In the final year 2025 Inpatient Prospective Payment System (IPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) solicited public comments to aid in the collection of information to determine future criteria to establishing a new graduate medical residency. In the final rule, CMS noted they received a wide range of comments, and commenters did not arrive at a consensus on the best approach to the issue of the newness of residents. CMS chose not to finalize their original proposal, and is instead seeking comment on the appropriate criterion for what constitutes a new residency program. The public may submit their feedback to GME_Program_Newness@cms.hhs.gov. Comments are due by October 15.