Proposed Rule2026-03798
Private Health Insurance; Transparency in Coverage; Extension of Comment Period
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
February 25, 2026
Effective
December 23, 2025
Issuing agencies
Treasury DepartmentInternal Revenue ServiceLabor DepartmentEmployee Benefits Security AdministrationHealth and Human Services Department
Abstract
This document extends the comment period for the proposed rule that appeared in the Federal Register on December 23, 2025, titled "Transparency in Coverage". The comment period for the proposed rule, which would end on February 23, 2026, is extended until March 2, 2026.
Full Text
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<title>Federal Register, Volume 91 Issue 37 (Wednesday, February 25, 2026)</title>
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[Federal Register Volume 91, Number 37 (Wednesday, February 25, 2026)]
[Proposed Rules]
[Pages 9212-9213]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-03798]
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DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Part 54
[REG-107111-25]
RIN 1545-BQ55
DEPARTMENT OF LABOR
Employee Benefits Security Administration
29 CFR Part 2590
RIN 1210-AC30
DEPARTMENT OF HEALTH AND HUMAN SERVICES
45 CFR Part 147
[CMS-9882-P]
RIN 0938-AV64
Private Health Insurance; Transparency in Coverage; Extension of
Comment Period
AGENCY: Internal Revenue Service, Department of the Treasury; Employee
Benefits Security Administration, Department of Labor; Centers for
Medicare & Medicaid Services, Department of Health and Human Services.
ACTION: Proposed rule; Extension of comment period.
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SUMMARY: This document extends the comment period for the proposed rule
that appeared in the Federal Register on December 23, 2025, titled
``Transparency in Coverage''. The comment period for the proposed rule,
which would end on February 23, 2026, is extended until March 2, 2026.
DATES: The comment period for the December 23, 2025 proposed rule (90
FR 60432) is extended to March 2, 2026.
ADDRESSES: You may submit comments as outlined in the December 23, 2025
proposed rule (90 FR 60432). Please choose only one of the methods
listed.
FOR FURTHER INFORMATION CONTACT: Kendra May, Centers for Medicare and
Medicaid Services, (301) 448-3996. Elizabeth Schumacher or Sharon
Aguirre, Employee Benefits Security Administration, (202) 693-8335.
Alexander Krupnick, Internal Revenue Service, Department of the
Treasury, (202) 317-5500.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment. We post all comments
received before the close of the comment period on the following
website as soon as possible after they have been received: <a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the search instructions on that website to
view public comments. The Departments will not post on <a href="http://Regulations.gov">Regulations.gov</a>
public comments that make threats to individuals or institutions or
suggest that the commenter will take actions to harm an individual. The
Departments continue to encourage individuals not to submit duplicative
comments. We will post acceptable comments from multiple unique
commenters even if the content is identical or nearly identical to
other comments.
In the December 23, 2025 Federal Register (90 FR 60432), we
published a proposed rule titled ``Transparency in Coverage''
(hereinafter referred to as the TiC proposed rule). The rule proposed
requirements that would amend the regulations under the Public Health
Service Act, the Employee Retirement Income Security Act of 1974, and
the Internal Revenue Code regarding price transparency disclosure
requirements for non-grandfathered group health plans and health
insurance issuers offering non-grandfathered group and individual
health insurance coverage. Specifically, the rule proposed improvements
in the standardization, accuracy, and accessibility of public pricing
disclosures in line with the goals of the Executive Order 14221. With
respect to the in-network rate and out-of-network allowed amount
machine-readable files, the rule proposed achieving these goals by
adding new contextual files and additional data elements like product
type, network name, and enrollment counts; changing the reporting level
for aggregation of data; removing in-network rates for unlikely
provider-to-service mappings; increasing the reporting period and
lowering the claims threshold for out-of-network historical data; and
reducing the reporting cadence. The rule also proposed improvement in
the findability of all of the publicly disclosed machine-readable files
required under the Transparency in Coverage rules, including the
prescription drug file, by requiring a text file and footer with
website URLs and contact information for the files. The rule also
included proposals that would require pricing information that is made
available through an online consumer tool and paper (upon request),
[[Page 9213]]
to also be made available by phone, and establish that the satisfaction
of such requirement also satisfies the requirements of section 114 of
the No Surprises Act (including for grandfathered group health plans
and health insurance issuers offering grandfathered group and
individual health insurance coverage that are not otherwise subject to
the proposed rule).
In the TiC proposed rule, we solicited public comments on proposed
changes and requested comments by February 23, 2026. Since publication
of the proposed rules, the Departments have received questions related
to the comment deadline and how to submit the comments to the
Departments. To address the confusion from inconsistent communication
about the comment deadline and to provide an opportunity for meaningful
input by commenters the Departments are extending the comment period by
an additional 7 days.
Kenneth J. Kies,
Acting Chief Counsel, Internal Revenue Service.
Daniel Aronowitz,
Assistant Secretary, Employee Benefits Security Administration.
Robert F. Kennedy, Jr.,
Secretary, Department of Health and Human Services.
[FR Doc. 2026-03798 Filed 2-23-26; 4:15 pm]
BILLING CODE 4831-GV-P; 4510-28-P; 4120-01-P
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</html>Indexed from Federal Register on February 25, 2026.
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