Trump-Era Regulations: What Providers Need to Know in 2025

Healthcare providers today operate in a landscape shaped by policies from multiple administrations. While the Biden administration has reversed or updated some rules, a number of Trump-era regulations remain active or continue to influence compliance obligations in 2025. For providers, it’s important to know which rules still matter, which have been modified, and how to prepare for ongoing changes.

1. Price Transparency Rules

One of the most impactful Trump-era initiatives was the requirement for hospitals to publish machine-readable files of negotiated rates with insurers. Despite initial resistance, these transparency rules remain in force, and enforcement has been increasing. Providers must:

• Ensure their price transparency tools are accurate and updated.

• Provide user-friendly displays for patients.

• Prepare for tighter audits and penalties in 2025.

2. Telehealth Flexibilities

During the Trump administration, telehealth access was expanded significantly, especially under the COVID-19 public health emergency. While some flexibilities were temporary, many have been extended or codified. In 2025, providers should:

• Confirm which telehealth reimbursement rules apply under Medicare and Medicaid.

• Ensure platforms meet HIPAA and state-specific security requirements.

• Train staff to document telehealth encounters correctly.

3. Stark Law and Anti-Kickback Reforms

The Trump administration introduced reforms to the Stark Law and Anti-Kickback Statute, aiming to reduce regulatory burdens for value-based care arrangements. These reforms remain critical in 2025, especially as CMS continues to promote coordinated care models. Providers should review contracts and referral practices to ensure compliance.

4. 340B Drug Pricing Program Oversight

Trump-era policy changes around the 340B program included heightened reporting and monitoring. In 2025, enforcement around drug discount eligibility and contract pharmacy arrangements remains strong. Providers participating in 340B must keep thorough documentation and be prepared for audits.

5. Medicaid Work Requirements (State-Level Impact)

While federal courts blocked some Medicaid work requirements, the Trump-era push allowed states to apply for waivers. In certain states, these debates still shape Medicaid policy today. Providers working with Medicaid populations should stay informed about their state’s requirements and pending policy shifts.

6. HIPAA and Data-Sharing Initiatives

The Trump administration laid groundwork for broader data-sharing rules under the 21st Century Cures Act and information blocking provisions. These rules, which emphasize patient access to data, remain central in 2025. Providers must ensure their EHR systems enable secure, patient-friendly data sharing.

7. Compliance Outlook for 2025

The interplay between Trump-era rules and more recent updates creates a complex compliance environment. Providers should:

• Conduct regulatory reviews to identify lingering Trump-era requirements.

• Align with CMS and OCR guidance to avoid penalties.

• Invest in compliance technology that supports transparency, reporting, and secure data-sharing.

Conclusion

Trump-era regulations continue to shape healthcare compliance in 2025, from price transparency to telehealth, data access, and value-based care. Providers who proactively monitor these rules—and prepare for how they evolve—will be best positioned to maintain compliance, avoid fines, and deliver high-quality patient care.