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AMCP Regulatory NewsBreaks

CMS Issues Part D Final Rule

On April 4, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (Part D Final Rule).
Legislation & Regulation
AMCP Regulatory NewsBreaks

HHS Announces Restructuring Plan

On March 27, 2025, the U.S. Department of Health and Human Services (HHS) issued a Fact Sheet: HHS’ Transformation to Make America Healthy Again. The document outlines HHS' restructuring plan as part of an initiative to enhance efficiency and address chronic diseases in America. Key changes include significant personnel reductions and consolidating divisions and offices to streamline operations.
Legislation & Regulation
AMCP Regulatory NewsBreaks

CMS Issues Explanations for the MFPs for the Medicare Drug Price Negotiation Program, Reminders Related to the Medicare Prescription Payment Plan, and Revised Final Guidance for the Manufacturer Discount Program

On December 20, 2024, the Centers for Medicare & Medicaid Services (CMS) issued explanations for the maximum fair prices (MFPs) for the drugs selected for the IRA’s Medicare Drug Price Negotiation Program for the initial price applicability year (IPAY) 2026.
Legislation & Regulation, Payment Systems
AMCP Regulatory NewsBreaks

CMS Issues Final Rule on Standards for Electronic Pharmacy Transactions and Medicaid Pharmacy Subrogation

On Dec. 12, 2024, the Centers for Medicare and Medicaid Services (CMS) issued a final rule titled, “Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard” (Final Rule).
Legislation & Regulation