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Proposed rule 2026-21420

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

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.

Source: FederalRegister.gov API v1Recently refreshed. Last successful refresh: 2026-10-20 22:49:02 UTC.

Source-supplied record

Document details

Document number
2026-21420
Published
Oct 20, 2026
Effective
Not supplied
Comments close
Dec 15, 2026 (open)
Federal Register citation
91 FR 66408

Docket identifiers

  • CMS-4214-P

CFR references

  • Title 42, part 422
  • Title 42, part 423