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

Health and Human Services Department; Centers for Medicare & Medicaid Services: proposed rule. Dated 105 days ago, it serves as a historical benchmark. Score 20/100. As of 2026-11-04, from Federal Register API (Office of the Federal Register).

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FieldValue
AgencyHealth and Human Services Department; Centers for Medicare & Medicaid Services
TypeProposed rule
ActionProposed rule.
Published2026-07-23
Comments close2026-09-21
SignificantNo
CFR parts42 CFR 433
SummaryThis proposed rule would revise standards for determining whether an indirect hold harmless arrangement exists for a health care- related tax. This proposed rule is necessary to implement a provision in the "One Big Beautiful Bill Act," herein referred to as the "Working Families Tax Cut (WFTC) legislation," which established new indirect hold harmless thresholds for health care-related taxes. Currently, the threshold for a State's collection of tax revenues is no more than 6 percent of net patient revenue attributable to the assessed permissible class of health care items or services. Effecti
Document number2026-14897
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  • Source agency: Federal Register API (Office of the Federal Register)
  • Record date: 2026-07-23
  • Data refreshed: 2026-11-04
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Peer benchmark and outreach value: Health and Human Services Department; Centers for Medicare & Medicaid Services and 25 centers-for-medicare-medicaid-services peers

  • centers-for-medicare-medicaid-services FederalRegisterCompliancePulse records like this one: 25
  • Timing: Low: older than 30 days
  • Estimated pipeline if you contact every centers-for-medicare-medicaid-services peer: $5,000 (peers × rate × deal size; an estimate from your assumptions, not a forecast)

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20 / 100 Action Urgency Score

    What is the FederalRegisterCompliancePulse record for Health and Human Services Department; Centers for Medicare & Medicaid Services?

    Health and Human Services Department; Centers for Medicare & Medicaid Services published a proposed rule on 2026-07-23, comments due 2026-09-21: Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes.

    How does Health and Human Services Department; Centers for Medicare & Medicaid Services compare to other FederalRegisterCompliancePulse records?

    It is 105 days old; check the official source for later updates before acting. Its Action Urgency Score of 20/100 is modest; treat it as background rather than a priority.

    Health and Human Services Department; Centers for Medicare & Medicaid Services vs. top 2 peers

    OrganizationLocationRecord date
    Health and Human Services Department; Centers for Medicare & Medicaid Servicescenters-for-medicare-medicaid-services2026-07-23
    Health and Human Services Department; Centers for Medicare & Medicaid Services; Office of the Secretarycenters-for-medicare-medicaid-services2026-09-29
    Health and Human Services Department; Centers for Medicare & Medicaid Services; Office of the Secretarycenters-for-medicare-medicaid-services2026-07-21

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