Clinical laboratory testing technology has advanced significantly since the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations were implemented in 1992. This request for information (RFI) seeks input from the public regarding various topics related to the CLIA regulations, including: breath testing; laboratory processes and procedures; emergency preparedness, biosafety and biosecurity, and cybersecurity; and specialty testing areas. Responses to this RFI may be used to help inform CMS and the CDC as to what types of action, if any, should be taken to update the existing CLIA regulations through future notice and comment rulemaking.

This proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers; update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2026 provisions; updates to Clinical Laboratory Fee Schedule regulations; updates to the Medicare Promoting Interoperability Program.

This document announces the availability of ASTM International (ASTM) consensus standards for use as an FAA-accepted means of compliance (MOC) to support issuance of special airworthiness certificates for the categories of light-sport category aircraft and light-sport category kit-built aircraft described herein. The FAA accepts the following ASTM standards (with changes identified in this document): F3815-26a, "Standard Specification for Integration for Light Sport Airplane," F3836-26, "Standard Specification for Integration for Light Sport Glider," F3840-26,\1\ "Standard Specification for Integration for Light Sport Powered-Lift and Multicopter," and F3841-26, "Standard Specification for Integration for Light Sport Gyroplane". FAA's acceptance of these ASTM integration standards as an MOC includes FAA's acceptance of the underlying ASTM functional standards as set forth Tables 1-8 herein. The FAA will maintain a listing of FAA accepted MOCs for light-sport category aircraft on the FAA's Light-Sport Category Aircraft web page at https:/ /www.faa.gov/aircraft/gen_av/light_sport. ---------------------------------------------------------------------------