Verisma
Compliance & Regulatory
Resources
Compliance & Regulatory Roundtable
Join us March 11, 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
March 3, 2026
Industry Groups Weigh in on HTI-5 Proposed Rule
TechTarget | The HHS Assistant Secretary for Technology Policy (ASTP) and the Office of the National Coordinator for Health IT (ONC) received more than 6,400 public comments on a proposed rule focused on health IT deregulation. The proposal — called HTI-5 — would scale back certain health IT certification requirements, update definitions around information blocking, and speed up adoption of FHIR-based interoperability standards to improve data sharing.
February 24, 2026
ASTP/ONC Launch Contest to Find New Applications for EHI Data
Healthcare IT News | ASTP/ONC launched the EHIgnite Challenge, offering nearly $500,000 to encourage new ways to turn electronic health information into “actionable insights for patients and clinicians.”
February 19, 2026
The Proposed 2027 Notice of Benefit and Payment Parameters
McDermott+ | CMS released the proposed 2027 Notice of Benefit and Payment Parameters (NBPP), outlining sweeping changes to ACA Marketplace rules for plans, exchanges, and enrollment processes, with comments due March 13, 2026. Key proposals include expanding catastrophic plan options, allowing non-network plans to qualify as QHPs, tightening income and special enrollment verification, and increasing oversight of agents and brokers.
February 10, 2026
CMS to Crack Down on ACA Plan Marketing, Tighten Income Verifications
TechTarget | CMS has proposed new 2027 marketplace benefit and payment rules aimed at strengthening program integrity and cracking down on misleading marketing by insurers, agents and brokers. The rule would ban cash incentives for enrollment, prohibit deceptive claims such as “zero-dollar” coverage, and restrict AI-generated endorsements that falsely attribute statements to public figures.
February 4, 2026
Funding Bill Extends Telehealth, Enacts PBM Reform
Healthcare Finance | President Trump signed a funding bill that ended a three-day partial government shutdown, funded HHS, extended telehealth and hospital-at-home flexibilities, and enacted bipartisan pharmacy benefit manager reforms. It extends Medicare telehealth flexibilities through 2027 and the Acute Hospital Care at Home waiver through 2030, while requiring new HHS guidance on telehealth access for patients with limited English proficiency.
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
