On July 3, 2026, the Office of Management and Budget, Office of Information and Regulatory Affairs published the 2026 Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions. The regulatory plan and unified agenda include regulatory and deregulatory actions under development or review from approximately 60 federal agencies.

Individual agency rule lists include those from the Department of Health and Human Services (HHS), Department of Housing and Urban Development (HUD), Department of Homeland Security (DHS), Department of Labor (DOL), Department of Education, and Department of the Treasury. Selected regulatory actions include:

• Notice of Proposed Rulemaking (NPRM) from HHS on Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). LeadingAge recently provided comments in response to the CRUSH Request for Information (RFI) where we emphasized the need for transparency, state-federal partnerships, technology, and involvement of providers and other stakeholders from impacted areas in addressing solutions to fraud, waste, and abuse in Medicare, Medicaid, and Medicare Advantage;
• Supplemental NPRM from DOL on the heat illness prevention standard.  LeadingAge provided comments in response to the NPRM, requesting that the standard provide greater flexibility when possible, given the challenges of implementing the proposed standard where aging services are provided to individuals in their home;
• Final Rule from DOL on the Fair Labor Standards Act exemption to home care workers. LeadingAge provided comments in response to the NPRM where we urged DOL to withdraw this rule and leverage initiatives – including those focused on workforce development and apprenticeships – to positively impact the current home care workforce crisis;
• Final Rule from HUD on the implementation of work requirements and time limits in HUD-assisted housing programs. LeadingAge provided comments in response to the NPRM, requesting HUD to withdraw the rule in light of the harm that it would inflict on older adults and the workforce that serves them, as well as the burden and cost that would fall on housing providers.
• Advance Notice of Proposed Rulemaking soliciting comments on HUD’s regulations related to requests for assistance animals as a reasonable accommodation; and
• NPRM from IRS on Form 990 Fiscal Sponsorship Reporting

While the dates listed for the regulatory actions are often aspirational, the regulatory plan and unified agenda do provide the public with notice of agency regulatory priorities and planned regulatory actions over the next 12 months.

The regulatory plan and unified agenda also include updates to agency long-term actions, for which an agency does not expect to have a regulatory action within the next 12 months.  Items included among the long-term actions are:

• HHS’ Final Rule on HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information;
• HHS’ Final Rule repealing the minimum staffing standards for long term care facilities (currently repealed under an Interim Final Rule); and
• DOL’s NPRM on workplace violence in health care and social assistance

We will continue to engage in our regular monitoring of agency regulatory activity for any new developments.