Verisma
Compliance & Regulatory
Resources
Compliance & Regulatory Roundtable
Join us December 17, 2025 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
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.
November 12, 2025
US Government Reopens After Longest Shutdown Ever
The Associated Press | Federal employees furloughed during the 43-day US government shutdown are expected to return to work today after President Donald Trump signed a short-term funding bill passed by both chambers of Congress that restores agency operations through Jan. 30, reverses planned layoffs and guarantees back pay for 1.25 million federal workers. The deal leaves both parties at odds over expiring Affordable Care Act subsidies, setting up another confrontation in the weeks ahead. The shutdown’s economic impact is estimated at a permanent loss of $11 billion.
November 11, 2025
Democrats Introduce Legislation to Block WISEeR Prior Authorization Model
Healthcare Finance | House Democrats introduced a bill to repeal Medicare’s upcoming WISEeR model, which would use AI and private vendors to automate prior authorization decisions. Lawmakers say the program’s payment structure — rewarding vendors for reducing spending — could incentivize inappropriate care denials. The American Hospital Association and several medical groups have voiced similar concerns, urging CMS to delay the model’s 2026 rollout in six states.
November 3, 2025
Report: Hospitals Pause IT Projects Amid Government Shutdown
Becker’s Health IT | Amid the ongoing government shutdown, 60% of hospital CIOs have been instructed by their boards or finance committees to pause select IT projects, according to Black Book Research. Projects like data lake expansions, platform updates, and TEFCA onboarding are on hold until financial visibility improves.
October 30, 2025
All the CMS Cooks Are Back in the Kitchen: What’s on the Regulatory Menu?
McDermott+ | CMS secured funding through research user fees to bring back all staff amid the ongoing government shutdown. This development comes just ahead of major deadlines, including Affordable Care Act open enrollment on November 1 and Rural Health Transformation Program applications due November 5. With its full workforce restored, CMS can now move forward on key initiatives such as finalizing 2026 Medicare payment rules, preparing Medicare premium notices, and progressing on numerous pending regulations.
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
Elizabeth McElhiney, MHA, CPHIMS, CHPS, CDH-L, CRIS, CC, serves as Verisma’s Director of Government Affairs and Policy. In this role, she partners closely with clients to navigate evolving regulatory and legislative landscapes at the state and federal levels. Elizabeth leads the implementation of evidence-based best practices and oversees the company’s thought leadership strategy. She also serves as Legislative Affairs Chair at the Alliance for Health Information Operations and Standards (AHIOS). Elizabeth holds a Master of Health Administration with a specialization in Health Informatics from Capella University and a Bachelor of Arts in Political Science from Illinois Wesleyan University.