0938-AU85 202204 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Implementing Certain Provisions of the Consolidated Appropriations Act and Other Revisions to Medicare Enrollment and Eligibility Rules (CMS-4199)

This final rule implements certain Medicare-related provisions of the Consolidated Appropriations Act, 2021 (CAA).  Specifically, section 120 of the CAA allows for Medicare coverage to take effect earlier for people who enroll in the General Enrollment Period (GEP) or within the last three months of their Initial Enrollment Period (IEP).  Section 120 also gives the Secretary the authority to establish special enrollment periods for exceptional circumstances. Section 402 of the CAA extends immunosuppressive drug coverage for Medicare kidney transplant recipients beyond the current law 36-month limit following a transplant by providing immunosuppressive drug coverage under Medicare Part B for these individuals. Separately, this rule addresses enrollment in Medicare Part A for applicants who are eligible for Social Security benefits, but are not yet receiving them, and make certain updates related to state payment of Medicare premiums.

]]> Other Significant Previously Published in The Unified Agenda Proposed Rule Stage No No 42 CFR 400 42 CFR 406 42 CFR 407 42 CFR 408 ... Pub. L. 116-260, secs. 120 & 402 42 U.S.C 1395i-2 Statutory Final 10/01/2022 Enrollments under section 402 of the CAA start on 10/1/22. Statutory Final 01/01/2023 Provisions under sections 120 and 402 of the CAA must be effective 1/1/23. Statutory Final 04/27/2025 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 04/27/2022 87 FR 25090 NPRM Comment Period End 06/27/2022 No Federal State Yes No No Kristy Nishimoto Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 206 615-2367 kristy.nishimoto@cms.hhs.gov Center for Medicare, 7500 Security Boulevard, Baltimore MD 21244