms1254593 (page opened October 10, 2026)
- October 8, 2026, CMS: South Dakota: $7.2M to Expand Ambulance-Based Telemedicine & Upgrade Emergency Communications. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-8-2026 (page opened October 10, 2026)
- October 8, 2026, CMS: Skilled Nursing Facilities: Accurately Report Your Related-Party Costs. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-8-2026 (page opened October 10, 2026)
- October 8, 2026, CMS: Revisions to the Edits to Prevent Overpayment of Long-term Stay in Hospice (Transmittal R13997OTN). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13997otn (page opened October 10, 2026)
- October 8, 2026, CMS: Quality Payment Program: 2027 Virtual Group Election Period – Submit by December 31. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-8-2026 (page opened October 10, 2026)
- October 8, 2026, CMS: October 2026 Update of the Ambulatory Surgical Center (ASC) Payment System (Transmittal R13983CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13983cp (page opened October 10, 2026)
- October 8, 2026, CMS: North Carolina: $20M to Expand Telehealth Access & Upgrade Health Care Technology. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-8-2026 (page opened October 10, 2026)
- October 8, 2026, CMS: Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2027 (Transmittal R14000CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r14000cp (page opened October 10, 2026)
- October 8, 2026, CMS: Home Health Reason Code 19963 Edit – Notice of Admission Not Found (Transmittal R13996OTN). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13996otn (page opened October 10, 2026)
- October 8, 2026, CMS: Enhancing Compliance and Payment Accuracy for Physician Services in Skilled Nursing Facilities-Update (Transmittal R13995CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13995cp (page opened October 10, 2026)
- October 8, 2026, CMS: DMEPOS Competitive Bidding Program: Registration & Bid Window Dates for Round 2028. https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-october-8-2026 (page opened October 10, 2026)
- October 8, 2026, CMS and CDC: Clinical Laboratory Improvement Amendments of 1988 (CLIA); Virtual Access, Gynecologic Cytology Proficiency Testing (PT), Personnel Qualifications, and Other Changes (Proposed rule; FR Doc. 2026-20613). https://www.govinfo.gov/content/pkg/FR-2026-10-08/html/2026-20613.htm (page opened October 10, 2026)
- October 8, 2026, CMS: Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement (Transmittal R13988CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13988cp (page opened October 10, 2026)
- October 7, 2026, CMS: Trump Administration Announces More Than $17 Million for New Mental Health Clinics, Mobile Crisis Teams, and Expanded Addiction Treatment in North Carolina. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-more-17-million-new-mental-health-clinics-mobile-crisis-teams (page opened October 10, 2026)
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.