Issue Brief

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04/19/26

FAQs: Prior Authorization Proposed Rule – CMS 2026 Interoperability Standards and Electronic Prior Authorization for Drugs Proposed Rule and FY 2027 IPPS Proposed Rule

CMS published two proposed rules. One is a proposed rule to extend the electronic prior authorization (ePA) requirements to prescription drugs. Another is a proposed payment rule that will create new financial incentives for hospitals to adopt ePA workflows.

Health illustrations by Storyset

04/12/26

Issue Brief: 2026 Prior Authorization Update

As federal rules, state legislation, litigation, and market activity enter a critical implementation and action phase, Maverick Health Policy is offering an update of prior authorization activity from early 2026.

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03/22/26

HHS RFI on Accelerating AI in Clinical Care: Comment Letter Analysis

Maverick Health Policy reviewed several comment letters submitted in response to the HHS Request for Information (RFI): Accelerating the Adoption and Use of Artificial Intelligence as Part of Clinical Care. In the RFI, HHS solicited input on how the agency could use regulation, reimbursement, and research policy levers to accelerate safe and effective AI adoption in clinical care.

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03/8/26

HTI-5 Proposed Rule: Comment Letter Analysis

Maverick Health Policy reviewed several comment letters submitted in response to the release of HTI-5, the proposed rule about certification criteria for health IT vendors that was issued by the HHS Assistant Secretary of Technology Policy and Office of National Coordinator of Health IT (ASTP/ONC) in December 2025. HTI-5 is designed to reduce the number of certification requirements, foster AI-enabled interoperability, and update information blocking definitions.

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01/18/26

FAQs: Latest Proposed Rule on Transparency in Coverage

The three federal agencies that oversee health insurance, the U.S. Departments of Labor, Treasury, and Health & Human Services, published a proposed rule to update the Transparency in Coverage (TiC) requirements on December 19, 2025.

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01/4/26

FAQs: CMS Innovation Center’s Request for Applications for the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model

On December 18, 2025, the CMS Innovation Center (CMMI) released a Request For Applications (RFA) for the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model, to invite health tech companies and value-based care organizations to participate in a new Medicare payment pilot.

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12/23/25

Maverick’s Monitor: Helping You Keep Up With Health Policy

Despite the holiday season, there continues to be an extraordinary amount of HHS activity that is important to health care and technology stakeholders. While we are working on a full analysis of each of the following announcements, we offer you a snapshot of everything that Maverick Health Policy is monitoring.

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12/15/25

Rock Weekly: A New Federal Effort to Expand Digital Health Access: The “ACCESS” Model

A disagreement about health care issues caused congressional budget negotiations to fail by the deadline of September 30, 2025.

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11/23/25

Draft Executive Order on AI Regulation

On November 20, 2025, reports surfaced about a draft Executive Order (EO) titled "Eliminating State Law Obstruction of National AI Policy." It aligns with the recommendations in the White House's AI Action Plan, released in July 2025, which emphasized the need for federal policy to enable rapid industry innovation, particularly in the face of escalating global competition.

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11/14/25

Federal Government Shutdown

After the Trump administration and Democratic congressional leaders failed to agree about the health care issues related to the budget, the federal government shutdown at 12:01 am on October 1, 2025.