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

**Action Urgency Score:** 35/100

| Field | Value |
|---|---|
| Agency | Health and Human Services Department; Centers for Medicare & Medicaid Services |
| Type | Proposed rule |
| Action | Proposed rule. |
| Published | 2026-10-20 |
| Comments close | 2026-12-15 |
| Significant | No |
| CFR parts | 42 CFR 422, 42 CFR 423 |
| Summary | 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. |
| Document number | 2026-21420 |

## Why this score
- Upcoming deadline.

Source: Federal Register API (Office of the Federal Register) (https://www.federalregister.gov/documents/2026/10/20/2026-21420/medicare-program-implementation-of-sections-6219-6220-and-6224-of-the-consolidated-appropriations). Last refreshed: 2026-11-04T21:40:49.974Z.
Data from the Federal Register API; the published Federal Register document is authoritative. Informational only, not legal advice.