The Centers for Medicare and Medicaid Services finalized the removal on July 29 in its annual payment rule for inpatient psychiatric facilities. The Inpatient Psychiatric Facility Quality Reporting Program is a pay-for-reporting program, not a pay-for-performance program. So the removal does not prohibit anyone from offering alcohol brief intervention or tobacco treatment, and it does not repeal any clinical guideline. The bottom line: two measures covering alcohol brief intervention and tobacco treatment at discharge are leaving Medicare's psychiatric quality program starting with 2026 data. What should a family ask before a psychiatric discharge?