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4th Circuit upholds block on West Virginia’s 340B law

The U.S. Court of Appeals for the 4th Circuit March 31 upheld a preliminary injunction issued by the U.S. District Court for the District of West Virginia blocking the state from enforcing S.B. 325, its law requiring drug companies to provide access to 340B drug discounts to purchases through contract pharmacies.

SAMHSA advisory addresses ways to close care gaps in behavioral health service deserts 

The Substance Abuse and Mental Health Services Administration has released an advisory examining innovative solutions to close gaps in behavioral health care deserts.

CMS launches ASPIRE Model for youth in Medicaid, CHIP with complex medical, behavioral health needs

The Centers for Medicare & Medicaid Services Innovation Center yesterday announced the launch of a new model under Medicaid and the Children’s Health Insurance Program for children and youth up to age 21 who either have or are at risk of developing complex medical and behavioral needs.

CMS accepting comments on data collection requirements for Medicare Advantage plans, Part D sponsors

The Centers for Medicare & Medicaid Services is seeking comments by May 11 on its proposed revisions to data reporting requirements for Medicare Advantage and Part D plans, according to a Paperwork Reduction Act listing.

MedPAC releases March 2026 report to Congress

The Medicare Payment Advisory Commission March 12 released its March 2026 report to Cong

CMS guidance reinforces roles of organ procurement organizations and hospitals in organ procurement, transplantation

The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and responsibilities of organ procurement organizations and hospitals in organ procurement and transplantation.

Report finds Medicare premiums are higher due to MA overpayments 

The Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments.

CMS issues hospital IPPS proposed rule for FY 2025 

The Centers for Medicare & Medicaid Services today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.6% in fiscal year 2025.

CMS finalizes CY 2026 Medicare Advantage, Part D rates

The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare Advantage and Part D plans.