Federal comments on the CY2027 Medicare rule close September 14, 2026.

Live comment tracker · Docket CMS-2026-2377 · Updated daily

The complete public record on CY2027, read through a women's-health lens.

We read every public comment on the Physician Fee Schedule — , inline text and attached letters — and tag each one, from every perspective in the debate, for specialty, stance, topic, and women's-health relevance. Our categories are descriptive, not political.

How to read this. This is a census of every comment submitted to docket CMS-2026-2377 — not a poll of public opinion. Public comments over-represent organized and motivated stakeholders (here, mostly physicians), so this shows who showed up, not what women think. The women's-health layer is 51&'s watch-list applied to the docket, labeled as our lens, not the docket's summary. Tags come from automated classification of each comment's full text, inline plus parsed attachment letters; counts are comment-level and a comment can carry several tags. Updated daily.

Layer 1 · The whole docket

Who showed up, and what they said

The neutral context: every comment, characterized without a women's-health filter.

Overall sentiment

The docket is an opposition document

Each comment's stance toward the proposed rule or the provisions it addresses.

Who's commenting

By specialty

Inferred from each letter. Click any bar to filter the browser below.

Who's commenting

By submitter type

Who filed each comment. Click any bar to filter the browser below.

How organic is the docket

Original comments vs. organized campaigns

Many comments are near-identical templates from an organized campaign — sometimes with a single sentence changed. We group them by text similarity, applied evenly to every campaign and every viewpoint. Agencies weigh unique, substantive comments differently from mass submissions, so this separates the two. Click any campaign to read it.

original / individual comments
in organized template campaigns

What the rule fight is about

The provisions drawing fire

Which parts of the proposed rule each comment addresses. Click any bar to filter the browser below.

Submissions over time

The run-up to September 14

Help shape the tracker

Suggest a topic to track

See something we're missing — from any point of view? Tell us and we'll consider adding it to the watch-list.

Layer 2 · The 51& women's-health lens

What it means for women's health

Our proprietary cut. Relevance is a spectrum, not a checkbox: some comments are directly about women's health; others are general fights that carry a specific women's-health consequence.

The women's-health signal

How much of the docket touches women's health

The opportunity map

The five RFIs — and the women's-health gap

RFIs are the five questions where CMS explicitly asked for input — the cheapest point to move the rule. For each: total comments (light) vs. women's-health–relevant (teal). The emptiness is the opening. Click any RFI to read its comments.

The hidden stakes

General fights with a women's-health consequence

These comments never mention women's health as their topic — but each carries a specific, nameable consequence for women's care. This is the connective tissue most readers miss.

Directly about women's health

What the core comments cover

Click any bar to filter the browser below.

Keyword tracker

Women's-health terms in the text

Click a keyword to filter the browser.

Framings across the debate

How commenters argue — every side

Descriptive lenses applied evenly to every comment, never labeled political. Restorative/root-cause (the RRM/MAHA framing) sits here as one row among many. Click any bar to filter.

Comment browser

Search every comment

Full-text search plus specialty, stance, and women's-health tier. Click a title to open it on Regulations.gov.

PostedComment / organizationSpecialtyStance