United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2026_register executive 2026-02-06 article Rules and Regulations D09002ee1de1f318b D09002ee1de1f3223 United States Department of Defense originator org United States Government Agency or Subagency United States Office of the Secretary originator org United States Government Agency or Subagency As required by the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (NDAA-23), this rule reduces financial harm to civilians who are not covered beneficiaries of the Military Health System (MHS), and who receive healthcare services at DoD military medical treatment facilities (MTF). The rulemaking implements the MHS Modified Payment and Waiver Program (MPWP) through which the DoD applies a sliding fee scale and/or a catastrophic fee waiver to medical invoices of certain non-beneficiaries and accepts payments from health insurers of non-beneficiaries as full payment except for copays, coinsurance, deductibles, nominal fees and non- covered services. 91 FR 5303 https://www.govinfo.gov/app/details/FR-2026-02-06/2026-02437 2026-02437 fr06fe26-12 RIN 0720-AB87 6001-FR-P Docket ID: DoD-2022-HA-0054 https://www.govinfo.gov/app/details/FR-2026-02-06/2026-02437 https://www.govinfo.gov/content/pkg/FR-2026-02-06/html/2026-02437.htm https://www.govinfo.gov/content/pkg/FR-2026-02-06/pdf/2026-02437.pdf Accounts Receivable Civilian Medical Debt Claims Health Care Health Insurance Medical Billing Medical Debt Medical Debt Waiver Military Medical Treatment Facilities Military Personnel Third Party Collections 14 p. 5303 5316 91 FR 5303 Title 32 Part 220 32 CFR Part 220 RIN 0720-AB87 Medical Billing for Healthcare Services Provided by Department of Defense Military Medical Treatment Facilities to Civilian Non-Beneficiaries; Federal Register Vol. 91, Issue RULE 2026-02437 DEPARTMENT OF DEFENSE Office of the Secretary 2026-03-09 Docket ID: DoD-2022-HA-0054 6001-FR-P 2026-02437 Final rule.

As required by the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (NDAA-23), this rule reduces financial harm to civilians who are not covered beneficiaries of the Military Health System (MHS), and who receive healthcare services at DoD military medical treatment facilities (MTF). The rulemaking implements the MHS Modified Payment and Waiver Program (MPWP) through which the DoD applies a sliding fee scale and/or a catastrophic fee waiver to medical invoices of certain non-beneficiaries and accepts payments from health insurers of non-beneficiaries as full payment except for copays, coinsurance, deductibles, nominal fees and non- covered services.

This rulemaking is effective on March 9, 2026. Ms. Merlyn Jenkins, phone number: Accounts Receivable Civilian Medical Debt Claims Health Care Health Insurance Medical Billing Medical Debt Medical Debt Waiver Military Medical Treatment Facilities Military Personnel Third Party Collections Medical Billing for Healthcare Services Provided by Department of Defense Military Medical Treatment Facilities to Civilian Non-Beneficiaries, merlyn.jenkins.civ@health.mil https://comptroller.defense.gov/Financial-Management/Reports/ https://comptroller.defense.gov/Financial-Management/Reports/rates2023/ https://www.esd.whs.mil/Directives/forms/dd2500_2999/ https://www.esd.whs.mil/Directives/forms/dd3000_3499/ https://www.irs.gov/pub/irs-pdf/f1099c.pdf Vol. 91, no. 25 Office of the Federal Register, National Archives and Records Administration 2026-02-06 continuing daily deposited born digital 406 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2026-02-06 P0b002ee1de1f2a10 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr06fe26 https://www.govinfo.gov/app/details/FR-2026-02-06 https://www.govinfo.gov/content/pkg/FR-2026-02-06/pdf/FR-2026-02-06.pdf https://www.govinfo.gov/content/pkg/FR-2026-02-06/xml/FR-2026-02-06.xml fdlp 5267 5663 DGPO 2026-02-06 2026-02-06 FR-2026-02-06 machine generated eng FR FR-2026-02-06 91 25