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GAO-09-51R 1 (2008-10-03)

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T I   WAccountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548

          B-317146


          October 3, 2008

          The Honorable Max Baucus
          Chairman
          The Honorable Charles E. Grassley
          Ranking Minority Member
          Committee on Finance
          United States Senate

          The Honorable John D. Dingell
          Chairman
          The Honorable Joe Barton
          Ranking Minority Member
          Committee on Energy and Commerce
          House of Representatives

          The Honorable Charles B. Rangel
          Chairman
          The Honorable Jim McCrery
          Ranking Minority Member
          Committee on Ways and Means
          House of Representatives

          Subject: Department of Health and Human Services, Centers for Medicare and
                  Medicaid Services: Medicare Program; Revisions to the Medicare Advantage
                  and Prescription Drug Benefit Programs

          Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a
          major rule promulgated by the Department of Health and Human Services, Centers
          for Medicare and Medicaid Services (CMS), entitled Medicare Program; Revisions to
          the Medicare Advantage and Prescription Drug Benefit Programs (RIN: 0938-AP52).
          We received the rule on September 15, 2008. It was published in the Federal Register
          as an interim final rule with comment period on September 18, 2008, and has a
          stated effective date of the same day. 73 Fed. Reg. 54,226.

          The interim final rule changes the Medicare Advantage regulations to conform to
          new statutory requirements regarding special needs plans, private-fee-for-service
          plans, regional preferred provider organizations plans, and Medicare medical savings
          accounts plans. It also implements new statutory provisions governing cost-sharing
          for dual-eligible enrollees in the Medicare Advantage program prescription drug


GAO-09-51R

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