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HHS/CMS RIN: 0938-AV24 Publication ID: Spring 2024 
Title: Contract Year 2025 Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, and Medicare Cost Plan Programs, and PACE (CMS-4205) 
Abstract:

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).

 
Agency: Department of Health and Human Services(HHS)  Priority: Section 3(f)(1) Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 417    42 CFR 422    42 CFR 423    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Pub. L. 115-271   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  11/15/2026 

Overall Description of Deadline: 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.

Timetable:
Action Date FR Cite
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 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Heather Barkes
Director, Division of Policy, Analysis, and Planning
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C4-21-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8615
Email: heather.barkes@cms.hhs.gov