CMS Proposes Rule on Revising Standards on Indirect Hold Harmless Arrangements

View in browser | Distributed by Center for Medicaid and CHIP Services (CMCS) July 21, 2026 CMS Proposes Rule on Revising Standards on Indirect Hold Harmless Arrangements The Centers for Medicare & Medicaid Services (CMS) displayed a Notice of Proposed Rulemaking (NPRM) for comment that would revise standards for determining whether an indirect hold harmless arrangement exists for a health care-related tax. This NPRM is necessary to implement section 71115 of the Working Families Tax Cut (WFTC) legislation, which established new indirect hold harmless thresholds for health care-related taxes, effective October 1, 2026. The deadline to submit public comments is September 21, 2026. CMS has also drafted a fact sheet, which provides additional information and an overview of the provisions of the NPRM. Notice of Proposed Rulemaking If you received this as a forward, subscribe for updates here. Stay connected with Medicaid.gov and CMS Modify/Update Subscriber Preferences  |  Unsubscribe  |  Contact Us   Questions or problems? Please contact subscriberhelp.govdelivery.com

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— Tuesday, July 21, 2026 — Add Comment