Agencies › Centers for Medicare & Medicaid Services

Who's commenting on CMS rules

2,097 companies and organizations have filed 3,944 comment letters on 41 proposed rules from the Centers for Medicare & Medicaid Services (CMS). The most frequent commenter is Equality California. 3 rules are open for comment now.

Comment letters

3,944

Organizations

2,097

Rules with letters

41

Open for comment now

3

Open for comment now

• Request for Information; Medicare Part D Reasonable and Relevant Pharmacy Contracting Standards CMS-2026-3037 · due November 23, 2026
• Clinical Laboratory Improvement Amendments of 1988 (CLIA); Virtual Access, Gynecologic Cytology Proficiency Testing (PT), Personnel Qualifications, and Other Changes CMS-2026-3235 · due December 7, 2026
• Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026 CMS-2026-3533 · due December 15, 2026

All rules open for comment →

Who comments most on CMS rules

1. Equality California · 74 letters on 3 rules · Advocacy & Nonprofits
2. Federation of American Hospitals · 21 letters on 18 rules · Healthcare
3. American Hospital Association (AHA) · 20 letters on 20 rules · Healthcare
4. Greater New York Hospital Association · 20 letters on 19 rules · Healthcare
5. Acadia Healthcare · 19 letters on 3 rules · Healthcare
6. Allina Health · 19 letters on 19 rules · Healthcare
7. Essentia Health · 17 letters on 17 rules · Healthcare
8. Michigan Health & Hospital Association · 17 letters on 17 rules · Healthcare
9. Corewell Health · 16 letters on 16 rules · Healthcare
10. LeadingAge · 15 letters on 14 rules · Healthcare
11. Virginia Hospital & Healthcare Association · 14 letters on 14 rules · Healthcare
12. AHIP · 13 letters on 13 rules · Insurance
13. American Academy of Physician Associates · 13 letters on 13 rules · Healthcare
14. American Nurses Association · 13 letters on 13 rules · Healthcare
15. Coalition to Transform Advanced Care · 13 letters on 13 rules · Healthcare
16. Healthcare Association of New York State · 13 letters on 13 rules · Healthcare
17. Henry Ford Health · 13 letters on 13 rules · Healthcare
18. Missouri Hospital Association · 13 letters on 13 rules · Healthcare
19. Sangre de Cristo Community Care · 13 letters on 1 rule · Advocacy & Nonprofits
20. Texas Hospital Association · 13 letters on 11 rules · Healthcare
21. The American Occupational Therapy Association · 13 letters on 13 rules · Healthcare
22. American Academy of Hospice and Palliative Medicine · 12 letters on 12 rules · Healthcare
23. American Pharmacists Association · 12 letters on 12 rules · Healthcare
24. American Speech-Language-Hearing Association · 12 letters on 12 rules · Healthcare
25. Association for Professionals in Infection Control and Epidemiology (APIC) · 12 letters on 12 rules · Other
26. NMS Labs · 12 letters on 1 rule · Healthcare
27. Sutter Health · 12 letters on 11 rules · Healthcare
28. BJC Health · 11 letters on 11 rules · Healthcare
29. Hackensack Meridian Health · 11 letters on 11 rules · Healthcare
30. National Patient Advocate Foundation · 11 letters on 11 rules · Healthcare

Letters by industry

Healthcare 2,623 Pharma & Medical Devices 442 Advocacy & Nonprofits 330 Other 254 Technology, Media & Telecom 99 Insurance 96 Law, Accounting & Consulting 29 Education 15 Government & Tribes 15 Business Groups & Chambers 12 Labor Unions 12 Manufacturing & Chemicals 6 Agriculture & Food 3 Investment & Securities 3 Real Estate & Construction 2 Environment & Conservation 1 Banking & Lending 1 Retail, Hospitality & Consumer 1

Letters by year

Rules and how many letters each drew

• Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes CMS-2026-2476 · 152 letters
• Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program CMS-2026-2377 · 68 letters
• Request for Information; Clinical Laboratory Improvement Amendments of 1988 (CLIA) Regulations CMS-2026-2345 · 139 letters
• Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots CMS-2026-2344 · 200 letters
• Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies CMS-2026-2311 · 198 letters
• Medicare Program; CY 2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program CMS-2026-2245 · 78 letters
• Request for Information (RFI): Pharmacy Benefit Manager Compensation and Data Collection CMS-2026-2212 · 49 letters
• Medicare Drug Price Negotiation Program and Medicare Prescription Drug Benefit Program CMS-2026-2080 · 159 letters
• Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments CMS-2026-1916 · 202 letters
• Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges CMS-2026-1255 · 242 letters
• Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update CMS-2026-1123 · 130 letters
• Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027 CMS-2026-1321 · 57 letters
• Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements CMS-2026-1156 · 122 letters
• Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program CMS-2026-1024 · 60 letters
• Request for Information (RFI) Related to Comprehensive Regulations To Uncover Suspicious Healthcare (CRUSH) CMS-2026-0826 · 211 letters
• Medicare and Medicaid Programs; Organ Procurement Organizations Conditions for Coverage: Revisions to the Conditions for Coverage CMS-2026-0364 · 61 letters
• Medicare Program; Ensuring Safety Through Domestic Security With Made in America Personal Protective Equipment (PPE) and Essential Medicine Procurement by Medicare Participating Hospitals CMS-2026-0298 · 116 letters
• Global Benchmark for Efficient Drug Pricing (GLOBE) Model CMS-2025-1889 · 141 letters
• Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model CMS-2025-1888 · 143 letters
• Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children CMS-2025-1823 · 100 letters
• Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children CMS-2025-1822 · 14 letters
• Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model CMS-2025-1690 · 53 letters
• Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program CMS-2025-1393 · 1 letter
• Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction CMS-2025-0304 · 169 letters
• Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies CMS-2025-0242 · 24 letters
• Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model CMS-2025-0240 · 63 letters
• Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed Rule CMS-2025-0052 · 137 letters
• Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update CMS-2025-0029 · 46 letters
• Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program CMS-2025-0032 · 61 letters
• Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026 CMS-2025-0031 · 52 letters
• Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly CMS-2024-0345 · 16 letters
• Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments CMS-2024-0256 · 117 letters
• Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model CMS-2024-0189 · 58 letters
• Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies CMS-2024-0190 · 118 letters
• Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023 CMS-2024-0194 · 31 letters
• Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model CMS-2024-0157 · 90 letters
• Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements CMS-2024-0118 · 69 letters
• Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update CMS-2024-0119 · 50 letters
• Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025 CMS-2024-0116 · 70 letters
• Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program CMS-2024-0111 · 40 letters
• Medicare Program; Strengthening Oversight of Accrediting Organizations (AOs) and Preventing AO Conflict of Interest, and Related Provisions CMS-2024-0016 · 37 letters