CMS has sent a number of major Medicare reimbursement rules to the White House Office of Management and Budget (OMB) for final regulatory clearance before publication in the Federal Register. Among other things, OMB is reviewing proposed rules impacting Medicare payment policy for acute inpatient hospitals, long-term care hospitals, inpatient rehabilitation facilities, and skilled nursing facilities. The rules are not available at this time, but they are expected to be posted in the near future at the Federal Register web site.