Compliance dates

Dates that bind, drawn from final rules, certification program requirements, and exchange framework SOPs. The regulatory tracker covers what is open for comment and what has just been published; this page covers what you have to be ready for.

10 of 15 entries are still unverified.
Entries marked unverified were compiled from secondary sources and have not been checked against the primary document. Verify before relying on them.

Next 90 days

The action window. Anything here needs a decision now.

2026-08-29
in 5 days
2026 SVAP approved standards become available for voluntary use in certified Health IT Modules, including USCDI v6, HL7 FHIR US Core IG v9, and C-CDA Release 5.unverified
Voluntary, not a mandate. USCDI v6 is the version in the 2026 SVAP; v7 is finalized but carries no certification requirement.
Firm
2026-09-28
in 35 days
USCDI v8 submission and comment window closes, 11:59pm ET.unverified
Binds anyone submitting data elements · ASTP/ONC Standards Bulletin 2026-2
The actionable item on USCDI right now is comment, not implementation.
Firm
2026-10-01
in 38 days
FY2027 IPPS and LTCH PPS final rule takes effect, including ONC's adoption of updated health IT standards in 45 CFR 170.215 on behalf of HHS.
Binds acute care hospitals, long-term care hospitals, health IT developers · CMS and ONC joint final rule, FR 2026-15833
A joint CMS and ONC rule, which is why health IT standards ride along in a payment rule. The adopted standards are referenced in ONC certification criteria for electronic prior authorization and in CMS-0057-F.
Firm
2026-10-01
in 38 days
FY2027 Medicare payment rules take effect: SNF PPS, IRF PPS, IPF PPS, and Hospice wage index, each carrying quality reporting and interoperability provisions.
Binds hospitals, post-acute providers · Federal Register, FY2027 final rules
Effective dates pulled from structured Federal Register fields, so these are reliable. Individual rules are itemised on the tracker.
Firm
2026-10-28
in 65 days
Updates to the Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order Prior to Delivery take effect.
Binds DMEPOS suppliers, ordering clinicians · Federal Register 2026-15446
Firm

Later in 2026

Visible, not yet urgent.

2026-12-31
in 129 days
Updated SVAP test tools and test procedures expected to be available for criteria leveraging the 2026 approved standards.unverified
Binds health IT developers, ONC-ACBs · ASTP/ONC 2026 Approved SVAP Standards
ONC stated 'by December 2026' without a specific day. Treat as end of month until a firmer date appears.
Proposed

2027 and beyond

The long arc, where standards and certification timelines live.

2027-01-01
in 130 days
Impacted payers must operate four FHIR APIs: Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization.unverified
Binds Medicare Advantage, Medicaid and CHIP FFS and managed care, QHPs on the FFEs · CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)
The single largest health IT compliance date on the horizon. Practices will feel it through payer workflow changes, not through their own obligations.
Firm
2027-07-01
in 311 days
First required reporting under the Insights Condition and Maintenance of Certification begins, phasing to full reporting on all measures by July 2029.unverified
Binds certified health IT developers · ONC HTI-1 Final Rule
Developers must collect data through the preceding year, so the practical start is 2026, not 2027.
Firm
2027-12-31
in 494 days
Decision Support Interventions criterion (b)(11) privacy and security updates due.unverified
Binds certified health IT developers · ONC HTI-1 Final Rule
The DSI criterion is the closest thing to an AI transparency requirement in certification. Watch HTI-5, which proposes relaxing parts of the certification program.
Firm
2028-01-01
in 495 days
Currently adopted versions of the health IT standards in 45 CFR 170.215(j)(1) through (3), (k)(1), (m), and (n) expire, leaving only the newer versions adopted in the FY2027 IPPS rule.
Binds certified health IT developers, ONC-ACBs · CMS and ONC FY2027 IPPS final rule, FR 2026-15833
A version cliff, not a new requirement. These standards underpin the electronic prior authorization certification criteria, so developers who have not moved by this date lose the older path.
Firm
2028-01-01
in 495 days
VTE-1, VTE-2, and STK-02 eCQMs removed from the Medicare Promoting Interoperability Program, beginning with the CY2028 reporting period.
Binds hospitals, critical access hospitals · CMS FY2027 IPPS final rule, FR 2026-15833
Reporting-period change rather than a hard date. Hospitals should confirm their vendor's eCQM configuration ahead of the CY2028 period.
Firm
Already in effect (4)

Kept for reference.

2026-08-03
TEFCA Individual Access Services Exchange Purpose Implementation SOP v3.0 takes effect.unverified
Binds QHINs, TEFCA participants · ONC TEFCA Recognized Coordinating Entity
Firm
2026-03-01
End of ASTP/ONC enforcement discretion for HTI-1 certification criteria updates originally due December 31, 2025.unverified
Binds certified health IT developers · ASTP/ONC Enforcement Discretion Notice
Discretion was issued November 24, 2025 following the appropriations lapse.
In effect
2026-01-01
TEFCA data created or captured must conform to USCDI v3 classes, elements, and vocabulary. QHINs required to implement HL7 FAST security protocols for FHIR transactions.unverified
Binds QHINs, TEFCA participants · ONC TEFCA
In effect
2026-01-01
CMS-0057-F operational prior authorization provisions took effect, including shortened decision timeframes and public reporting.unverified
In effect

Curated, not automated. Source data last updated 2026-08-02. Staged compliance dates appear in rule preambles as prose, so this page is maintained by hand and every entry links to its source.