Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026

Open for public comment until Dec. 15, 2026. Comment on Regulations.gov

What it does

This proposed rule would implement section 6219 (Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals), section 6220 (Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act), and section 6224 (Modernizing and Ensuring Pharmacy Benefit Manager Accountability) of the Consolidated Appropriations Act, 2026.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What it would change

2 parts of Title 42 of the Code of Federal Regulations:

42 CFR 422, 42 CFR 423

Before this

No earlier Federal Register document under regulation identifier 0938-AV88 since Jan. 1, 2025.

What happens next and when

To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time on December 15, 2026.

The agency's dates, word for word.

Reginfo.gov lists a rule with this regulation identifier as under review at the White House Office of Information and Regulatory Affairs since Oct. 26, 2026 (stage: Proposed Rule). See it

Check it yourself

• The document in the Federal Register
• Docket CMS-2026-3533 on Regulations.gov
• Title 42 on eCFR

The record as published

Source: the Federal Register (public domain). The document in the Federal Register