Revision Process
Revision Cycle
Each edition of the FGI Codes/Guidelines is reflective of a 4-year revision cycle guided by the work of each cycle’s appointed Health Guidelines Revision Committee (HGRC) and made stronger by input from the public. (see graph below).
Health Guidelines Revision Committee (HGRC)
The HGRC is a multidisciplinary consensus body consisting of roughly 100 clinicians, administrators, architects, engineers, and representatives from authorities having jurisdiction (AHJs) and is subdivided into three document groups, allowing for specific focus on hospital, outpatient, and residential facility needs. Smaller topic groups are formed at the beginning of each revision cycle to address topics identified by the HGRC Steering Committee (e.g., behavioral health, emergency conditions, infection prevention, long-term acute care facilities). HGRC members are responsible for reviewing and voting on all submitted proposals and comments in addition to approving the final FGI Code/Guidelines manuscripts before publication. Detailed HGRC member responsibilities can be viewed in excerpts from the 2026 HGRC Operations Manual.
The application process for HGRC membership begins in the Spring of each revision cycle. Those interested in applying should keep an eye out for announcements in FGI’s newsletter, the FGI Bulletin.
Two opportunities for public input
The Proposal Period
There are two opportunities for FGI Codes/Guidelines users to contribute to development of the next edition, the 2030 FGI Codes. The first is a public proposal period from February through June 2027. FGI and the HGRC encourage the public to review the 2026 FGI Code documents during this time and submit proposals for any desired change to the language. A solid substantiation for the HGRC to consider is requested with each proposal.
Upon the closing of the proposal period, the 2030 HGRC will review and vote on each proposal, and accepted proposals will be incorporated into the 2030 draft FGI Codes for public review.
The Comment Period
Proposals approved by the HGRC and incorporated into the draft 2030 FGI Code documents will be released for public comment from July through September 2028. During the comment period, FGI and the HGRC encourage the public to review the changes accepted by the HGRC as a result of the proposal period and provide input where additional changes may be needed. Please note that new proposals are not allowed during the comment period and will be held for the 2034 revision cycle. Users of the documents are also encouraged to leave supporting or opposing opinions on others’ submitted comments. At the close of the comment period, the HGRC will review and vote on all comments, after which approved comments will be incorporated into the 2030 FGI Codes.
Final Vote and Publication
After all comments have been voted on by the HGRC, a final draft of the 2030 FGI Code documents will be created. HGRC members will cast final votes on the manuscripts, and FGI’s editorial team will begin the process of preparing the 2030 edition of the FGI Codes for publication. FGI Codes enthusiasts can expect to see digital and paperback versions of the 2030 FGI Codes by Spring 2030.
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FGI Facility Code for Hospitals Draft
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FGI Facility Code for Outpatient Settings Draft
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FGI Facility Code for Residential Care and Support Settings Draft
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