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CMS Proposed State Directed Payment Rule: What You Need to Know

Jun 4, 2026 | Medicaid, News and Updates, Rulemaking

On May 22, the Centers for Medicare and Medicaid Services (CMS) published its long-awaited notice of proposed rulemaking (SDP Proposed Rule) to implement the state directed payment (SDP) provisions enacted last summer in the Working Families Tax Cut Legislation (H.R....

CMS Releases Guidance on H.R. 1’s Six-Month Redetermination Requirement

Mar 6, 2026 | Medicaid, News and Updates

H.R. 1, now referred to as the Working Families Tax Cuts legislation (WFTCL), requires states to redetermine Medicaid eligibility more frequently for most of the Medicaid expansion population and individuals receiving coverage through a waiver of the plan. Beginning...

Federal Court Strikes Down HRSA’s Offsite Registration Policy

Mar 3, 2026 | 340B, Litigation, News and Updates

On March 3, 2026, the U.S. District Court for the District of Columbia struck down the Health Resources & Services Administration’s (HRSA’s) requirement that for new offsite outpatient facilities to be eligible to use 340B discounted drugs they must...

HRSA Withdraws 340B Rebate Pilot Program then Publishes RFI, ICR

Feb 26, 2026 | 340B, News and Updates

On February 10, 2026, the Health Resources & Services Administration (HRSA) rescinded its 340B Rebate Model Pilot Program. Shortly thereafter, HRSA issued (1) a Request for Information (RFI) to gather input regarding the potential future use of rebates in the 340B...

CMS Issues Updated “Dear Colleague” Letter Interpreting H.R. 1’s SDP Grandfathering Provision

Feb 2, 2026 | Medicaid

On February 2, 2026, the Centers for Medicare & Medicaid Services (CMS) released  updated preliminary guidance related to the grandfathering of state directed payments (SDPs) under H.R. 1, known as the One Big Beautiful Bill Act. The new “Dear Colleague” letter...

Maine District Court Grants Preliminary Injunction Halting 340B Rebate Pilot Program, Government Files Appeal

Dec 29, 2025 | 340B, News and Updates

A Maine district court judge has issued a preliminary ruling prohibiting the Health Resources & Services Administration’s (HRSA) 340B Rebate Pilot Program from going into effect on January 1, 2026. Earlier this year, HRSA announced a pilot program that would allow...
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