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Week of Sep 27 – Oct 3, 2026

16 curated updates · reviewed against primary sources

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All Open for comment ONC/ASTP CMS HL7 FHIR HITRUST FDA
High FDA 💬 Comments close in 57 days (Nov 24)

FDA Issues Draft Guidance on Premarket Submissions for Robotically-Assisted Surgical Devices

The FDA seeks input on evidence requirements for RASDs, including AI integration, cybersecurity, and clinical performance, to shape future clearance pathways. The FDA has released draft guidance outlining recommendations for premarket submissions of robotically-assisted surgical devices (RASDs),...

High HHS FDA 💬 Comments close in 42 days (Nov 9)

HHS Seeks Input on Regulating Deceased Donor Islet Cells for Type 1 Diabetes Treatment

HHS Request for Information explores whether deceased donor islet cells should be regulated as organs under OPTN policy or as cell products, impacting transplant access and regulatory pathways for Type 1 diabetes therapies. The Department of Health and Human Services (HHS) has opened a public...

High HL7 CMS ONC/ASTP

HL7 Da Vinci to Host September 30 Roundtable on Electronic Prior Authorization Production Status

The September 30 HL7 Da Vinci Community Roundtable will provide updates on ePA regulatory developments, implementation guide status, and real-world deployment progress as the industry moves beyond pilots to production. HL7 International announced that the Da Vinci Project will hold a Community...

High HHS CMS ONC/ASTP

Clearinghouse Redundancy Gaps Persist Two Years After Change Healthcare Attack

Healthcare's reliance on single clearinghouse points creates systemic risk despite lessons from 2022 Change Healthcare cyberattack. Two years after the Change Healthcare cyberattack exposed critical vulnerabilities in healthcare claims processing infrastructure, the industry continues to lack...

Notable HHS

HHS Updates Privacy Act System of Records for Unaccompanied Children Program

HHS renamed the ORR system of records and adjusted routine uses to streamline information sharing for child protection while maintaining Privacy Act safeguards. The Department of Health and Human Services (HHS) is modifying its existing Privacy Act system of records for the Office of Refugee...

Notable HHS 💬 Comments close in 28 days (Oct 26)

NIH Issues Draft Policy on Sharing Study Results with Clinical Research Participants

The draft NIH policy aims to facilitate sharing summary-level study results with clinical research participants, with public comment open until October 26, 2026. The National Institutes of Health (NIH) has released a draft policy on sharing summary-level study results with clinical research...

Notable CMS HHS 💬 Open for industry feedback

HHS Imposes Temporary Moratorium on New Agent/Broker Registrations for Federally-facilitated Exchanges

HHS and CMS pause new agent/broker enrollment through Federally-facilitated Exchanges for Plan Year 2027 to implement program-integrity safeguards against fraud and misuse of consumer data. The Department of Health and Human Services (HHS) issued an interim final rule with comment period that...

Notable Other

DirectTrust Announces Cloud-Optimized Direct Implementation for Modern Healthcare Workflows

DirectTrust's modernized Direct implementation enables cloud-native secure messaging while maintaining compatibility with legacy healthcare workflows. DirectTrust has unveiled a modernized implementation of the Direct Project protocol designed specifically for cloud environments and...

Notable FDA 💬 Comments close in 70 days (Dec 7)

FDA proposes substituting "animal" with "nonclinical" in testing terminology

Aligning regulatory language with updated FD&C and PHS Acts to support alternative testing methodologies and reduce animal testing emphasis. The FDA is proposing to amend its regulations by replacing references to "animal" tests or studies with "nonclinical" tests or studies, and adding...

Notable TEFCA

Payer-to-Payer Interoperability Capabilities Can Drive Competitive Advantage Beyond TEFCA Compliance

Leveraging P2P data exchange for strategic initiatives like network development and care management transforms compliance into market differentiation. Payer-to-payer (P2P) interoperability capabilities, once viewed primarily as a regulatory requirement under TEFCA’s QHFN, are evolving into...

Notable FDA 💬 Comments close in 42 days (Nov 9)

FDA Seeks Public Comment on Pregnancy Exposure Registry Survey of Healthcare Providers

FDA proposes a 60-day comment period for a survey of healthcare providers to inform pregnancy exposure registry enrollment and improve maternal health safety data collection. The Food and Drug Administration (FDA) has issued a Federal Register notice announcing a proposed information collection...

Notable FDA 💬 Comments close in 42 days (Nov 9)

FDA Seeks Public Comment on Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps) Regulation

A 60-day comment period begins for the FDA's information collection related to HCT/P regulations under the Paperwork Reduction Act. The U.S.