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PROPOSED RULECOMMENTS DUE DECEMBER 15, 2026

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

Health and Human Services Department / Centers for Medicare & Medicaid Services

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.

Published October 20, 2026Document 2026-21420

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Comments are due December 15, 2026. Submit through the link above or follow the instructions in the document's ADDRESSES section. Say who you are, how the rule affects you, and what should change, with evidence. Comments are usually public, so leave out anything private.

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From the Federal Register as of November 3, 2026. Deadlines can change; the official document governs. Not legal advice.

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