What: On June 24, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to revise the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). The proposed rule also updates the payment rate for renal dialysis services provided by ESRD facilities to individuals with acute kidney injury and modifies requirements for the ESRD Quality Incentive Program.
Why: The proposed rule could affect ESRD facilities, classified under NAICS category 621492, Kidney Dialysis Centers. There may also be impacts on hospitals operating a hospital-based ESRD facility, including NAICS category 622110, hospitals, and NAICS category 622310, specialty hospitals, which can encompass children’s hospitals. CMS states the proposed rule does not impose additional costs on ESRD facilities and invites comments on potential cost burdens related to reviewing the rule in detail.
The proposed rule also features multiple requests for information and solicits comments on related policy considerations.
Action: Read the proposed rule and submit comments before the August 24, 2026, deadline.
Is your small business or entity being impacted by a proposed rule? If yes, write a comment letter to the proposing agency.