CMS issued a proposed rule on November 5, 2026 aimed at reducing administrative requirements across Medicare and Medicaid providers while updating several access-related hospital conditions. The fact sheet highlights proposed changes affecting hospitals, critical access hospitals, and rural emergency hospitals, including revisions related to critical access hospital distance eligibility and exemptions. For access-focused readers, the proposal is notable because it could change how certain rural facilities qualify and maintain participation status while CMS seeks to streamline compliance burdens.