Rules › CMS-2026-2476

Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes

Proposed rule from the Health and Human Services Department, Centers for Medicare & Medicaid Services (docket CMS-2026-2476). 152 comment letters from companies and organizations are listed below.

Agency: Health and Human Services Department, Centers for Medicare & Medicaid Services
Docket: CMS-2026-2476
Published: 2026-07-23
Comments due: 2026-09-21
Status: Comment period closed September 21, 2026 · no final rule found yet
Total public comments: 245
Letters listed here: 152

Federal Register notice ↗ · Docket on Regulations.gov ↗

Who commented, by industry

Healthcare 115 Advocacy & Nonprofits 19 Insurance 7 Other 4 Government & Tribes 2 Labor Unions 1 Real Estate & Construction 1 Law, Accounting & Consulting 1 Education 1 Technology, Media & Telecom 1

Who commented

Partnership to Protect Coverage Nonprofit or advocacy group Healthcare

filed 2026-09-22

Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes

Who commented, by industry

Who commented

Partnership to Protect Coverage Nonprofit or advocacy group Healthcare

Sutter Health Hospital or health provider Healthcare

Virginia Hospital & Healthcare Association Coalition or joint letter Healthcare

Children's Hospital Association of Texas Trade or professional group Healthcare

American Federation of State, County and Municipal Employees Labor union Labor Unions

CommonSpirit Health Hospital or health provider Healthcare

Penn State Health Hospital or health provider Healthcare

Ohio Hospital Association Trade or professional group Healthcare

UHA Company Other

Nemours Children's Health Hospital or health provider Healthcare

The Hospital and Healthsystem Association of Pennsylvania Coalition or joint letter Healthcare

AAMC Trade or professional group Healthcare

Maryland Citizens' Health Initiative Hospital or health provider Healthcare

WestCare Hospital or health provider Healthcare

American Association for Pediatric Ophthalmology and Strabismus. Trade or professional group Healthcare

Federation of American Hospitals Trade or professional group Healthcare

Healthcare Association of Hawaii Trade or professional group Healthcare

Tennessee Association of Mental Health Organizations (TAMHO) Trade or professional group Healthcare

Corewell Health Hospital or health provider Healthcare

American Psychiatric Association Trade or professional group Healthcare

Mosaic Company Other

Ohio Council of Behavioral Health Providers Trade or professional group Healthcare

Minnesota Budget Project Nonprofit or advocacy group Advocacy & Nonprofits

American College of Obstetricians & Gynecologists Trade or professional group Healthcare

Texas Association of Behavioral Health Systems Trade or professional group Healthcare

Housing Forward Nonprofit or advocacy group Real Estate & Construction

The Arc of United States Nonprofit or advocacy group Advocacy & Nonprofits

Michigan Health & Hospital Association Coalition or joint letter Healthcare

Center on Budget and Policy Priorities Nonprofit or advocacy group Advocacy & Nonprofits

National Conference of State Legislatures (NCSL) Trade or professional group Government & Tribes

Children's Hospital Los Angeles Hospital or health provider Healthcare

Partnership for Medicaid Nonprofit or advocacy group Healthcare

Inseparable Nonprofit or advocacy group Healthcare

New Jersey Hospital Association Trade or professional group Healthcare

Louisiana Essential Healthcare Partnerships Nonprofit or advocacy group Healthcare

Louisiana Hospital Association Trade or professional group Healthcare

Colorado Hospital Association Trade or professional group Healthcare

The National MLTSS Health Plan Association (“MLTSS Association”) Trade or professional group Insurance

Florida Hospital Association Trade or professional group Healthcare

The Enrollment Coalition Trade or professional group Healthcare

CW Company Other

Ascension Hospital or health provider Healthcare

America's Physician Groups Trade or professional group Healthcare

Louisiana Ambulance Alliance Trade or professional group Healthcare

Colorado Fiscal Institute Nonprofit or advocacy group Advocacy & Nonprofits

Cleveland Clinic Hospital or health provider Healthcare

Colorado Consumer Health Initiative Hospital or health provider Healthcare

Delaware Healthcare Association Trade or professional group Healthcare

Phoenix Children's Hospital or health provider Healthcare

Arkansas Health Care Association Trade or professional group Healthcare

Ability Network of Delaware Nonprofit or advocacy group Advocacy & Nonprofits

Massachusetts Health & Hospital Association Coalition or joint letter Healthcare

Colorado Cross-Disability Coalition Nonprofit or advocacy group Advocacy & Nonprofits

Minnesota Hospital Association Trade or professional group Healthcare

Kids Forward Nonprofit or advocacy group Advocacy & Nonprofits

North Carolina Healthcare Association Trade or professional group Healthcare

Catholic Health Association of the United States Trade or professional group Healthcare

FGA Action Nonprofit or advocacy group Advocacy & Nonprofits

Arkansas Hospital Association Trade or professional group Healthcare

Rady Children's Health Hospital or health provider Healthcare

Connecticut Hospital Association Trade or professional group Healthcare

Colorado Access Company Healthcare

Minnesota Medical Association Trade or professional group Healthcare

Emplify Health Hospital or health provider Healthcare

Ohio Children's Hospital Association Trade or professional group Healthcare

University Health (Kansas City) Hospital or health provider Healthcare

Paragon Health Institute Trade or professional group Healthcare

Alabama Hospital Association Trade or professional group Healthcare

Washington State Hospital Association Trade or professional group Healthcare

Medicaid Health Plans of America Trade or professional group Insurance

Association for Behavioral Health and Wellness Trade or professional group Healthcare

State Marketplace Network Nonprofit or advocacy group Healthcare

National Association of Medicaid Directors Government or tribe Government & Tribes

American Hospital Association (AHA) Trade or professional group Healthcare

Teaching Hospitals of Texas Hospital or health provider Healthcare

Orlando Health Hospital or health provider Healthcare

Henry Ford Health Hospital or health provider Healthcare