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Data / Federal rules / 2026-21420

Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026

The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on October 20, 2026. Comments are due by December 15, 2026.

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What the agency says

This proposed rule would implement section 6219 (Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals), section 6220 (Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act), and section 6224 (Modernizing and Ensuring Pharmacy Benefit Manager Accountability) of the Consolidated Appropriations Act, 2026.

Key facts

Document number
2026-21420
Type
Proposed rule
Action
Proposed rule
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
October 20, 2026
Comments due
December 15, 2026
Dates
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time on December 15, 2026.
Docket
CMS-4214-P
Regulation ID (RIN)
0938-AV88
Code of Federal Regulations
42 CFR 422; 42 CFR 423
Topics
Administrative practice and procedure; Health facilities; Health maintenance organizations (HMO); Medicare; Penalties; Privacy; Reporting and recordkeeping requirements
Pages
82

The document on federalregister.gov PDF Comment on regulations.gov

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Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on health facilities · Rules on health maintenance organizations (hmo) · Published in October 2026

Read from the Federal Register API, last updated 2026-10-24. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.