Rules › CMS-2026-1255

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

Proposed rule from the Health and Human Services Department, Centers for Medicare & Medicaid Services, Office of the Secretary (docket CMS-2026-1255). 241 comment letters from companies and organizations are listed below.

Agency
Health and Human Services Department, Centers for Medicare & Medicaid Services, Office of the Secretary
Docket
CMS-2026-1255
Published
2026-04-14
Comments due
2026-06-15
Status
Comment period closed June 15, 2026 · no final rule found yet
Total public comments
739
Letters listed here
241

Federal Register notice ↗ · Docket on Regulations.gov ↗

Who commented, by industry

Healthcare 166 Pharma & Medical Devices 31 Insurance 17 Advocacy & Nonprofits 14 Technology, Media & Telecom 9 Other 2 Government & Tribes 1 Law, Accounting & Consulting 1

Who commented

CommWell Health Hospital or health provider Healthcare

filed 2026-06-29

HealthLX Company Healthcare

filed 2026-06-29

Consumers' Checkbook/Center for the Study of Services Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Boehringer Ingelheim Company Pharma & Medical Devices

filed 2026-06-29

CRISP Shared Services, Inc. Company Healthcare

filed as “CRISP Shared Services” · filed 2026-06-29

National Alliance on Mental Illness (NAMI) Trade or professional group Healthcare

filed 2026-06-29

ASHP Trade or professional group Healthcare

filed 2026-06-29

Humana, Inc. Company Insurance

filed as “Humana” · filed 2026-06-29

Cystic Fibrosis Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

Castle Biosciences, Inc. Company Pharma & Medical Devices

filed 2026-06-29

Delta Dental Plans Association Trade or professional group Insurance

filed 2026-06-29

California Clinical Laboratory Association Trade or professional group Healthcare

filed 2026-06-29

Borinquen Health Care Center, Inc. Hospital or health provider Healthcare

filed 2026-06-29

The Pharmaceutical Care Management Association (PCMA) Trade or professional group Pharma & Medical Devices

filed as “Pharmaceutical Care Management Association (PCMA)” · filed 2026-06-29

Valer Company Healthcare

filed 2026-06-29

Asthma and Allergy Foundation of America Nonprofit or advocacy group Healthcare

filed 2026-06-29

Joint Commission Trade or professional group Healthcare

filed 2026-06-29

Fallon Health Company Insurance

filed 2026-06-29

Tennessee Hospital Association Trade or professional group Healthcare

filed 2026-06-29

CCS Medical, Inc. Company Healthcare

filed as “CCS Medical” · filed 2026-06-29

American Academy of Sleep Medicine Trade or professional group Healthcare

filed 2026-06-29

American Pharmacists Association Trade or professional group Healthcare

filed 2026-06-29

Accountable for Health Hospital or health provider Healthcare

filed 2026-06-29

Aimed Alliance Trade or professional group Healthcare

filed 2026-06-29

American Osteopathic Association and Affiliates Trade or professional group Healthcare

filed 2026-06-29

Partnership for Innovation and Empowerment Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Laboratory Corporation of America Holdings (Labcorp) Company Healthcare

filed 2026-06-29

Auth57 Labs Company Technology, Media & Telecom

filed 2026-06-29

Blue Cross Blue Shield of Massachusetts Company Insurance

filed 2026-06-29

Association for Molecular Pathology Trade or professional group Healthcare

filed 2026-06-29

HIV+Hepatitis Policy Institute Trade or professional group Healthcare

filed 2026-06-29

Association for Clinical Oncology (ASCO) Trade or professional group Healthcare

filed 2026-06-29

Legal Action Center Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

CareDx, Inc. Company Pharma & Medical Devices

filed 2026-06-29

Academy of Managed Care Pharmacy (AMCP) Trade or professional group Pharma & Medical Devices

filed 2026-06-29

American Academy of Pediatrics Trade or professional group Healthcare

filed 2026-06-29

Derma Care Access Network Nonprofit or advocacy group Healthcare

filed 2026-06-29

American College of Physicians Trade or professional group Healthcare

filed 2026-06-29

Health Level Seven (HL7) International Hospital or health provider Healthcare

filed 2026-06-29

American College of Obstetricians & Gynecologists Trade or professional group Healthcare

filed as “The American College of Obstetricians and Gynecologists” · filed 2026-06-29

American Academy of Hospice and Palliative Medicine Trade or professional group Healthcare

filed 2026-06-29

American Society of Hematology Trade or professional group Healthcare

filed 2026-06-29

National Health Law Program Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

The Sequoia Project Nonprofit or advocacy group Healthcare

filed 2026-06-29

HealthEdge Company Technology, Media & Telecom

filed 2026-06-29

Cabarrus Rowan Community Health Centers Hospital or health provider Healthcare

filed 2026-06-29

Partnership to Fight Chronic Disease Nonprofit or advocacy group Healthcare

filed 2026-06-29

CVS Health Hospital or health provider Healthcare

filed 2026-06-29

Essentia Health Hospital or health provider Healthcare

filed 2026-06-29

Oscar Health Company Insurance

filed 2026-06-29

EveryLife Foundation for Rare Diseases Nonprofit or advocacy group Healthcare

filed 2026-06-29

Concert Company Healthcare

filed 2026-06-29

Black Women's Health Imperative Hospital or health provider Healthcare

filed 2026-06-29

Oracle Health Company Technology, Media & Telecom

filed 2026-06-29

Epic Systems Corporation Company Technology, Media & Telecom

filed 2026-06-29

National Pharmaceutical Council Trade or professional group Pharma & Medical Devices

filed 2026-06-29

NCQA Nonprofit or advocacy group Healthcare

filed 2026-06-29

SCAN Health Plan Company Insurance

filed 2026-06-29

National Home Infusion Association (NHIA) Trade or professional group Healthcare

filed 2026-06-29

Connecting for Better Health Hospital or health provider Healthcare

filed 2026-06-29

Amazon Company Technology, Media & Telecom

filed 2026-06-29

Availity, L.L.C. Company Healthcare

filed 2026-06-29

The Wright Centers for Community Health and Graduate Medical Education Hospital or health provider Healthcare

filed 2026-06-29

Sanofi Company Pharma & Medical Devices

filed 2026-06-29

Center for Medicare Advocacy Nonprofit or advocacy group Healthcare

filed 2026-06-29

Association for Behavioral Health and Wellness Trade or professional group Healthcare

filed 2026-06-29

HIMSS Electronic Health Record Association Trade or professional group Healthcare

filed 2026-06-29

PSW Company Other

filed 2026-06-29

American Cancer Society Cancer Action Network (ACS CAN) Trade or professional group Healthcare

filed 2026-06-29

UnitedHealth Group Company Insurance

filed 2026-06-29

National Independent Laboratory Association Trade or professional group Healthcare

filed 2026-06-29

HealthHIV Nonprofit or advocacy group Healthcare

filed 2026-06-29

Biodesix, Inc. Company Pharma & Medical Devices

filed 2026-06-29

Alliance of Specialty Medicine Trade or professional group Healthcare

filed 2026-06-29

Partnership to Empower Physician-Led Care Nonprofit or advocacy group Healthcare

filed 2026-06-29

American Association for Homecare Trade or professional group Pharma & Medical Devices

filed 2026-06-29

National Minority Quality Forum Trade or professional group Healthcare

filed 2026-06-29

Partnership to Protect Coverage Nonprofit or advocacy group Healthcare

filed 2026-06-29

The Headache and Migraine Policy Forum Trade or professional group Healthcare

filed 2026-06-29

DataSpring Company Healthcare

filed 2026-06-29

Bamboo Health, Inc. Hospital or health provider Healthcare

filed 2026-06-29

Oral Health Interoperability Alliance Trade or professional group Healthcare

filed 2026-06-29

AHIP Trade or professional group Insurance

filed 2026-06-29

The Cigna Group Company Insurance

filed 2026-06-29

Peggy Lillis Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

Society of Nuclear Medicine and Molecular Imaging Trade or professional group Healthcare

filed 2026-06-29

SS&C Health, Inc. Hospital or health provider Healthcare

filed 2026-06-29

Access to Comprehensive Genomic Profiling (ACGP) Coalition Trade or professional group Pharma & Medical Devices

filed 2026-06-29

Guardant Health Company Pharma & Medical Devices

filed 2026-06-29

Infusion Provider Alliance Trade or professional group Healthcare

filed 2026-06-29

Innovaccer, Inc. Company Technology, Media & Telecom

filed 2026-06-29

Cancer Leadership Council Trade or professional group Healthcare

filed 2026-06-29

Foundation for Defense of Democracies Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Prime Therapeutics LLC Company Healthcare

filed 2026-06-29

Movement Disorders Policy Coalition Trade or professional group Healthcare

filed 2026-06-29

Blue Cross Blue Shield Association (BCBSA) Trade or professional group Insurance

filed as “Blue Cross Blue Shield Association” · filed 2026-06-29

National Association of Community Health Centers Trade or professional group Healthcare

filed 2026-06-29

Aegis Sciences Corporation Company Healthcare

filed 2026-06-29

American Podiatric Medical Association Trade or professional group Healthcare

filed 2026-06-29

Avalon Healthcare Solutions Hospital or health provider Healthcare

filed 2026-06-29

Southern Christian Leadership Global Policy Initiative Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

National Association of Chain Drug Stores Trade or professional group Healthcare

filed as “National Association of Chain Drug Stores (NACDS)” · filed 2026-06-29

Association of Cancer Care Centers (ACCC) Trade or professional group Healthcare

filed 2026-06-29

1upHealth Company Healthcare

filed 2026-06-29

Southern Christian Leadership Global Policy Initiative Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Myriad Genetics, Inc. Company Pharma & Medical Devices

filed 2026-06-29

Arthritis Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

Blood Cancer United Company Healthcare

filed 2026-06-29

Jefferson Health Plans Company Insurance

filed 2026-06-29

Maine Primary Care Association Trade or professional group Healthcare

filed 2026-06-29

Sanofi Company Pharma & Medical Devices

filed 2026-06-29

Coalition of State Rheumatology Organizations Trade or professional group Healthcare

filed 2026-06-29

American Academy of Dermatology / Association Coalition or joint letter Healthcare

filed as “American Academy of Dermatology Association” · filed 2026-06-29

Lundbeck Pharmaceuticals LLC Company Pharma & Medical Devices

filed 2026-06-29

Natera, Inc. Company Pharma & Medical Devices

filed as “Natera Inc” · filed 2026-06-29

NCPA Trade or professional group Healthcare

filed 2026-06-29

American Society of Dentist Anesthesiologists Trade or professional group Healthcare

filed 2026-06-29

Pharmacy Health Information Technology Collaborative (PHIT) Nonprofit or advocacy group Pharma & Medical Devices

filed as “The Pharmacy Health Information Technology Collaborative” · filed 2026-06-29

athenahealth Company Healthcare

filed 2026-06-29

American Association of Nurse Practitioners Trade or professional group Healthcare

filed 2026-06-29

ALS United Nonprofit or advocacy group Healthcare

filed 2026-06-29

National Association of Medicaid Directors Government or tribe Government & Tribes

filed as “National Association of Medicaid Directors (NAMD)” · filed 2026-06-29

Point32Health Company Insurance

filed 2026-06-29

Chronic Care Policy Alliance Trade or professional group Healthcare

filed 2026-06-29

Blue Ridge Community Health Services, Inc. Hospital or health provider Healthcare

filed 2026-06-29

ONE CANCER PLACE Nonprofit or advocacy group Healthcare

filed 2026-06-29

COPD Action Alliance Trade or professional group Healthcare

filed 2026-06-29

Medicaid Health Plans of America Trade or professional group Insurance

filed 2026-06-29

Radiopharmaceutical Manufacturers & Theranostics Alliance Trade or professional group Pharma & Medical Devices

filed as “Radiopharmaceutical Manufacturers & Theranostics Alliance (RMTA)” · filed 2026-06-29

Disability Rights Education & Defense Fund Nonprofit or advocacy group Advocacy & Nonprofits

filed as “Disability Rights Education and Defense Fund (DREDF)” · filed 2026-06-29

Regulatory Relief Coalition (RRC) Trade or professional group Healthcare

filed 2026-06-29

BJC Health Hospital or health provider Healthcare

filed 2026-06-29

ICAN, International Cancer Advocacy Network Nonprofit or advocacy group Healthcare

filed 2026-06-29

Infusion Access Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

Drummond Group Company Technology, Media & Telecom

filed as “Drummond Group, LLC” · filed 2026-06-29

Connected Health Initiative Hospital or health provider Healthcare

filed 2026-06-29

National Health Law Program Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Medicare Rights Center Nonprofit or advocacy group Healthcare

filed 2026-06-29

AbbVie Company Pharma & Medical Devices

filed as “AbbVie Inc.” · filed 2026-06-29

Consensus Cloud Solutions Company Technology, Media & Telecom

filed 2026-06-29

American Medical Informatics Association (AMIA) Trade or professional group Healthcare

filed 2026-06-29

HTD Health Hospital or health provider Healthcare

filed 2026-06-29

NeoGenomics Laboratories, Inc. Company Pharma & Medical Devices

filed 2026-06-29

Ridgecrest Regional Hospital Hospital or health provider Healthcare

filed 2026-06-29

Primary Care Medical Services of Poinciana, Inc. Hospital or health provider Healthcare

filed 2026-06-29

Mountain Community Health Partnership Nonprofit or advocacy group Healthcare

filed 2026-06-29

Healthcare Leadership Council Trade or professional group Healthcare

filed 2026-06-29

FORCE: Facing Our Risk of Cancer Empowered Nonprofit or advocacy group Healthcare

filed 2026-06-29

Mindful Choices for ADHD Nonprofit or advocacy group Healthcare

filed 2026-06-29

Louisiana Hospital Association Trade or professional group Healthcare

filed 2026-06-29

ADVION Trade or professional group Healthcare

filed 2026-06-29

ChenMed Hospital or health provider Healthcare

filed 2026-06-29

Westside Family Healthcare Hospital or health provider Healthcare

filed 2026-06-29

National Comprehensive Cancer Network Nonprofit or advocacy group Healthcare

filed 2026-06-29

Blue Shield of California Company Insurance

filed 2026-06-29

Color of Gastrointestinal Illnesses (COGI) Nonprofit or advocacy group Healthcare

filed 2026-06-29

Genentech Company Pharma & Medical Devices

filed 2026-06-29

Pfizer, Inc. Company Pharma & Medical Devices

filed as “Pfizer.” · filed 2026-06-29

Alliance for Patient Access Trade or professional group Healthcare

filed 2026-06-29

National Multiple Sclerosis Society Trade or professional group Healthcare

filed 2026-06-29

Health IT End-Users Alliance Trade or professional group Healthcare

filed 2026-06-29

Healthy Aging Coalition Trade or professional group Healthcare

filed 2026-06-29

Regeneron Pharmaceuticals Company Pharma & Medical Devices

filed 2026-06-29

CARIN Alliance Trade or professional group Healthcare

filed as “The CARIN Alliance” · filed 2026-06-29

Highmark Inc. Company Insurance

filed 2026-06-29

McKesson Corporation Company Pharma & Medical Devices

filed 2026-06-29

Massachusetts Health Data Consortium Trade or professional group Healthcare

filed 2026-06-29

American Urological Association Trade or professional group Healthcare

filed 2026-06-29

Workgroup for Electronic Data Interchange (WEDI) Trade or professional group Healthcare

filed 2026-06-29

ViiV Healthcare Company Pharma & Medical Devices

filed 2026-06-29

Tigerlily Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

National Association of Dental Plans Trade or professional group Healthcare

filed 2026-06-29

American Hospital Association (AHA) Trade or professional group Healthcare

filed as “American Hospital Association” · filed 2026-06-29

Insurance Watchdog Coalition Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Crohn's & Colitis Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

Southeast Company Other

filed 2026-06-29

Bristol Myers Squibb Company Pharma & Medical Devices

filed as “Bristol Myers Squibb (BMS)” · filed 2026-06-29

National Health Council Trade or professional group Healthcare

filed 2026-06-29

Medical Group Management Association Trade or professional group Healthcare

filed as “Medical Group Management Association (MGMA)” · filed 2026-06-29

Federation of American Hospitals Trade or professional group Healthcare

filed as “The Federation of American Hospitals” · filed 2026-06-29

Cooperative Exchange Trade or professional group Healthcare

filed 2026-06-29

New Hampshire Hospital Association Trade or professional group Healthcare

filed 2026-06-29

OCHIN Nonprofit or advocacy group Healthcare

filed 2026-06-29

DirectTrust Nonprofit or advocacy group Healthcare

filed 2026-06-29

Amgen Inc. Company Pharma & Medical Devices

filed as “Amgen, Inc.” · filed 2026-06-29

Access for All Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Texas Medical Association Trade or professional group Healthcare

filed 2026-06-29

National Council for Prescription Drug Program (NCPDP) Trade or professional group Pharma & Medical Devices

filed 2026-06-29

College of American Pathologists Trade or professional group Healthcare

filed 2026-06-29

DrFirst Company Healthcare

filed 2026-06-29

Alzheimer's Association and Alzheimer's Impact Movement Trade or professional group Healthcare

filed 2026-06-29

Defacto Health LLC Hospital or health provider Healthcare

filed 2026-06-29

The AIDS Institute Trade or professional group Healthcare

filed 2026-06-29

Community Oncology Alliance (COA) Trade or professional group Healthcare

filed 2026-06-29

Coalition for 21st Century Medicine Trade or professional group Healthcare

filed as “The Coalition for 21st Century Medicine” · filed 2026-06-29

Smart Health Network Hospital or health provider Healthcare

filed 2026-06-29

Alliance for Health Information Operations and Standards (AHIOS) Trade or professional group Healthcare

filed 2026-06-29

American Association of Psychiatric Pharmacists (AAPP) Trade or professional group Pharma & Medical Devices

filed as “American Association of Psychiatric Pharmacists” · filed 2026-06-29

PALTOWN Development Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-29

American College of Rheumatology Trade or professional group Healthcare

filed 2026-06-29

MultiCare Health System Hospital or health provider Healthcare

filed 2026-06-29

Breakthrough T1D Company Healthcare

filed 2026-06-29

National Association of Nutrition and Aging Services Programs Nonprofit or advocacy group Advocacy & Nonprofits

filed as “National Association of Nutrition and Aging Services Programs (NANASP)” · filed 2026-06-29

RedMoon Project, Inc. Company Healthcare

filed 2026-06-29

Personalized Medicine Coalition Trade or professional group Healthcare

filed 2026-06-29

Netsmart Company Healthcare

filed 2026-06-29

Health Innovation Alliance Trade or professional group Healthcare

filed 2026-06-29

CancerCare Nonprofit or advocacy group Healthcare

filed 2026-06-29

Kansas Hospital Association Trade or professional group Healthcare

filed 2026-06-29

Flexpa Company Healthcare

filed 2026-06-29

NASPGHAN, ASGE Coalition or joint letter Healthcare

filed 2026-06-29

Biotechnology Innovation Organization (BIO) Trade or professional group Pharma & Medical Devices

filed 2026-06-29

Datavant Company Healthcare

filed 2026-06-29

League of United Latin American Citizens (LULAC) Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-29

Families USA Nonprofit or advocacy group Healthcare

filed 2026-06-29

Colorado Access Company Healthcare

filed 2026-06-29

Zelo Health Inc. Hospital or health provider Healthcare

filed 2026-06-29

Texas Association of Community Health Centers Trade or professional group Healthcare

filed 2026-06-24

American Association for the Study of Liver Diseases Trade or professional group Healthcare

filed 2026-06-24

Patients Rising Nonprofit or advocacy group Healthcare

filed 2026-06-24

Digestive Disease National Coalition Trade or professional group Healthcare

filed 2026-06-24

Firely USA Inc Company Healthcare

filed 2026-06-24

Advanced Medical Technology Association (AdvaMed) Trade or professional group Pharma & Medical Devices

filed as “AdvaMed” · filed 2026-06-24

American Dental Association Trade or professional group Healthcare

filed 2026-06-24

Retina Consultants, LTD Company Healthcare

filed 2026-06-24

Vizient Company Healthcare

filed as “Vizient, Inc.” · filed 2026-06-24

Veradigm LLC Company Healthcare

filed as “Veradigm, LLC.” · filed 2026-06-24

Priority Health Company Insurance

filed 2026-06-24

National Psoriasis Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-24

Alliance for Aging Research Trade or professional group Healthcare

filed 2026-06-24

The ADAP Advocacy Association Trade or professional group Healthcare

filed as “ADAP Advocacy Association” · filed 2026-06-24

King & Spalding Ad Hoc Sunshine and State Law Compliance Group Company Law, Accounting & Consulting

filed 2026-06-24

American Health Information Management Association (AHIMA) Trade or professional group Healthcare

filed 2026-06-24

The Smith Institute Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-06-24

PointClickCare Company Technology, Media & Telecom

filed 2026-06-24

American Psychiatric Association Trade or professional group Healthcare

filed 2026-06-24

Cholangiocarcinoma Foundation Nonprofit or advocacy group Healthcare

filed 2026-06-24

Excellus Health Plan, Inc. Company Insurance

filed 2026-06-24

b.well Connected Health Hospital or health provider Healthcare

filed 2026-06-24

Hansa Biopharma Company Pharma & Medical Devices

filed 2026-06-24

American Medical Association Trade or professional group Healthcare

filed 2026-06-24