The Office of Management and Budget (OMB) received the Preserving Medicaid Funding for Vulnerable Populations – Closing a Health Care-Related Tax Loophole final rule on November 17. As the final check in the process before the rule is published as final and effective, OMB could provide quick consideration since the proposed rule aligned with changes to state waivers of uniformity included in HR 1, section 71117. LeadingAge provided comments on the proposed rule in July. The Centers for Medicare and Medicaid Services released a “Dear Colleague” letter on the same provisions November 14, showing a seemingly coordinated approach to this topic. LeadingAge will watch for the final rule and keep members updated.