Legislation & Regulation

AMCP Publishes Resources on the 2024 Election and Impacts on Health Policy. This month, millions of Americans took to the polls to vote in local, state, and federal elections.

On October 2, 2024, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) issued the Final Guidance for the Second Cycle of the Historic Medicare Drug Price Negotiation Program for Fiscal Year 2027.

On Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a set of frequently asked questions (FAQs) related to the Medicare Prescription Payment Plan.

On September 30, 2024, the Centers for Medicare and Medicaid Services (CMS) issued a Decision Memo titled “Final National Coverage Determination (NCD) for Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention”

Now Available: Access, Affordability, and Outcomes: The Value of Managed Care Pharmacy Report 2024. On Oct. 10, AMCP unveiled the 2024 edition of Access, Affordability, and Outcomes: The Value of Managed Care Pharmacy report.

On Sept. 20, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on the Medicare Drug Rebate Program (MDRP). Access the Regulatory NewsBREAK to learn more.

On Sept. 13, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum on Reporting Routing Values for the Medicare Prescription Payment Plan (M3P). Access the Regulatory NewsBREAK to learn more.

On Sept. 13, 2024, the Internal Revenue Service (IRS), Employee Benefits Security Administration (EBSA), and Centers for Medicare & Medicaid Services (CMS) (collectively, the Departments) released a Final Rule on Requirements Related to the Mental Health Parity and Addiction Equity Act (Final Rule). The Final Rule will be published in the Federal Register on Sept. 23, 2024. Access the Regulatory NewsBREAK to learn more.

SB 966, California's PBM reform bill, could reshape pharmacy benefit manager regulation if signed into law. Governor Newsom’s decision is expected by September 30.

AMCP Comments on Medicare CY 2025. Physician Fee Schedule On July 31, CMS unveiled a proposed rule covering the CY 2025 Physician Fee Schedule, changes to Part B payment and coverage policies, and the Medicare Prescription Drug Inflation Rebate program, among other policies.