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HHS/CMS RIN: 0938-AU85 Publication ID: Spring 2022 
Title: 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.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 400    42 CFR 406    42 CFR 407    42 CFR 408    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Pub. L. 116-260, secs. 120 & 402    42 U.S.C 1395i-2   
Legal Deadline:
Action Source Description Date
Final  Statutory  Enrollments under section 402 of the CAA start on 10/1/22.  10/01/2022 
Final  Statutory  Provisions under sections 120 and 402 of the CAA must be effective 1/1/23.  01/01/2023 
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  04/27/2025 

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  04/27/2022  87 FR 25090   
NPRM Comment Period End  06/27/2022 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: Yes 
Included in the Regulatory Plan: Yes 
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, MS: 100, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:206 615-2367