Compliance Sweep · Oct 11, 2026

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Payment & health plan rulesCompliance SweepNew in this edition

Transparency in Coverage final rule sets phased machine readable file changes

The October 6 Transparency in Coverage final rule phases in rate-file changes from March 6, 2027 and contextual-file and website requirements from September 6. Its explicit utilization-file posting date is July 1, 2028. Those duties, recurring posting cadences, and the December 7, 2026 legal effective date serve different purposes.

High priority · Oct 11, 2026 editionRead story →

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Governance & business operationsCompliance SweepNew in this edition

OHCA releases proposed spending-target enforcement procedures for October 30 comments

OHCA opens October 30 informal comments on proposed progressive-enforcement regulations and two October 8 draft manuals. The package links notice-based responses and improvement plans with entity-specific spending measurement; its draft timelines are not newly effective filing dates.

Medium priority · Oct 11, 2026 editionRead story →

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Patient care & rightsCompliance SweepNew in this edition

OHCA proposes four hospital infection measures; comments due November 8

OHCA proposes four hospital infection measures using existing public CDPH or CDC data. Its October 9 notice schedules October 14 discussion and November 8 comments, separating the proposed update from the quality/equity measure set already adopted in April 2025.

Medium priority · Oct 11, 2026 editionRead story →

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Governance & business operationsCompliance SweepNew in this edition

CLIA proposal would permit specified virtual access and digital cytology proficiency testing

CMS and CDC propose secure virtual laboratory review under the primary laboratory's CLIA certificate and digital-image options for gynecologic cytology proficiency testing. The October 8 proposal preserves distinct cytology and PPM limits; comments are due December 7 and the proposal is not final authorization.

Medium priority · Oct 11, 2026 editionRead story →

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Patient care & rightsCompliance SweepNew in this edition

FTC hospital pricing warnings reinforce accurate total price estimates

FTC warning letters to 24 large health-services companies emphasize timely, complete pricing information for planned care. The release explains why CMS transparency compliance does not itself resolve FTC Act duties, without announcing adjudicated violations or a new universal filing deadline.

Medium priority · Oct 11, 2026 editionRead story →

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Compliance Sweep · Oct 11, 2026

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