Jurisdiction

United States

The United States regulates medical products primarily through the Food and Drug Administration, covering drug approvals, device clearances and approvals, biologics, and digital health. FDA guidance on Software as a Medical Device, clinical decision support, and artificial intelligence shapes practice well beyond the US, and other federal agencies set the rules on reimbursement and health data.

Regulation Category Type · Breadth Date

Medicare and Medicaid Programs; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage, Medicaid, CHIP, and Qualified Health Plans

Proposed requirements for electronic prior authorization for drugs and extended interoperability standards across Medicare Advantage, Medicaid, CHIP, and QHP issuers.

US Federal Register - CMS Rules · United States
Health Data, Privacy & SecurityMarket Access & ReimbursementHealth System & Payment InteroperabilityHealth dataEHDS
Consultation Framework

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and Long-Term Care Hospital Prospective Payment System and Policy Changes; FY 2027 Rates; Quality Programs; Health Information Technology Standards

CMS revises IPPS and LTCH payment rates for FY 2027, updates quality program requirements, and ONC adopts updated health IT standards.

US Federal Register - CMS Rules · United States
Health System & PaymentHealth Data, Privacy & Security Provider paymentInteroperabilityElectronic health records
Rule change Framework

Drug and Device Manufacturer Communications With Payors, Formulary Committees, and Similar Entities—Questions and Answers; Revised Draft Guidance for Industry

Revised draft guidance on manufacturer communications of health care economic information about approved drugs and devices to payors and formulary committees.

US Federal Register - FDA Guidance Notices · United States
Market Access & ReimbursementPharmaceuticalsMedical Devices & IVD ReimbursementMarket surveillance
Guidance Framework

Expansion of Buprenorphine Treatment via Telemedicine Encounter and Continuity of Care via Telemedicine for Veterans Affairs Patients — Effective Date Postponement

DEA and HHS postponed the effective dates of final rules expanding buprenorphine telemedicine treatment and VA continuity-of-care telemedicine from March 21 to a later date pending further review.

US Federal Register - DEA Telehealth Rules · United States
Digital Health & AIPharmaceuticalsHealth System & Payment TelehealthPharmaceuticalsSoftware as a medical device
Rule change Sector

Expansion of Buprenorphine Treatment via Telemedicine Encounter and Continuity of Care via Telemedicine for Veterans Affairs Patients — Effective Date Delayed to March 21, 2025

DEA and HHS delayed the effective date of two final rules on buprenorphine telemedicine and VA continuity of care from February 18 to March 21, 2025.

US Federal Register - DEA Telehealth Rules · United States
Digital Health & AIPharmaceuticalsHealth System & Payment TelehealthPharmaceuticalsProvider payment
Rule change Sector

Hematology and Pathology Devices; Reclassification of In Situ Hybridization Test Systems for Use With a Corresponding Approved Oncology Therapeutic Product

FDA reclassifies in situ hybridization test systems for oncology therapeutics from class III to class II, establishing special controls and premarket notification requirements.

US Federal Register - FDA Rules · United States

Medical Devices; Radiology Devices; Classification of the Radiological Machine Learning-Based Quantitative Imaging Software With Predetermined Change Control Plan

FDA classifies radiological machine learning-based quantitative imaging software with predetermined change control plan as Class II with special controls.

US Federal Register - FDA Rules · United States

Medical Devices; Immunology and Microbiology Devices; Classification of the Simple In Vitro Diagnostic Device for the Detection of Secreted Proteins From Bacillus Species (spp.) in Human Clinical Samples

FDA classifies simple in vitro diagnostic devices for detection of secreted proteins from Bacillus species in human clinical samples into class II with special controls.

US Federal Register - FDA Rules · United States
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