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Medicaid Monitor
Friday, November 6, 2026 · Updated 1:03 PM MT · 37 stories today
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Federal PolicySeptember 22, 2026

CMS Proposed Rule on SNF Deregulation Under OMB Review

A proposed CMS rule affecting Medicare-participating skilled nursing facilities is under review by the Office of Management and Budget. The proposal appears aligned with prior CMS deregulatory efforts under the Trump administration. OMB review is the final step before a proposed rule is published in the Federal Register, after which a public comment period typically follows. The timing and scope of the proposal remain uncertain pending OMB clearance.

Why it mattersChanges to SNF regulatory requirements could affect dual-eligible beneficiaries and state Medicaid agencies that rely on Medicare participation standards for nursing facility oversight and rate-setting.

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