HHS Guidance Submissions
On December 3, 2020, HHS released a Final Rule governing the agency's release and maintenance of guidance documents. See Good Guidance Practices Final Rule. These regulations will help to ensure that the public receives appropriate notice of new guidance and that the Department's guidance does not impose obligations on regulated parties that are not already reflected in duly enacted statutes or regulations lawfully promulgated under them.
Additional HHS guidance is incorporated throughout the preambles to proposed and final rules. These preambles are available at Department of Health and Human Services Federal Register entries, then performing a keyword search.
As explained in the Good Guidance Practices Final Rule, guidance documents issued by the Food and Drug Administration (“FDA”) will be subject to the requirements of the Final Rule until the Secretary amends FDA’s existing good guidance practices regulation. FDA has obtained two exemptions from the Director of the Office of Management and Budget that exempt the following types of guidance documents from the requirement that they be posted to the guidance repository: (1) Product-Specific Guidances for Generic Drug Development, and (2) Mammography Quality Standards Act (MQSA) Policy Guidance Help System (PGHS). These exemptions will be incorporated into the FDA’s amendments to its good guidance practices regulation. In the meantime, copies of these guidance documents can be found here:
- Product-Specific Guidances for Generic Drug Development .
- Mammography Quality Standards Act Policy Guidance Help System
- FDA Guidance Documents Search Page
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.
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| Title | OpDiv/StaffDiv | Guidance Status | Issue Date |
|---|---|---|---|
| 1991.letter to aras spenddow and 1902r2 | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1995.ara memo.eligibility for 217 group | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1994.ara memo.miller-type trust exemption under obra93 | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1992.ara memo.effective date updated poverty levels | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1986.ara letter. computation of patient share of cost of care | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1999.chip cost sharing exemption for ai.an children | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1997.ara memo.peti calculation veterans pensions | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1997.ara memo.family size - non-magi methodologies | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1996.smdl.spenddown and spousal impoverishment | Centers for Medicare & Medicaid Services (CMS) | Final | |
| 1996.letter to nj.1915c and spenddown | Centers for Medicare & Medicaid Services (CMS) | Final |
Petition Submissions
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CDC
CMS
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