Draft your CY2027 comment

Step 1 of 3

Where do you stand?

Everything on this step becomes the opening of your letter, the paragraph that tells CMS who is speaking before they read your recommendations. Your standing is your credibility: CMS weighs a comment more heavily when it knows why your view matters. Comments are posted publicly, so include only what you are comfortable putting on the public record.

Your role Your organization or practice (optional)

Add this and the letter is written on behalf of your organization. Leave it blank to comment as an individual.

In one line, why should CMS weight your view?

This becomes the sentence that establishes why your view carries weight, from your practice, your work, or your own experience. Specific beats grand. The example updates to fit the role you choose.

Please choose a role and add one line on your standing.

Step 2 of 3

Which parts of the rule do you want to weigh in on?

Check every part you have something to say about. Each one becomes its own cited section inside a single formal letter to CMS, so you are filing one comment that addresses several provisions, not many separate ones. Comments respond to what CMS has already proposed and must be answered before the rule is final; RFI answers shape rules CMS has not written yet. Both are filed to the same docket, CMS-2026-2377.

Nothing selected yet

Please select at least one part of the rule.

Step 3 of 3

For each part, what should CMS do, and what do you know?

This is the part that moves a rule. For each item, your position and ask become the recommendation in that section of the letter, and your evidence appears right beneath it as the factual basis CMS needs in order to act. Write the ask so CMS could lift it straight into the final rule. Never invent data; if you have no figure, describe what you have seen firsthand.

How CMS actually uses your comment

CMS is not a suggestion box; it turns specific gears. It can correct the number behind a value when you document that an input (physician time, visit count, supply cost) is wrong, that is exactly how the maternity codes moved. It can soften or carve out a proposed policy when you show real operational harm plus a workable alternative. For the open questions (RFIs), it uses answers to build the next proposed rule. And where a code is missing, it can create its own. Two limits shape the ask: budget neutrality (CMS reallocates value, it cannot simply add money), and logical outgrowth (it can only finalize what the record gave notice of, so putting your alternative on the record is what lets CMS go there). By law it must respond to significant comments, so a specific, evidence-backed, alternative-proposing comment becomes a fact it has to reckon with. Each section below notes the lever your comment pulls.

Please write what CMS should do for each part. If you chose Oppose, add your alternative proposal.

Your draft

Here is your comment. Make it yours, then file it.

This is a starting draft, assembled from your answers. Nothing has been sent. Read every line, edit it in your own voice, and add any supporting data. When you file it at regulations.gov under docket CMS-2026-2377, it becomes part of the public record CMS must review before it finalizes the 2027 rule.

File it at regulations.gov → Copied

✳Why this matters: a thousand identical comments count as one. Yours counts because the standing, evidence, and examples in it are only yours. Please edit before filing so it stays that way.

Three quick things before you file: put it in your own words, attach any real data you have, and submit it yourself under docket CMS-2026-2377. 51& helps you draft it. You own it and you send it.

Filed it? Let 51& count your comment.

When you submit on regulations.gov you get a tracking number. Paste it here so 51& can count your comment toward the campaign. 51& never sees or stores your comment: you download it and file it yourself.