{"abstract":"This proposed rule would amend the Medicare Advantage (MA) program (Part C) regulations and Prescription Drug Benefit program (Part D) regulations to support health and drug plans' negotiation for lower drug prices and reduce out-of-pocket costs for Part C and D enrollees.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2018/11/30/2018-25945.html","cfr_references":[{"chapter":null,"citation_url":null,"part":422,"title":42},{"chapter":null,"citation_url":null,"part":423,"title":42}],"citation":"83 FR 62152","comment_url":null,"comments_close_on":"2019-01-25","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on January 25, 2019.","disposition_notes":null,"docket_ids":["CMS-4180-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":7874,"comment_start_date":"2018-11-30","updated_at":"2023-02-28T21:10:02.088-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2018-0149-0002","allow_late_comments":null,"id":"CMS-2018-0149-0002","comment_end_date":"2019-01-26","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2018-0149","title":"Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out of Pocket Expenses CMS-4180-P"}],"document_number":"2018-25945","effective_on":null,"end_page":62201,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2018/11/30/2018-25945.xml","html_url":"https://www.federalregister.gov/documents/2018/11/30/2018-25945/modernizing-part-d-and-medicare-advantage-to-lower-drug-prices-and-reduce-out-of-pocket-expenses","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2018-25945?publication_date=2018-11-30","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2018-11-30/2018-25945/mods.xml","not_received_for_publication":null,"page_length":50,"page_views":{"count":14913,"last_updated":"2026-05-12 10:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-11-30/pdf/2018-25945.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2018-25945.pdf?1543499121","publication_date":"2018-11-30","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2018/11/30/2018-25945.txt","regulation_id_number_info":{"0938-AT92":null},"regulation_id_numbers":["0938-AT92"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":7874,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2018-0149","supporting_documents_count":0,"docket_id":"CMS-2018-0149","document_id":"CMS-2018-0149-0002","regulation_id_number":"0938-AT92","title":"Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out of Pocket Expenses CMS-4180-P","checked_regulationsdotgov_at":"2023-03-01T02:10:00Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":62152,"subtype":null,"title":"Modernizing Part D and Medicare Advantage To Lower Drug Prices and Reduce Out-of-Pocket Expenses","toc_doc":"Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out of Pocket Expenses","toc_subject":null,"topics":["Administrative practice and procedure","Emergency medical services","Health facilities","Health maintenance organizations (HMO)","Health professions","Medicare","Penalties","Privacy","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":83}