The Signal Directory

Regulatory Comment Deadline Board

The open comment windows that actually matter for healthtech operators, soonest first. Every row opens our plain-English page, with the Federal Register one click further when you are ready to file.

Not legal advice. Our notes summarise the public abstracts. Check the source before you file.

Open now

12

Closing this week

1

Agencies covered

6

Recently closed

12

12 open

Closing this week

File soon

Food and Drug Administration · Notice

5 days left

Establishment of a Quantitative Medicine Innovation Network: Scope, Feasibility, and Opportunities; Request for Information

Published Aug 5, 2026 · Comments close Nov 3, 2026

FDA CDER wants input on building a Quantitative Medicine Innovation Network that would speed quantitative methods into drug development and review.

Who it hits Drug developers, quantitative modelers, academic centers, and software vendors working on model-informed drug development.

Open for comment

Food and Drug Administration · Notice

5 days left

Establishment of a Quantitative Medicine Innovation Network: Scope, Feasibility, and Opportunities; Request for Information

Published Aug 5, 2026 · Comments close Nov 3, 2026

FDA CDER wants input on building a Quantitative Medicine Innovation Network that would speed quantitative methods into drug development and review.

Who it hits Drug developers, quantitative modelers, academic centers, and software vendors working on model-informed drug development.

Food and Drug Administration · Notice

11 days left

Improving Patient Access to Deceased Donor Islet Cells and Cell Products; Request for Information

Published Sep 24, 2026 · Comments close Nov 9, 2026

HHS is asking how deceased-donor islet cells for Type 1 diabetes should be regulated, including whether unmodified isolates should be treated differently from modified products.

Who it hits Cell therapy sponsors, transplant programs, diabetes clinics, and islet processing labs.

Food and Drug Administration · Notice

12 days left

Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Device Tracking

Published Sep 11, 2026 · Comments close Nov 10, 2026

FDA is renewing the paperwork package behind medical device tracking and wants comments on the information it collects from manufacturers.

Who it hits Device makers that ship trackable implants or life-supporting devices, and their quality or regulatory teams.

Food and Drug Administration · Notice

19 days left

Electronic Submission Template for Medical Device Premarket Approval Applications (PMAs); Draft Guidance for Industry and Food and Drug Administration Staff; Availability

Published Sep 18, 2026 · Comments close Nov 17, 2026

FDA published draft guidance on an electronic submission template for medical device PMA applications to CDRH and CBER.

Who it hits PMA sponsors, eCopy and eSTAR vendors, and regulatory consultants who prepare Class III device filings.

Centers for Medicare & Medicaid Services · Notice

22 days left

Privacy Act of 1974; Matching Program

Published Oct 21, 2026 · Comments close Nov 20, 2026

CMS proposes a computer matching program with the VA to find people enrolled in both Medicare and VHA care and to spot dual-paid claims.

Who it hits Medicare and VA claims processors, health IT vendors supporting dual-eligible workflows, and privacy officers.

Centers for Medicare & Medicaid Services · Proposed Rule

25 days left

Request for Information; Medicare Part D Reasonable and Relevant Pharmacy Contracting Standards

Published Sep 24, 2026 · Comments close Nov 23, 2026

CMS is gathering input on what counts as reasonable and relevant pharmacy contract terms for Medicare Part D any-willing-pharmacy rules.

Who it hits Part D plans, PBMs, independent and chain pharmacies, and pharmacy contracting platforms.

Food and Drug Administration · Notice

29 days left

Individualized Human Genome Editing Products: Considerations for BLA Submission and Postapproval Management; Draft Guidance for Industry; Availability

Published Oct 28, 2026 · Comments close Nov 27, 2026

FDA draft guidance explains when multiple variants of an individualized human genome-editing product can sit in one BLA, and how to manage them after approval.

Who it hits Gene-editing sponsors, advanced therapy manufacturers, and BLA regulatory teams.

Centers for Medicare & Medicaid Services · Notice

32 days left

Privacy Act of 1974; Matching Program

Published Oct 29, 2026 · Comments close Nov 30, 2026

CMS proposes a matching program with state-based administering entities to check eligibility for ACA state health subsidy programs.

Who it hits State exchanges, eligibility vendors, Medicaid agencies, and consumer enrollment platforms.

Centers for Medicare & Medicaid Services · Proposed Rule

39 days left

Clinical Laboratory Improvement Amendments of 1988 (CLIA); Virtual Access, Gynecologic Cytology Proficiency Testing (PT), Personnel Qualifications, and Other Changes

Published Oct 8, 2026 · Comments close Dec 7, 2026

CMS proposes CLIA updates that would allow virtual access under a primary lab's certificate (except cytology) and digital images for gynecologic cytology proficiency testing, plus personnel and SARS-CoV-2 reporting changes.

Who it hits Clinical labs, digital pathology vendors, remote-read networks, and lab accreditation consultants.

Centers for Medicare & Medicaid Services · Proposed Rule

47 days left

Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026

Published Oct 20, 2026 · Comments close Dec 15, 2026

CMS proposes rules to implement CAA 2026 sections on Part D low-income cost sharing, a REAL Health Providers provider-list requirement, and stronger PBM accountability.

Who it hits Part D plans, PBMs, provider directory vendors, and Medicare Advantage operations teams.

Food and Drug Administration · Notice

60 days left

Electronic Submission Template for Investigational Device Exemption (IDE) Applications; Draft Guidance for Sponsors and Food and Drug Administration Staff; Availability

Published Oct 28, 2026 · Comments close Dec 28, 2026

FDA draft guidance introduces an electronic submission template for Investigational Device Exemption applications to CDRH and CBER.

Who it hits IDE sponsors, clinical research orgs running device trials, and eSTAR or eCopy tooling vendors.

Recently closed

12 in the last 45 days

National Institutes of Health · Notice

Closed 1 day ago

Division of Program Coordination, Planning, and Strategic Initiatives, Office of the Director Notice of Proposed Reorganization

Published Oct 14, 2026 · Comments close Oct 28, 2026

NIH sought comment on creating an Office of the NIH Chief Artificial Intelligence Officer inside DPCPSI to coordinate AI across the institutes.

Who it hits NIH grantees, AI research shops, and vendors selling AI tools into federal biomedical research.

Centers for Medicare & Medicaid Services · Notice

Closed 3 days ago

Privacy Act of 1974; Matching Program

Published Sep 25, 2026 · Comments close Oct 26, 2026

CMS noticed re-establishment of a matching program with the Do Not Pay system to support payment integrity checks.

Who it hits Medicare and Medicaid payment integrity teams and vendors feeding eligibility data into CMS.

Food and Drug Administration · Proposed Rule

Closed 13 days ago

Medical Devices; Classification of Accessories Distinct From Other Devices; Proposed List of Accessories Suitable for Class I; Request for Comments

Published Aug 17, 2026 · Comments close Oct 16, 2026

FDA proposed a list of device accessories it believes can move to class I under general controls alone, as required by FDARA.

Who it hits Accessory makers, OEMs bundling accessories with parent devices, and 510(k) consultants.

Food and Drug Administration · Proposed Rule

Closed 13 days ago

Gastroenterology-Urology Devices; Reclassification of Diagnostic Endoscopic Light Source Systems To Be Renamed Cystoscopic Systems Intended as an Aid for Detection of Bladder Cancer

Published Aug 17, 2026 · Comments close Oct 16, 2026

FDA proposed reclassifying diagnostic endoscopic light source systems (OAY) from class III to class II with special controls and a new name tied to cystoscopy use.

Who it hits Endoscopy device makers and companies selling light sources for urologic procedures.

Health and Human Services Department · Notice

Closed 27 days ago

Privacy Act of 1974; Matching Program

Published Sep 2, 2026 · Comments close Oct 2, 2026

HHS noticed a new matching program under the Payment Integrity Information Act to share data that helps stop improper payments.

Who it hits HHS program integrity offices and contractors that run eligibility or claims audits.

ONC / ASTP · Notice

Closed 43 days ago

Agency Information Collection Request; 30-Day Public Comment Request; Submission for Office of Management and Budget Review; Generic Clearance for the Trusted Exchange Framework and Common Agreement (TEFCA) Monitoring Activities

Published Aug 17, 2026 · Comments close Sep 16, 2026

ONC asked for a three-year generic clearance to collect routine customer feedback on TEFCA service delivery and program performance.

Who it hits QHIN operators, TEFCA participants, and health IT vendors plugged into the exchange.

Centers for Medicare & Medicaid Services · Proposed Rule

Closed 45 days ago

Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

Published Jul 16, 2026 · Comments close Sep 14, 2026

CMS proposed the CY 2027 Physician Fee Schedule and related Part B payment updates, including practice and relative-value changes.

Who it hits Physician practices, RCM vendors, and digital health companies whose codes ride the PFS.

EU milestones

AI Act, EHDS, MDR, IVDR

We maintain this list by hand from official EU sources. Upcoming dates come first, then the ones already in force.

US documents come from the Federal Register for FDA, CMS and HHS, filtered for healthtech relevance. The list refreshes daily. Our short notes summarise each public abstract and are written by our desk.

This board is not legal advice. Dates and docket details can change, so always confirm on the Federal Register or Regulations.gov before you file.