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HHS/CMS RIN: 0938-AV66 Publication ID: 2026 
Title: Global Benchmark for Efficient Drug Pricing (GLOBE) Model (CMS-5545)  
Abstract:

This rule implements the GLOBE Model, a new Medicare payment model under section 1115A of the Social Security Act (the Act). The GLOBE Model tests whether a payment model that uses an alternative method for calculating inflation rebates for certain separately payable Part B drugs and biologicals reduces costs for Medicare fee-for-service (FFS) beneficiaries and the Medicare program while preserving quality of care. 

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Other 
CFR Citation: 42 CFR 512   
Legal Authority: 42 U.S.C. 1315a   
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.  12/23/2028 

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  12/23/2025  90 FR 60244   
NPRM Comment Period End  02/23/2026 
Final Action  12/00/2028 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Amy Turner
Deputy Director
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare and Medicaid Innovation, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6781
Email: amy.turner@cms.hhs.gov