Update December 4, 2021 From CMS: On November 29 and November 30, 2021, the United States District Court for the Eastern District ofMissouri and United States District Court for the Western District of Louisiana issued preliminaryinjunctions against the implementation and enforcement of the Interim Final Rule against Medicare and Medicaid-certified providers and suppliers. CMS has appealed both of these decisions, and has filed motions for stays of these orders. While CMS remains confident in its authority to protect the health and safety of patients in facilities certified by the Medicare and Medicaid programs, it has suspended activities related to the