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B-332759 1 (2020-12-08)

handle is hein.gao/gaobaechf0001 and id is 1 raw text is: G r~o U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-332759 December 8, 2020 The Honorable Chuck Grassley Chairman The Honorable Ron Wyden Ranking Member Committee on Finance United States Senate The Honorable Frank Pallone, Jr. Chairman The Honorable Greg Walden Ranking Member Committee on Energy and Commerce House of Representatives The Honorable Richard Neal Chairman The Honorable Kevin Brady Ranking Member Committee on Ways and Means House of Representatives Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services: Most Favored Nation (MFN) Model 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 & Medicaid Services (CMS) entitled Most Favored Nation (MFN) Model (RIN: 0938-AT91). We received the rule on November 24, 2020. It was published in the Federal Register as an interim final rule with comment period (IFC) on November 27, 2020. 85 Fed. Reg. 76180. The effective date of this IFC is November 27, 2020. According to CMS, this IFC implements the Most Favored Nation (MFN) Model, a new Medicare payment model under section 1115A of the Social Security Act (the Act). See the Act, ch. 531, § 1115A, 49 Stat. 620 (Aug. 14, 1935), 42 U.S.C. § 1315A. CMS stated that the MFN Model will test whether more closely aligning payment for Medicare Part B drugs and biologicals (hereafter, referred to as drugs) with international prices and removing incentives to use higher- cost drugs can control unsustainable growth in Medicare Part B spending without adversely affecting quality of care for beneficiaries. The Congressional Review Act (CRA) requires a 60-day delay in the effective date of a major rule from the date of publication in the Federal Register or receipt of the rule by Congress,

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