Verisma
Compliance & Regulatory
Resources
Compliance & Regulatory Roundtable
Join us January 14, 2026 for a special interactive discussion on current regulatory topics. Seats are limited, so register today!
Regulatory Brief: Proposed Rule to Support Reproductive Health Privacy (April 2023)
Following the Supreme Court decision in Dobbs, President Biden directed that the Department of Health and Human Services (HHS) and the Federal Trade Commission review existing laws and regulations for opportunities to further bolster reproductive healthcare. This regulatory brief explains the April 2023 NPRM that was released as part of this initiative.
HIPAA vs. HITECH vs. Cures Act: A Fragmented Regulatory Landscape
The healthcare privacy landscape in the U.S. is fragmented, lacking a universal law and relying on a patchwork of federal and state regulations overseen by multiple agencies. This whitepaper sheds light on federal privacy laws, patient access regulations, and how the existing patchwork fails to offer comprehensive patient privacy protections.
5 Common “Tells” of a Fraudulent Request
Fraudulent requests are a growing concern with far-reaching risks, from compromising sensitive patient data to violating privacy regulations and facing potential legal consequences. We compiled a list of “red flags” for the HI community as a reference to identify and stop these attacks.
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In the News
December 11, 2025
Executive Order Sets National AI Regulation Standard
CNBC | President Donald Trump has signed an executive order establishing a single national regulation framework for artificial intelligence, overriding state-level regulations. The order has sparked debate as it limits the power of states, particularly California and New York, to impose their own AI regulations. The executive order also creates an AI Litigation Task Force to challenge state laws and ties state funding eligibility to compliance with federal standards.
December 11, 2025
CMS Unveils New Model Aimed at Functional, Lifestyle Medicine
Fierce Healthcare | The Centers for Medicare & Medicaid Services (CMS) has unveiled a new payment model that could extend Medicare coverage to functional or lifestyle medicine providers. Under the Make America Healthy Again: Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence, or MAHA ELEVATE, model, CMS will make $100 million available to support as many as 30 proposals to promote health and preventive care in three-year agreements.
December 4, 2025
The 2027 MA and Part D Proposed Rule: What’s In and What’s Out
McDermott+ | CMS has unveiled its 2027 Medicare Advantage and Part D proposed rule, featuring major Star Ratings changes alongside efforts to streamline regulatory requirements. The proposed rule also invites industry input on risk adjustment, well-being initiatives, and oversight, signaling big shifts ahead for plans and providers.
December 1, 2025
CMMI Debuts ACCESS Model to Spur Use of Tech in Chronic Disease Treatment
Fierce Healthcare | The Center for Medicare and Medicaid Innovation (CMMI) launched the ACCESS Model, a 10-year initiative designed to reward providers for using technology to improve outcomes in chronic disease care. By aligning payments with results, the program opens doors for digital health tools—from remote monitoring to prescription therapeutics—while waiving co-pays and incentivizing innovation for Medicare beneficiaries.
November 14, 2025
CMS Advances Interoperability Initiative, Showcases Early Look at National Provider Directory
Fierce Healthcare | The proposed Health Information Privacy Reform Act targets gaps in how data from wearables and health apps fits into the broader health information ecosystem. Because HIPAA doesn’t apply to most consumer-generated health data, the bill aims to create clearer rules for how this information can be shared or blocked, improving transparency across systems.
Need a roadmap to maintain compliance?
Regulatory Links
HIPAA – HHS Offices for Civil Rights (OCR) and the National Coordinator for Health Information Technology (ONC)
Individuals’ Right under HIPAA to Access their Health Information 45 CFR 164.524
Patient Access to Health Records
Information Related to Mental and Behavioral Health, including Opioid Overdose
Frequently asked HIPAA questions
