View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML
HHS/CMS RIN: 0938-AV63 Publication ID: 2026 
Title: Contract Year 2027 Policy and Technical Changes to Medicare Advantage, Medicare Prescription Drug Benefit, Medicare Cost Plan, and Programs of All-Inclusive Care for the Elderly Programs (CMS-4212) 
Abstract:

This rule finalizes changes to strengthen and improve the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE). This rule also codifies Part D provisions of the Inflation Reduction Act of 2022 (IRA).  Additionally, this rule finalizes provisions included in the Contract Year 2026 proposed rule implementing changes to supplemental benefits and making a technical clarification related to Star Ratings.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Deregulatory 
CFR Citation: 42 CFR 422    42 CFR 423    42 CFR 460   
Legal Authority: Pub. L. 115-271    Pub. L. 117-169   
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.  11/28/2028 

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  11/28/2025  90 FR 54894   
NPRM Comment Period End  01/26/2026 
Final Action  11/00/2028 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Kristy Nishimoto
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:206 615-2367
Email: kristy.nishimoto@cms.hhs.gov