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# Federal court vacates HHS Section 504 community integration rules nationwide
- URL: https://members.americanhealthintel.com/2026-09-26-regulator/
- Published: 2026-09-27T00:32:02.000Z
- Updated: 2026-09-27T00:32:02.000Z
- Description: Plus: CMS partners with 37 states to overhaul Medicaid quality measurement. The day's rules, money, and enforcement, sourced and tiered below.
- Author: American Health Intel

Plus: CMS partners with 37 states to overhaul Medicaid quality measurement. The day's rules, money, and enforcement, sourced and tiered below.

| American Health Intel Rules · Money · Medicine · Decoded daily The Regulator Saturday, September 26, 2026 Federal court vacates HHS Section 504 community integration rules nationwide Plus: CMS partners with 37 states to overhaul Medicaid quality measurement. The day's rules, money, and enforcement, sourced and tiered below. ![](https://americanhealthintel.com/email/pulse-divider.png) Record A federal court vacated HHS's Section 504 community integration rules nationwide this week, erasing the 2024 regulations that told providers receiving federal funds how to keep disabled patients out of nursing homes. The consent decree in Texas v. Kennedy, approved Sept 24, was proposed by DOJ and five states. Olmstead and the ADA remain law, but the regulatory underpinning of HCBS waiver compliance requirements, tied to $145B in Medicaid spending, is vacated. Record CMS and 37 states launched a partnership Thursday to stop measuring Medicaid quality by whether providers check process boxes and start tracking whether 73 million enrollees are actually getting healthier. CMS will cut 450 reporting requirements across roughly 260 quality measures. Workshops begin later in 2026\. Participation is voluntary. Plans in value-based contracts should expect Medicaid quality benchmarks to shift toward outcomes metrics. Also today Fast Lab COO pleads guilty to $500M COVID test fraud [Read](https://americanhealthintel.com/editions/2026-09-26-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#fast-lab-covid-test-fraud-coo-plea) OIG finds Tennessee overclaimed $59.3M in Medicaid TCM reimbursement [Read](https://americanhealthintel.com/editions/2026-09-26-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#oig-tennessee-medicaid-tcm-59m) FDA approves Gazyva for pediatric idiopathic nephrotic syndrome [Read](https://americanhealthintel.com/editions/2026-09-26-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#fda-gazyva-nephrotic-syndrome-approval) FDA upgrades thyroid tablet recall to Class I [Read](https://americanhealthintel.com/editions/2026-09-26-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#vitruvias-thyroid-recall-class-i) 720Records$38.9BEnforcement32Deadlines186Rules [Read this issue + the trackers](https://americanhealthintel.com/editions/2026-09-26-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) Pick your field on the site and every story tells you what it means for you. Reply to this email and tell us what you want covered. We read everything. We show our work. We score our own calls. [Track record](https://americanhealthintel.com/ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Calendar](https://americanhealthintel.com/calendar/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Enforcement](https://americanhealthintel.com/enforcement/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [X](https://x.com/amhealthintel?ref=members.americanhealthintel.com) · [LinkedIn](https://www.linkedin.com/company/american-health-intel?ref=members.americanhealthintel.com) News and analysis, not legal, medical, coding, or investment advice.You subscribed at americanhealthintel.com · [Unsubscribe](%%{unsubscribe%5Furl}%%) |
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