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HHS Guidance Submissions

On October 9, 2019, the President issued Executive Order (EO) 13891 entitled Promoting the Rule of Law through Improved Agency Guidance Documents (84 FR 55235). The EO requires HHS to establish a single, searchable, indexed database that contains links to all of HHS's guidance documents currently in effect. Guidance documents come in a variety of formats, including interpretive memoranda, policy statements, manuals, bulletins, advisories, and more.

On December 3, 2020, HHS released a Final Rule governing the agency's release and maintenance of guidance documents. See Good Guidance Practices Final Rule. These regulations will help to ensure that the public receives appropriate notice of new guidance and that the Department's guidance does not impose obligations on regulated parties that are not already reflected in duly enacted statutes or regulations lawfully promulgated under them.

Additional HHS guidance is incorporated throughout the preambles to proposed and final rules. These preambles are available at Department of Health and Human Services Federal Register entries, then performing a keyword search.

As explained in the Good Guidance Practices Final Rule, guidance documents issued by the Food and Drug Administration (“FDA”) will be subject to the requirements of the Final Rule until the Secretary amends FDA’s existing good guidance practices regulation. FDA has obtained two exemptions from the Director of the Office of Management and Budget that exempt the following types of guidance documents from the requirement that they be posted to the guidance repository: (1) Product-Specific Guidances for Generic Drug Development, and (2) Mammography Quality Standards Act (MQSA) Policy Guidance Help System (PGHS). These exemptions will be incorporated into the FDA’s amendments to its good guidance practices regulation. In the meantime, copies of these guidance documents can be found here:

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.


HHS Guidance

* Metadata including document title and file name are searchable, however, the contents of the guidance documents that are not in HTML format are currently not keyword searchable.

Title OpDiv/StaffDiv Guidance Status Issue Date
Adolescent Pregnancy Prevention Program Frequently Asked Questions: Flexibilities for Grantees Impacted by COVID-19 Administration for Children and Families (ACF) Final
Student Financial Aid Guidelines - Fiscal Management Accounting Procedures Health Resources and Services Administration (HRSA) Final
PACE Calculator Centers for Medicare & Medicaid Services (CMS) Final
Coverage of Home Infusion Services for Dual Eligibles Centers for Medicare & Medicaid Services (CMS) Final
COVID-19 Public Health Emergency Section 1115(a) Opportunity for States Centers for Medicare & Medicaid Services (CMS) Final
State Health Official Letter 20-004 RE: Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency Centers for Medicare & Medicaid Services (CMS) Final
State Health Official Letter 20-005 RE: Mandatory Medicaid State Plan Coverage of Medication Assisted Treatment Centers for Medicare & Medicaid Services (CMS) Final
ORR PL 20-03 COVID-19 Extended Assistance for ORR Populations Administration for Children and Families (ACF) Final
ACF-IM-HS-20-03 Coronavirus Disease 2019 (COVID-19) Fiscal Flexibilities Administration for Children and Families (ACF) Final
Administrative Simplification for Consolidating Head Start Grants, Including Early Head Start-Child Care Partnerships Administration for Children and Families (ACF) Final
This Guidance Portal contains 38765 documents.

Petition Submissions

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