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Who's commenting on HHS rules

2,749 companies and organizations have filed 5,147 comment letters on 71 proposed rules from the Health and Human Services Department (HHS). The most frequent commenter is Equality California. 15 rules are open for comment now.

Comment letters

5,147

Organizations

2,749

Rules with letters

71

Open for comment now

15

Open for comment now

• Reforming Federal Reporting and Assessments in Child Welfare ACF-2026-0562 · due November 4, 2026 · 4 letters so far
• Further Reducing Bureaucracy and Burden From the Administration for Native Americans ACF-2026-0826 · due November 13, 2026
• Request for Information; Medicare Part D Reasonable and Relevant Pharmacy Contracting Standards CMS-2026-3037 · due November 23, 2026
• Requirements for Additional Traceability Records for Certain Foods: Enforcement Policy for Certain Retail Food Establishments and Restaurants; Draft Guidance for Industry; Availability FDA-2025-D-6952 · due November 23, 2026
• Patient Protection and Affordable Care Act, Exchange Pre-Eligibility Verification CMS-2026-3367 · due November 27, 2026
• Adoption and Foster Care Analysis and Reporting System ACF_FRDOC_0001 · due November 30, 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
• Nonclinical Testing Terminology FDA-2026-N-5347 · due December 7, 2026
• Substances Generally Recognized as Safe FDA-2025-N-3262 · due December 9, 2026
• Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026 CMS-2026-3533 · due December 15, 2026
• Action Levels for Cadmium in Processed Food Intended for Babies and Young Children; Draft Guidance for Industry; Availability FDA-2025-D-4023 · due December 22, 2026
• Mandatory Guidelines for Federal Workplace Drug Testing Programs Using Oral Fluid (OFMG) SAMHSA-2026-0001 · due December 28, 2026
• Mandatory Guidelines for Federal Workplace Drug Testing Programs Using Urine (UrMG) SAMHSA-2026-0002 · due December 28, 2026
• Action Levels for Cadmium in Processed Food Intended for Babies and Young Children; Draft Guidance for Industry; Availability FDA_FRDOC_0001 · due January 21, 2027
• Hazard Analysis and Risk-Based Preventive Controls for Human Food; Draft Guidance for Industry; Availability FDA-2016-D-2343 · due January 21, 2027

All rules open for comment →

Who comments most on HHS rules

1. Equality California · 74 letters on 3 rules · Advocacy & Nonprofits
2. American Hospital Association (AHA) · 24 letters on 24 rules · Healthcare
3. Federation of American Hospitals · 24 letters on 21 rules · Healthcare
4. Greater New York Hospital Association · 22 letters on 21 rules · Healthcare
5. Allina Health · 20 letters on 20 rules · Healthcare
6. Essentia Health · 20 letters on 20 rules · Healthcare
7. Acadia Healthcare · 19 letters on 3 rules · Healthcare
8. Corewell Health · 18 letters on 18 rules · Healthcare
9. Michigan Health & Hospital Association · 17 letters on 17 rules · Healthcare
10. AHIP · 16 letters on 16 rules · Insurance
11. American Pharmacists Association · 16 letters on 16 rules · Healthcare
12. LeadingAge · 16 letters on 15 rules · Healthcare
13. American Academy of Physician Associates · 15 letters on 15 rules · Healthcare
14. American Nurses Association · 15 letters on 15 rules · Healthcare
15. Cleveland Clinic · 15 letters on 15 rules · Healthcare
16. Sutter Health · 15 letters on 14 rules · Healthcare
17. Blue Cross Blue Shield Association (BCBSA) · 14 letters on 14 rules · Insurance
18. Coalition to Transform Advanced Care · 14 letters on 14 rules · Healthcare
19. Educational First Steps · 14 letters on 1 rule · Education
20. Virginia Hospital & Healthcare Association · 14 letters on 14 rules · Healthcare
21. Connected Health Initiative · 13 letters on 13 rules · Healthcare
22. Healthcare Association of New York State · 13 letters on 13 rules · Healthcare
23. Henry Ford Health · 13 letters on 13 rules · Healthcare
24. Missouri Hospital Association · 13 letters on 13 rules · Healthcare
25. Sangre de Cristo Community Care · 13 letters on 1 rule · Advocacy & Nonprofits
26. Texas Hospital Association · 13 letters on 11 rules · Healthcare
27. The American Occupational Therapy Association · 13 letters on 13 rules · Healthcare
28. Advanced Medical Technology Association (AdvaMed) · 12 letters on 12 rules · Pharma & Medical Devices
29. Advocate Health · 12 letters on 12 rules · Healthcare
30. American Academy of Hospice and Palliative Medicine · 12 letters on 12 rules · Healthcare

Letters by industry

Healthcare 3,168 Advocacy & Nonprofits 548 Pharma & Medical Devices 497 Other 370 Technology, Media & Telecom 157 Insurance 133 Education 109 Government & Tribes 63 Law, Accounting & Consulting 44 Business Groups & Chambers 16 Labor Unions 15 Manufacturing & Chemicals 7 Investment & Securities 6 Agriculture & Food 3 Environment & Conservation 3 Real Estate & Construction 3 Banking & Lending 3 Retail, Hospitality & Consumer 2

Letters by year

Rules and how many letters each drew

• Reforming Federal Reporting and Assessments in Child Welfare ACF-2026-0562 · 4 letters Open for comment
• Reducing Bureaucracy and Burden for the Repatriation of Mentally Ill Nationals ACF-2026-0661 · 1 letter
• Reducing Federal Burden for Head Start Programs ACF-2026-0595 · 48 letters
• 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
• Unaccompanied Children Program Foundational Rule; Sponsor Assessment Update To Include Proof of Identity, Background Check, Placement, and Income Verification Standards ACF-2026-0199 · 24 letters
• Medicare and State Health Care Programs: Fraud and Abuse; Request for Information Regarding the Federal Anti-Kickback Statute and Beneficiary Inducements CMP HHSIG-2026-0034 · 52 letters
• Reducing Bureaucracy and Burden for Child Support Enforcement Programs ACF-2026-0529 · 4 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
• Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard CMS-2026-2081 · 117 letters
• Employment and Training Services for Noncustodial Parents in the Child Support Program; Rescission ACF-2026-0100 · 3 letters
• Regulation for Federal Financial Assistance OMB-2026-0034 · 1 letter
• Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments CMS-2026-1916 · 202 letters
• Restoring Flexibility To Support Head Start Program Access ACF-2026-0364 · 82 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
• Reducing Bureaucracy and Burden in Family Violence and Prevention Services ACF-2026-0430 · 37 letters
• Work Participation Rate Calculation Changes: Recalibration of the Caseload Reduction Credit and Prohibition of Small Checks in Work Participation Rate Calculation ACF-2026-0265 · 2 letters
• Reducing Bureaucracy and Burden for Native American Programs ACF-2026-0133 · 4 letters
• Designated Placement Requirements Under Titles IV-E and IV-B for LGBTQI+ Children; Rescission ACF-2026-0298 · 21 letters
• Request for Information (RFI) Related to Comprehensive Regulations To Uncover Suspicious Healthcare (CRUSH) CMS-2026-0826 · 211 letters
• Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance HHS-OCR-2026-0034 · 8 letters
• Medicare and Medicaid Programs; Organ Procurement Organizations Conditions for Coverage: Revisions to the Conditions for Coverage CMS-2026-0364 · 61 letters
• Request for Information: Diagnostic Imaging Interoperability Standards and Certification HHS-ONC-2026-0067 · 65 letters
• Medicare and State Health Care Programs: Fraud and Abuse; Request for Information Regarding the Federal Anti-Kickback Statute and Beneficiary Inducements CMP HHSIG-2026-0001 · 13 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
• Restoring Flexibility in the Child Care and Development Fund (CCDF) ACF-2026-0001 · 65 letters
• Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions To Unleash Prosperity HHS-ONC-2025-0005 · 192 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
• Solicitation of Proposals for New and Modified Safe Harbors and Special Fraud Alerts HHSIG-2025-0001 · 10 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
• HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information HHS-OCR-2024-0020 · 125 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
• Solicitation of Proposals for New and Modified Safe Harbors and Special Fraud Alerts HHSIG-2024-0001 · 6 letters
• Organ Procurement and Transplantation: Implementation of the HIV Organ Policy Equity (HOPE) Act HRSA-2024-0001 · 24 letters
• HHS Acquisition Regulation: Acquisition of Information Technology; Standards for Health Information Technology (HHSAR Case 2023-001) HHS-OS-2024-0015 · 8 letters
• Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability HHS-ONC-2024-0010 · 197 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
• Increase Flexibility for Tribes in Child Care and Development Fund (CCDF) Eligibility ACF-2024-0010 · 8 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
• Employment and Training Services for Noncustodial Parents in the Child Support Program ACF-2024-0005 · 15 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
• Approval Tests and Standards for Combination Unit Respirators CDC-2024-0005 · 1 letter
• Adoption and Foster Care Analysis and Reporting System ACF-2024-0001 · 61 letters
• Medicare Program; Strengthening Oversight of Accrediting Organizations (AOs) and Preventing AO Conflict of Interest, and Related Provisions CMS-2024-0016 · 37 letters
• Removal of Outdated Regulations IHS-2024-0001 · 5 letters