On February 28, 2025, the US Department of Health and Human Services (HHS) announced a significant departure in how it will interact with its key stakeholders, which include physicians, health care organizations, and patients in public programs like Medicaid. Specifically, HHS will no longer provide an opportunity for public comments on many actions around contracts, grants, and benefits.1 Additionally, it will not engage in public comments when it decides there is “good cause” to bypass ...