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Rule

Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole

Health and Human Services Department / Centers for Medicare & Medicaid Services

Federal Register summary (shortened to 600 characters)

This final rule addresses a loophole in a regulatory statistical test applied to State proposals for Medicaid tax waivers. The test is designed to ensure, as required by statute, that non- uniform or non-broad-based health care-related taxes, authorized under a waiver, are generally redistributive. The inadvertent loophole currently allows some health care-related taxes, especially taxes on managed care organizations, to be imposed at higher tax rates on Medicaid taxable units than non-Medicaid taxable units, contrary to statutory and regulatory intent for health care-related taxes to be…

Read on FederalRegister.gov Official PDF (GovInfo)

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Document number
2026-02040
Published
Mon, Feb 2, 2026
Effective
Fri, Apr 3, 2026
First on the line
Oct 10, 2026, 10:00 PM