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HHS/CMS RIN: 0938-AT92 Publication ID: Spring 2019 
Title: ●Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out of Pocket Expenses (CMS-4180-F) 

This rule finalizes changes to the Prescription Drug Benefit (Part D) and Medicare Advantage (Part C) programs in order to modernize formularies, lower drug prices, and reduce out-of-pocket costs. The rule seeks to provide increased formulary flexibilities for plans and increased transparency and lower costs for beneficiaries.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: Regulatory 
CFR Citation: 42 CFR 422 and 423   
Legal Authority: 42 U.S.C. 1395w–22    42 U.S.C. 1395w-104   
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.  11/30/2021 

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.

Action Date FR Cite
NPRM  11/30/2018  83 FR 62152   
NPRM Comment Period End  01/25/2019 
Final Action  11/00/2021 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Christian Bauer
Director, Division of Part D Policy
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C1-26-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6043