0938-AV24 202404 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Contract Year 2025 Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, and Medicare Cost Plan Programs, and PACE (CMS-4205)

This rule is being finalized in two rules.  The first rule finalizes changes to the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to Star Ratings, marketing and communications, agent/broker compensation, health equity, dual eligible special needs plans (DSNPs), utilization management, network adequacy, and other programmatic areas. This final rule also includes provisions to codify existing sub-regulatory guidance in the Part C and Part D programs. The second rule finalizes standards for electronic prescribing and the adoption of health IT standards.  Over 3700 entities submitted comments on the proposed rule. The Agency received comments from a broad range of stakeholders including (Medicare Advantage Organizations (MAOs), Part D sponsors, health care provider organizations, pharmaceutical manufacturers, pharmacy organizations, and beneficiary advocates).

]]> Section 3(f)(1) Significant Previously Published in The Unified Agenda Completed Actions Yes No 42 CFR 417 42 CFR 422 42 CFR 423 ... Pub. L. 115-271 Statutory Final 11/15/2026 MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule. Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner. Yes NPRM 11/15/2023 88 FR 78476 NPRM Comment Period End 01/05/2024 Final Action 04/23/2024 89 FR 30448 Final Action Effective 06/03/2024 2nd Final Action 06/17/2024 89 FR 51238 2nd Final Action Effective 07/17/2024 No None No No No Heather Barkes Director, Division of Policy, Analysis, and Planning 0938 Centers for Medicare & Medicaid Services CMS 410 786-8615 heather.barkes@cms.hhs.gov Center for Medicare, MS: C4-21-26, 7500 Security Boulevard, Baltimore MD 21244