Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

What it does

This final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; limiting Medicare coverage of certain individuals; the Ambulatory Specialty Model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers; update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2026 provisions; updates to Clinical Laboratory Fee Schedule regulations; updates to the Medicare Promoting Interoperability Program.

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

What changed in the regulation

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

42 CFR 400, 42 CFR 405, 42 CFR 406, 42 CFR 407, 42 CFR 410, 42 CFR 414, 42 CFR 415, 42 CFR 417, 42 CFR 422, 42 CFR 423, 42 CFR 424, 42 CFR 425, 42 CFR 427, 42 CFR 428, 42 CFR 512

Compared with

The Centers for Medicare & Medicaid Services has published 24 final rules in 2026 so far, compared with 12 in all of 2025.

Counted by the Tribune from Federal Register records since Jan. 1, 2025.

Before this

1 earlier Federal Register document under regulation identifier 0938-AV82 since Jan. 1, 2025.

• July 16, 2026 Proposed rule. Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program

What happens next and when

These regulations are effective on January 1, 2027.

The agency's dates, word for word.

Check it yourself

• The document in the Federal Register
• Title 42 on eCFR

The record as published

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