Federal items in the IHS change log, by the numbers: October 23, 2026 to October 31, 2026
IHS's change log recorded 15 federal items in 9 days: 13 from CMS, 2 from ONC. Each links to its source page, opened November 2, 2026.
From October 23, 2026 to October 31, 2026, the IHS change log recorded 15 federal items that map to an IHS service line: 13 from CMS, 2 from ONC. 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 November 2, 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; log entries for the same page and title are merged. CMS sometimes runs one announcement as a press release and again as an MLN Connects newsletter item. When the newsletter item links to a press release that is in the log, the two are one announcement: it is counted once, on the press release date, and the newsletter item is left out. In this window, 6 newsletter items were left out that way, 2 of them because the linked press release is dated before this window and is not counted here. Topic tags are IHS's, and one item can carry more than one tag, so the topic counts add up to more than 15.
By agency
- Centers for Medicare & Medicaid Services (CMS): 13 items
- Office of the National Coordinator for Health Information Technology (ONC): 2 items
By kind of document
- Press release: 9
- Other agency page: 3
- Federal Register document: 2
- CMS transmittal: 1
By topic (IHS tags)
- Rural health and health centers: 9
- Dialysis and kidney care: 2
- Health IT and interoperability: 2
- Medicaid programs: 2
- Nursing homes and long-term care: 2
- Behavioral health: 1
- State licensing: 1
- Telehealth and digital health: 1
Every item counted
- October 30, 2026, CMS: Trump Administration Announces More Than $19 Million to Expand Telehealth, Specialty Care, and the Healthcare Workforce Across West Virginia. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-more-19-million-expand-telehealth-specialty-care-healthcare-workforce (page opened November 2, 2026)
- October 30, 2026, CMS: Trump Administration Announces $39.7 Million to Modernize Rural Healthcare Across Missouri. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-39-7-million-modernize-rural-healthcare-across-missouri (page opened November 2, 2026)
- October 30, 2026, CMS: Medicare and Medicaid Programs; Organ Procurement Organizations Conditions for Coverage: Revisions to the Conditions for Coverage, Final Rule (CMS 3409-F). https://www.cms.gov/newsroom/fact-sheets/medicare-medicaid-programs-organ-procurement-organizations-conditions-coverage-revisions-conditions (page opened November 2, 2026)
- October 30, 2026, CMS: Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury (AKI) Dialysis Payment, and ESRD Quality Incentive Program (Final rule; FR Doc. 2026-22194). https://www.govinfo.gov/content/pkg/FR-2026-10-30/html/2026-22194.htm (page opened November 2, 2026)
- October 29, 2026, CMS: Trump Administration Announces More Than $233 Million to Improve Rural Healthcare Services Across California. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-more-233-million-improve-rural-healthcare-services-across-california (page opened November 2, 2026)
- October 29, 2026, CMS: Trump Administration Announces $87 Million for 129 Rural Healthcare Providers Across Texas. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-87-million-129-rural-healthcare-providers-across-texas (page opened November 2, 2026)
- October 28, 2026, CMS: Trump Administration Announces Nearly $186 Million to Expand Rural Healthcare Access, Modernize Technology, and Grow the Healthcare Workforce Across Idaho. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-nearly-186-million-expand-rural-healthcare-access-modernize (page opened November 2, 2026)
- October 28, 2026, ONC, HHS: Health Data, Technology, and Interoperability: ONC Deregulatory Actions To Unleash Prosperity (Final rule; FR Doc. 2026-21943). https://www.govinfo.gov/content/pkg/FR-2026-10-28/html/2026-21943.htm (page opened November 2, 2026)
- October 28, 2026, CMS: Calendar Year (CY) 2027 End-Stage Renal Disease (ESRD) Prospective Payment System Final Rule — CMS-1846-F. https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2027-end-stage-renal-disease-esrd-prospective-payment-system-final-rule-cms-1846-f (page opened November 2, 2026)
- October 26, 2026, ONC, HHS: HHS Finalizes HTI-5 Deregulatory Rule to Encourage Innovation and Reduce Health IT Certification Program Compliance Costs. https://healthit.gov/news/hhs-finalizes-hti-5-deregulatory-rule-to-encourage-innovation-and-reduce-health-it-certification-program-compliance-costs/ (page opened November 2, 2026)
- October 26, 2026, CMS: 2027 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update (Transmittal R14003CP). https://www.cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r14003cp (page opened November 2, 2026)
- October 23, 2026, CMS: Trump Administration Announces Nearly $219 Million to Expand the Rural Healthcare Workforce and Advance Technology-Enabled Care Across Georgia. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-nearly-219-million-expand-rural-healthcare-workforce-advance (page opened November 2, 2026)
- October 23, 2026, CMS: Trump Administration Announces More Than $193 Million to Expand Preventive Care and Bring Specialty Care Closer to Rural Florida. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-more-193-million-expand-preventive-care-bring-specialty-care-closer (page opened November 2, 2026)
- October 23, 2026, CMS: Trump Administration Announces $205 Million to Strengthen Emergency Care, Expand the Rural Health Workforce, and Modernize Healthcare Technology in Rural Wyoming. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-205-million-strengthen-emergency-care-expand-rural-health-workforce (page opened November 2, 2026)
- October 23, 2026, CMS: CMS and States Launch $275 Million Initiative to Recruit and Retain Nurses in Nursing Homes. https://www.cms.gov/newsroom/press-releases/cms-states-launch-275-million-initiative-recruit-retain-nurses-nursing-homes (page opened November 2, 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.