On June 30, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes updates to Medicare payment policies and rates for home health agencies (HHAs) under the Home Health (HH) Prospective Payment System (PPS) Proposed Rule for calendar year (CY) 2026. CMS is publishing this proposed rule consistent with the legal requirements to update Medicare payment policies for HHAs annually. This fact sheet discusses the major provisions of the proposed rule.