{"abstract":"This final rule amends 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. These amendments will improve the regulatory framework to facilitate development of Part C and Part D products that better meet the individual beneficiary's healthcare needs and reduce out-of-pocket spending for enrollees at the pharmacy and other sites of care.","action":"Final 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/2019/05/23/2019-10521.html","cfr_references":[{"chapter":null,"citation_url":null,"part":422,"title":42},{"chapter":null,"citation_url":null,"part":423,"title":42}],"citation":"84 FR 23832","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on January 1, 2020, except for the amendments to Sec. Sec. 422.629, 422.631, 422.633, 423.128, and 423.160, which are effective January 1, 2021.","disposition_notes":null,"docket_ids":["CMS-4180-F"],"dockets":[],"document_number":"2019-10521","effective_on":"2020-01-01","end_page":23884,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2019/05/23/2019-10521.xml","html_url":"https://www.federalregister.gov/documents/2019/05/23/2019-10521/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/2019-10521?publication_date=2019-05-23","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2019-05-23/2019-10521/mods.xml","not_received_for_publication":null,"page_length":53,"page_views":{"count":23292,"last_updated":"2026-07-26 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-05-23/pdf/2019-10521.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-10521.pdf?1558037723","publication_date":"2019-05-23","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2019/05/23/2019-10521.txt","regulation_id_number_info":{"0938-AT92":null},"regulation_id_numbers":["0938-AT92"],"regulations_dot_gov_info":{"supporting_documents":[],"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","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":"2019-06-12T05:52:26Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":23832,"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":"Rule","volume":84}