Notice of Benefit and Payment Parameters for 2025 Proposed Rule: Important Potential Changes to Prescription Drug Protections – New Health Care In Motion

Every year, the Centers for Medicare and Medicaid Services (CMS) releases its Notice of Benefit and Payment Parameters (NBPP) rule for the following plan year. This regulation sets the rules of the road for Affordable Care Act (ACA) marketplace plans and related ACA programs and protections. In November 2023, CMS released the NBPP proposed rule for the 2025 plan year. It includes many provisions – including several related to prescription drug coverage highlighted below – that could impact people living with HIV and other complex conditions and disabilities. Advocates should consider submitting public comments to ensure these provisions make it into the final version. Comments are due January 8, 2024.

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