83_FR_55842 83 FR 55626 - Income-Related Monthly Adjustment Amounts for Medicare Part B and Prescription Drug Coverage Premiums

83 FR 55626 - Income-Related Monthly Adjustment Amounts for Medicare Part B and Prescription Drug Coverage Premiums

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 83, Issue 216 (November 7, 2018)

Page Range55626-55632
FR Document2018-24336

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) changed the modified adjusted gross income (MAGI) ranges associated with Medicare Part B and Medicare prescription drug coverage premiums for years beginning in 2018. The Bipartisan Budget Act of 2018 (BBA 2018) revised the MAGI ranges again for years beginning with 2019. We consider a beneficiary's MAGI and tax filing status to determine: The percentage of the unsubsidized Medicare Part B premium that the beneficiary must pay; and the percentage of the cost of basic Medicare prescription drug coverage the beneficiary must pay. This final rule makes our regulations consistent with the MAGI ranges specified by MACRA and BBA 2018.

Federal Register, Volume 83 Issue 216 (Wednesday, November 7, 2018)
[Federal Register Volume 83, Number 216 (Wednesday, November 7, 2018)]
[Rules and Regulations]
[Pages 55626-55632]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-24336]


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SOCIAL SECURITY ADMINISTRATION

20 CFR Part 418

[Docket No. SSA-2018-0041]
RIN 0960-AI37


Income-Related Monthly Adjustment Amounts for Medicare Part B and 
Prescription Drug Coverage Premiums

AGENCY: Social Security Administration.

ACTION: Final rule.

-----------------------------------------------------------------------

SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 
(MACRA) changed the modified adjusted gross income (MAGI) ranges 
associated with Medicare Part B and Medicare prescription drug coverage 
premiums for years beginning in 2018. The Bipartisan Budget Act of 2018 
(BBA 2018) revised the MAGI ranges again for years beginning with 2019. 
We consider a beneficiary's MAGI and tax filing status to determine: 
The percentage of the unsubsidized Medicare Part B premium that the 
beneficiary must pay; and the percentage of the cost of basic Medicare 
prescription drug coverage the beneficiary must pay. This final rule 
makes our regulations consistent with the MAGI ranges specified by 
MACRA and BBA 2018.

DATES: This rule is effective November 7, 2018.

FOR FURTHER INFORMATION CONTACT: Donald Murphy, Office of Income 
Security Programs, Social Security Administration, 6401 Security 
Boulevard, Baltimore, MD 21235-6401, (410) 965-9090. For information on 
eligibility or filing for benefits, call our national toll-free number, 
1-800-772-1213, or TTY 1-800-325-0778, or visit our internet site, 
Social Security Online, at http://www.socialsecurity.gov.

SUPPLEMENTARY INFORMATION:

[[Page 55627]]

Background

    For Medicare Part B, the income-related monthly adjustment amount 
(IRMAA) is the amount that a beneficiary must pay in addition to the 
Medicare Part B standard monthly premium when the beneficiary's MAGI is 
above a specified threshold.\1\ For Medicare prescription drug 
coverage, IRMAA is an amount that a beneficiary will pay in addition to 
the Medicare prescription drug coverage plan monthly premium when the 
beneficiary's MAGI is above the specified threshold.\2\
---------------------------------------------------------------------------

    \1\ Medicare Part B standard monthly premiums may also be 
increased for late enrollment and for reenrollment. See 42 CFR 
408.22 for an explanation.
    \2\ Medicare prescription drug coverage premiums may also be 
increased for the reasons found in 42 CFR 423.286.
---------------------------------------------------------------------------

    To determine a beneficiary's IRMAA, we consider the beneficiary's 
MAGI, together with tax filing status, to determine: (1) The percentage 
of the unsubsidized Medicare Part B premium the beneficiary must pay; 
and (2) the percentage of the cost of basic Medicare prescription drug 
coverage that the beneficiary must pay.
    In our regulations, we use lists and tables to show the MAGI ranges 
we use to determine IRMAA for specific years. The lists associated with 
both Medicare Part B and Medicare prescription drug coverage specify 
the MAGI ranges. The tables associated with Medicare Part B show, 
within each MAGI range, the percentage of the unsubsidized Medicare 
Part B premium that beneficiaries must pay and the percentage that will 
be subsidized by contributions from the Federal Government. The tables 
associated with prescription drug coverage show, within each MAGI 
range, the percentage of the cost of basic Medicare prescription drug 
coverage the beneficiaries must pay.
    MACRA \3\ changed the MAGI ranges associated with Medicare Part B 
and prescription drug coverage premiums for years beginning in 2018. 
BBA 2018 \4\ changed the MAGI ranges associated with Medicare Part B 
and prescription drug coverage premiums for years beginning in 2019. 
Based on these changes, we revised the lists and tables to show the 
updated MAGI ranges and associated figures for 2018 and for years 
beginning in 2019. In each case, the MAGI ranges are subject to an 
inflation adjustment for calendar years beginning in 2020, as we 
explain in sections 418.1105(c), 418.1115(e), 418.2105(c), and 
418.2115(e).
---------------------------------------------------------------------------

    \3\ Public Law 114-10, section 402, 129 Stat. 87, 160.
    \4\ Public Law 115-123, section 53114.
---------------------------------------------------------------------------

Explanation of Changes

    The changes detailed below make our regulations consistent with the 
updates specified by MACRA and BBA 2018.
    In Sec.  418.1115 and Sec.  418.2115, we updated the lists of MAGI 
ranges for beneficiaries of all tax filing statuses for 2018 and for 
years beginning in 2019.
    In Sec.  418.1120 and Sec.  418.2120, we added tables to show the 
figures that are applicable for 2018 and for years beginning in 2019. 
The tables in Sec.  418.1120 show the updated MAGI ranges, and within 
each range, the percentage of the unsubsidized Medicare Part B premium 
that will be paid by beneficiaries and the percentage of the Medicare 
Part B premium that will be subsidized by contributions from the 
Federal Government. The tables in Sec.  418.2120 show the updated MAGI 
ranges, and within each range, the percentage of the cost of basic 
Medicare prescription drug coverage that beneficiaries will pay.
    We also made minor conforming changes in these sections.

Regulatory Procedures

    We follow the Administrative Procedure Act (APA) rulemaking 
procedures specified in 5 U.S.C. 553 when we develop regulations. 
Generally, the APA requires that an agency provide prior notice and 
opportunity for public comment before issuing a final rule. The APA 
provides exceptions to its notice and public comment procedures when an 
agency finds there is good cause for dispensing with such procedures 
because they are impracticable, unnecessary, or contrary to the public 
interest.
    We find that there is good cause under 5 U.S.C. 553(b)(B) to issue 
this regulatory change as a final rule without prior public comment. We 
find that prior public comment is unnecessary because this final rule 
merely makes our regulations (20 CFR 418.1115, 418.1120, 418.2115, and 
418.2120) consistent with the MAGI ranges specified by MACRA and BBA 
2018. BBA 2018 indicated that the new amounts for 2019 must be in place 
by calendar year 2019. Importantly, we have no agency discretion for 
establishing these figures. Accordingly, we find there is good cause to 
issue this final rule without prior public comment.
    In addition, we find that there is good cause for dispensing with 
the 30-day delay in the effective date of a substantive rule provided 
by 5 U.S.C. 553(d)(3). As we explained above, these final rules merely 
make our regulations consistent with the MAGI ranges specified by 
Congress in the law. Those MAGI ranges need to be in place by calendar 
year 2019. We find that it is unnecessary to delay the effective date 
of the final rule because the rule merely reflects the changes to the 
law that Congress has already made. In addition, we find that it is in 
the public interest to make this final rule effective on the date of 
publication in order to ensure that our rules accurately reflect the 
statute when the MAGI ranges for 2019 become effective.

Executive Order (E.O.) 12866, as Supplemented by E.O. 13563

    We consulted with the Office of Management and Budget (OMB) and 
determined that this final rule does not meet the criteria for a 
significant regulatory action under E.O. 12866, as supplemented by E.O. 
13563. Thus, OMB did not review the final rule.
    We also determined that this final rule meets the plain language 
requirement of E.O. 12866.

E.O. 13132 (Federalism)

    We analyzed this rule in accordance with the principles and 
criteria established by Executive Order 13132, and determined that the 
rule will not have sufficient Federalism implications to warrant the 
preparation of a Federalism assessment. We also determined that this 
rule will not preempt any State law or State regulation or affect the 
States' abilities to discharge traditional State governmental 
functions.

Regulatory Flexibility Act

    We certify that these rules will not have a significant economic 
impact on a substantial number of small entities because they affect 
individuals only. Therefore, a regulatory flexibility analysis is not 
required under the Regulatory Flexibility Act, as amended.

E.O. 13771

    This regulation does not impose novel costs on the public and as 
such is considered an exempt regulatory action under E.O. 13771.

Paperwork Reduction Act

    This rule does not create any new or affect any existing 
collections and, therefore, does not require Office of Management and 
Budget approval under the Paperwork Reduction Act.

(Catalog of Federal Domestic Assistance Program Nos. 96.001, Social 
Security--Disability Insurance; 96.002, Social Security--Retirement 
Insurance; 96.004, Social Security--Survivors Insurance; and 96.006, 
Supplemental Security Income).

[[Page 55628]]

List of Subjects in 20 CFR Part 418

    Administrative practice and procedure, Aged, Blind, Disability 
benefits, Medicare, Reporting and recordkeeping requirements.

Nancy A. Berryhill,
Acting Commissioner of Social Security.

    For the reasons set forth in the preamble, we amend subpart B and 
subpart C of part 418 of title 20 of the Code of Federal Regulations as 
set forth below:

PART 418--MEDICARE SUBSIDIES

Subpart B--Medicare Part B Income-Related Monthly Adjustment Amount

0
1. The authority citation for subpart B of part 418 continues to read 
as follows:

    Authority: Secs. 702(a)(5) and 1839(i) of the Social Security 
Act (42 U.S.C. 902(a)(5) and 1395r(i)).


0
2. Amend Sec.  418.1001 by revising the first sentence of the 
introductory text to read as follows:


Sec.  418.1001  What is this subpart about?

    This subpart relates to section 1839(i) of the Social Security Act 
(the Act), as amended. * * *
* * * * *

0
3. Amend Sec.  418.1115 by:
0
a. Revising the first sentence of paragraph (a); and
0
b. Revising paragraphs (b), (c), (d), and (e).
    The revisions read as follows:


Sec.  418.1115  What are the modified adjusted gross income ranges?

    (a) We list the modified adjusted gross income ranges for the 
calendar years 2011 through and including 2017, 2018, and for years 
beginning in 2019 for each Federal tax filing category in paragraphs 
(b), (c) and (d) of this section. * * *
    (b) The modified adjusted gross income ranges for individuals with 
a Federal tax filing status of single, head of household, qualifying 
widow(er) with dependent child, and married filing separately when the 
individual has lived apart from his/her spouse for the entire tax year 
for the year we use to make our income-related monthly adjustment 
amount determination are as follows.
    (1) For calendar years 2011 through and including 2017--
    (i) Greater than $85,000 but less than or equal to $107,000;
    (ii) Greater than $107,000 but less than or equal to $160,000;
    (iii) Greater than $160,000 but less than or equal to $214,000; and
    (iv) Greater than $214,000.
    (2) For calendar year 2018--
    (i) Greater than $85,000 but less than or equal to $107,000;
    (ii) Greater than $107,000 but less than or equal to $133,500;
    (iii) Greater than $133,500 but less than or equal to $160,000; and
    (iv) Greater than $160,000
    (3) For calendar years beginning with 2019--
    (i) Greater than $85,000 but less than or equal to $107,000;
    (ii) Greater than $107,000 but less than or equal to $133,500;
    (iii) Greater than $133,500 but less than or equal to $160,000;
    (iv) Greater than $160,000 but less than $500,000; and
    (v) Greater than or equal to $500,000.
    (c) The modified adjusted gross income ranges for individuals who 
are married and filed a joint tax return for the tax year we use to 
make the income-related monthly adjustment amount determination are as 
follows.
    (1) For calendar years 2011 through and including 2017--
    (i) Greater than $170,000 but less than or equal to $214,000;
    (ii) Greater than $214,000 but less than or equal to $320,000;
    (iii) Greater than $320,000 but less than or equal to $428,000; and
    (iv) Greater than $428,000.
    (2) For calendar year 2018--
    (i) Greater than $170,000 but less than or equal to $214,000;
    (ii) Greater than $214,000 but less than or equal to $267,000;
    (iii) Greater than $267,000 but less than or equal to $320,000; and
    (iv) Greater than $320,000.
    (3) For calendar years beginning in 2019--
    (i) Greater than $170,000 but less than or equal to $214,000;
    (ii) Greater than $214,000 but less than or equal to $267,000;
    (iii) Greater than $267,000 but less than or equal to $320,000;
    (iv) Greater than $320,000 but less than $750,000; and
    (v) Greater than or equal to $750,000.
    (d) The modified adjusted gross income ranges for married 
individuals who file a separate return and have lived with their spouse 
at any time during the tax year we use to make the income-related 
monthly adjustment amount determination are as follows.
    (1) For calendar years 2011 through and including 2017--
    (i) Greater than $85,000 but less than or equal to $129,000; and
    (ii) Greater than $129,000.
    (2) For calendar year 2018--Greater than $85,000.
    (3) For calendar years beginning in 2019--
    (i) Greater than $85,000 but less than $415,000; and
    (ii) Greater than or equal to $415,000.
    (e)(1) Subject to paragraph (e)(2) of this section, in 2019, CMS 
will set the modified adjusted gross income ranges for 2020 and publish 
them in the Federal Register. In each year thereafter, CMS will set the 
modified adjusted gross income ranges by increasing the preceding 
year's ranges by any percentage increase in the Consumer Price Index 
rounded to the nearest $1,000 and will publish the amounts for the 
following year in September of each year.
    (2) The amounts listed in paragraphs (b), (c), and (d) of $415,000, 
$500,000, and $750,000 will not be adjusted under paragraph (e)(1) of 
this section until 2028. Beginning in 2027, and in each year 
thereafter, CMS will adjust these range amounts for the following year 
under paragraph (e)(1) of this section and publish the updated ranges 
in the Federal Register.

0
4. Amend Sec.  418.1120 by revising paragraph (b) to read as follows:


Sec.  418.1120  How do we determine your income-related monthly 
adjustment amount?

* * * * *
    (b) Tables of applicable percentage. The tables in paragraphs 
(b)(1) through (b)(3) of this section contain the modified adjusted 
gross income ranges for calendar years 2011 through and including 2017, 
2018, and beginning in 2019 in the column on the left in each table. 
The middle column in each table shows the percentage of the 
unsubsidized Medicare Part B premium that will be paid by individuals 
with modified adjusted gross income that falls within each of the 
ranges. The column on the right in each table shows the percentage of 
the Medicare Part B premium that will be subsidized by contributions 
from the Federal Government. We use your tax filing status and your 
modified adjusted gross income for the tax year to determine which 
income-related monthly adjustment amount to apply to you. The dollar 
amount of income-related monthly adjustment for each range will be set 
annually for each year after 2019 as described in paragraph (c) of this 
section. The modified adjusted gross income ranges will be adjusted 
annually after 2019 as described in Sec.  418.1115(e).
    (1) General tables of applicable percentages. If, for the tax year, 
we use your filing status for your Federal income taxes for the tax 
year is single; head of household; qualifying widow(er) with dependent 
child; or married filing separately and you lived

[[Page 55629]]

apart from your spouse for the entire tax year, we will use the general 
tables of applicable percentages. When your modified adjusted gross 
income for the year we use is in the range listed in the left column in 
the following tables, then the Federal Government's Part B premium 
subsidy of 75 percent is reduced to the percentage listed in the right 
column. You will pay an amount based on the percentage listed in the 
center column.

------------------------------------------------------------------------
                                                              Federal
  Table 1 to paragraph (b)(1): Modified     Beneficiary       premium
adjusted gross income effective in 2011-    percentage        subsidy
                  2017                       (percent)       (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or                 35              65
 equal to $107,000......................
Greater than $107,000 but less than or                50              50
 equal to $160,000......................
Greater than $160,000 but less than or                65              35
 equal to $214,000......................
Greater than $214,000...................              80              20
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                              Federal
  Table 2 to paragraph (b)(1): Modified     Beneficiary       premium
 adjusted gross income effective in 2018    percentage        subsidy
                                             (percent)       (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or                 35              65
 equal to $107,000......................
Greater than $107,000 but less than or                50              50
 equal to $133,500......................
Greater than $133,500 less than or equal              65              35
 to $160,000............................
Greater than $160,000...................              80              20
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                              Federal
  Table 3 to paragraph (b)(1): Modified     Beneficiary       premium
     adjusted gross income effective        percentage        subsidy
            beginning in 2019                (percent)       (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or                 35              65
 equal to $107,000......................
Greater than $107,000 but less than or                50              50
 equal to $133,500......................
Greater than $133,500 but less than or                65              35
 equal to $160,000......................
Greater than $160,000 but less than                   80              20
 $500,000...............................
Greater than or equal to $500,000.......              85              15
------------------------------------------------------------------------

    (2) Tables of applicable percentages for joint returns. If, for the 
tax year, we use your Federal tax filing status is married filing 
jointly for the tax year and your modified adjusted gross income for 
that tax year is in the range listed in the left column in the 
following tables, then the Federal Government's Part B premium subsidy 
of 75 percent is reduced to the percentage listed in the right column. 
You will pay an amount based on the percentage listed in the center 
column.

------------------------------------------------------------------------
                                                              Federal
  Table 1 to paragraph (b)(2): Modified     Beneficiary       premium
adjusted gross income effective in 2011-    percentage        subsidy
                  2017                       (percent)       (percent)
------------------------------------------------------------------------
Greater than $170,000 but less than or                35              65
 equal to $214,000......................
Greater than $214,000 but less than or                50              50
 equal to $320,000......................
Greater than $320,000 but less than or                65              35
 equal to $428,000......................
Greater than $428,000...................              80              20
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                              Federal
  Table 2 to paragraph (b)(2): Modified     Beneficiary       premium
 adjusted gross income effective in 2018    percentage        subsidy
                                             (percent)       (percent)
------------------------------------------------------------------------
Greater than $170,000 but less than or                35              65
 equal to $214,000......................
Greater than $214,000 but less than or                50              50
 equal to $267,000......................
Greater than $267,000 but less than or                65              35
 equal to $320,000......................
Greater than $320,000...................              80              20
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                              Federal
  Table 3 to paragraph (b)(2): Modified     Beneficiary       premium
     adjusted gross income effective        percentage        subsidy
            beginning in 2019                (percent)       (percent)
------------------------------------------------------------------------
Greater than $170,000 but less than or                35              65
 equal to $214,000......................
Greater than $214,000 but less than or                50              50
 equal to $267,000......................
Greater than $267,000 but less than or                65              35
 equal to $320,000......................
Greater than $320,000 but less than                   80              20
 $750,000...............................
Greater than or equal to $750,000.......              85              15
------------------------------------------------------------------------


[[Page 55630]]

    (3) Tables of applicable percentages for married individuals filing 
separate returns. If, for the tax year, we use your Federal tax filing 
status is married filing separately, you lived with your spouse at some 
time during that tax year, and your modified adjusted gross income is 
in the range listed in the left column in the following tables, then 
the Federal Government's Part B premium subsidy of 75 percent is 
reduced to the percentage listed in the right column. You will pay an 
amount based on the percentage listed in the center column.

------------------------------------------------------------------------
                                                              Federal
  Table 1 to paragraph (b)(3): Modified     Beneficiary       premium
adjusted gross income effective in 2011-    percentage        subsidy
                  2017                       (percent)       (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or                 65              35
 equal to $129,000......................
Greater than $129,000...................              80              20
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                              Federal
  Table 2 to paragraph (b)(3): Modified     Beneficiary       premium
 adjusted gross income effective in 2018    percentage        subsidy
                                             (percent)       (percent)
------------------------------------------------------------------------
Greater than $85,000....................              80              20
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                              Federal
  Table 3 to paragraph (b)(3): Modified     Beneficiary       premium
     adjusted gross income effective        percentage        subsidy
            beginning in 2019                (percent)       (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than                    80              20
 $415,000...............................
Greater than or equal to $415,000.......              85              15
------------------------------------------------------------------------

* * * * *

Subpart C--Income-Related Monthly Adjustments to Medicare 
Prescription Drug Coverage Premiums

0
5. The authority citation for subpart C of part 418 continues to read 
as follows:

    Authority: Secs. 702(a)(5), 1860D-13(a) and (c) of the Social 
Security Act (42 U.S.C. 902(a)(5), 1395w-113(a) and (c)).


0
6. Amend Sec.  418.2115 by:
0
a. Revising the first sentence in paragraph (a); and
0
b. Revising paragraphs (b), (c), (d), and (e).
    The revisions read as follows:


Sec.  418.2115  What are the modified adjusted gross income ranges?

    (a) We list the modified adjusted gross income ranges for the 
calendar years 2011 through and including 2017, 2018, and beginning in 
2019 for each Federal tax filing category in paragraphs (b), (c) and 
(d) of this section. * * *
    (b) The modified adjusted gross income ranges for individuals with 
a Federal tax filing status of single, head of household, qualifying 
widow(er) with dependent child, and married filing separately when the 
individual has lived apart from his/her spouse for the entire tax year 
for the year we use to make our income-related monthly adjustment 
amount determination are as follows:
    (1) For calendar years 2011 through and including 2017--
    (i) Greater than $85,000 but less than or equal to $107,000;
    (ii) Greater than $107,000 but less than or equal to $160,000;
    (iii) Greater than $160,000 but less than or equal to $214,000; and
    (iv) Greater than $214,000.
    (2) For calendar year 2018--
    (i) Greater than $85,000 but less than $107,000;
    (ii) Greater than $107,000 but less than $133,500;
    (iii) Greater than $133,500 but less than $160,000; and
    (iv) Greater than $160,000.
    (3) For calendar years beginning in 2019--
    (i) Greater than $85,000 but less than or equal to $107,000;
    (ii) Greater than $107,000 but less than or equal to $133,500;
    (iii) Greater than $133,500 but less than or equal to $160,000;
    (iv) Greater than $160,000 but less than $500,000; and
    (v) Greater than or equal to $500,000.
    (c) The modified adjusted gross income ranges for individuals who 
are married and filed a joint tax return for the tax year we use to 
make the income-related monthly adjustment amount determination are as 
follows.
    (1) For calendar years 2011 through 2017--
    (i) Greater than $170,000 but less than or equal to $214,000;
    (ii) Greater than $214,000 but less than or equal to $320,000;
    (iii) Greater than $320,000 but less than or equal to $428,000; and
    (iv) Greater than $428,000.
    (2) For calendar year 2018--
    (i) Greater than $170,000 but less than or equal to $214,000;
    (ii) Greater than $214,000 but less than or equal to $267,000;
    (iii) Greater than $267,000 but less than or equal to $320,000; and
    (iv) Greater than $320,000.
    (3) For calendar years beginning in 2019--
    (i) Greater than $170,000 but less than or equal to $214,000;
    (ii) Greater than $214,000 but less than or equal to $267,000;
    (iii) Greater than $267,000 but less than or equal to $320,000;
    (iv) Greater than $320,000 but less than $750,000; and
    (v) Greater than or equal to $750,000.
    (d) The modified adjusted gross income ranges for married 
individuals who file a separate return and have lived with their spouse 
at any time during the tax year we use to make the income-related 
monthly adjustment amount determination are as follows:
    (1) For calendar years 2011 through and including 2017--
    (i) Greater than $85,000 but less than or equal to $129,000; and
    (ii) Greater than $129,000.
    (2) For calendar year 2018--Greater than $85,000.
    (3) For calendar years beginning in 2019--
    (i) Greater than $85,000 but less than $415,000; and
    (ii) Greater than or equal to $415,000.
    (e)(1) Subject to paragraph (e)(2) of this section, in 2019, CMS 
will set the modified adjusted gross income ranges

[[Page 55631]]

for 2020 and publish them in the Federal Register. In each year 
thereafter, CMS will set the modified adjusted gross income ranges by 
increasing the preceding year's ranges by any percentage increase in 
the Consumer Price Index rounded to the nearest $1,000 and will publish 
the amounts for the following year in September of each year.
    (2) The amounts listed in paragraphs (b), (c), and (d) of $415,000, 
$500,000, and $750,000 will not be adjusted under paragraph (e)(1) of 
this section until 2028. Beginning in 2027, and in each year 
thereafter, CMS will adjust these range amounts for the following year 
under paragraph (e)(1) of this section and publish the updated ranges 
in the Federal Register.

0
7. Amend Sec.  418.2120 by revising paragraph (b) to read as follows:


Sec.  418.2120  How do we determine your income-related monthly 
adjustment amount?

* * * * *
    (b) Tables of applicable percentage. The tables in paragraphs 
(b)(1) through (b)(3) of this section contain the modified adjusted 
gross income ranges for calendar years 2011 through and including 2017, 
2018, and 2019, and the corresponding percentage of the cost of basic 
Medicare prescription drug coverage that individuals with modified 
adjusted gross incomes that fall within each of the ranges will pay. 
The monthly dollar amounts will be determined by CMS using the formula 
in section 1860D-13(a)(7)(B) of the Act. Based on your tax filing 
status for the tax year we use to make a determination about your 
income-related monthly adjustment amount, we will determine which table 
is applicable to you. We will use your modified adjusted gross income 
to determine which income-related monthly adjustment amount to apply to 
you. The dollar amounts used for each of the ranges of income-related 
monthly adjustment will be set annually after 2019 as described in 
paragraph (c) of this section. The modified adjusted gross income 
ranges will be adjusted annually after 2019 as described in Sec.  
418.2115(e).
    (1) General tables of applicable percentages. If your filing status 
for your Federal income taxes for the tax year we use is single; head 
of household; qualifying widow(er) with dependent child; or married 
filing separately and you lived apart from your spouse for the entire 
tax year, we will use the general tables of applicable percentages. 
When your modified adjusted gross income for the year we use is in the 
range listed in the left column in the following tables, you will pay 
an amount based on the percentage listed in the right column, which 
represents a percentage of the cost of basic Medicare prescription drug 
coverage.

------------------------------------------------------------------------
                                                            Beneficiary
  Table 1 to paragraph (b)(1): Modified adjusted gross      percentage
              income effective in 2011-2017                  (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or equal to $107,000.              35
Greater than $107,000 but less than or equal to $160,000              50
Greater than $160,000 but less than or equal to $214,000              65
Greater than $214,000...................................              80
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                            Beneficiary
  Table 2 to paragraph (b)(1): Modified adjusted gross      percentage
                income effective in 2018                     (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or equal to $107,000.              35
Greater than $107,000 but less than or equal to $133,500              50
Greater than $133,500 but less than or equal to $160,000              65
Greater than $160,000...................................              80
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                            Beneficiary
  Table 3 to paragraph (b)(1): Modified adjusted gross      percentage
           income effective beginning in 2019                (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or equal to $107,000.              35
Greater than $107,000 but less than or equal to $133,500              50
Greater than $133,500 but less than or equal to $160,000              65
Greater than $160,000 but less than $500,000............              80
Greater than or equal to $500,000.......................              85
------------------------------------------------------------------------

    (2) Tables of applicable percentages for joint returns. If your 
Federal tax filing status is married filing jointly for the tax year we 
use and your modified adjusted gross income for that tax year is in the 
range listed in the left column in the following tables, you will pay 
an amount based on the percentage listed in the right column, which 
represents a percentage of the cost of basic Medicare prescription drug 
coverage.

------------------------------------------------------------------------
                                                            Beneficiary
  Table 1 to paragraph (b)(2): Modified adjusted gross      percentage
              income effective in 2011-2017                  (percent)
------------------------------------------------------------------------
Greater than $170,000 but less than or equal to $214,000              35
Greater than $214,000 but less than or equal to $320,000              50
Greater than $320,000 but less than or equal to $428,000              65
Greater than $428,000...................................              80
------------------------------------------------------------------------


[[Page 55632]]


------------------------------------------------------------------------
                                                            Beneficiary
  Table 2 to paragraph (b)(2): Modified adjusted gross      percentage
                income effective in 2018                     (percent)
------------------------------------------------------------------------
Greater than $170,000 but less than or equal to $214,000              35
Greater than $214,000 but less than or equal to $267,000              50
Greater than $267,000 but less than or equal to $320,000              65
Greater than $320,000...................................              80
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                            Beneficiary
  Table 3 to paragraph (b)(2): Modified adjusted gross      percentage
           income effective beginning in 2019                (percent)
------------------------------------------------------------------------
Greater than $170,000 but less than or equal to $214,000              35
Greater than $214,000 but less than or equal to $267,000              50
Greater than $267,000 but less than or equal to $320,000              65
Greater than $320,000 but less than $750,000............              80
Greater than or equal to $750,000.......................              85
------------------------------------------------------------------------

    (3) Tables of applicable percentages for married individuals filing 
separate returns. If, for the tax year we use, your Federal tax filing 
status is married filing separately, you lived with your spouse at some 
time during that tax year, and your modified adjusted gross income is 
in the range listed in the left column in the following tables, you 
will pay an amount based on the percentage listed in the right column, 
which represents a percentage of the cost of basic Medicare 
prescription drug coverage.

------------------------------------------------------------------------
                                                            Beneficiary
  Table 1 to paragraph (b)(3): Modified adjusted gross      percentage
              income effective in 2011-2017                  (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than or equal to $129,000.              65
Greater than $129,000...................................              80
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                            Beneficiary
  Table 2 to paragraph (b)(3): Modified adjusted gross      percentage
                income effective in 2018                     (percent)
------------------------------------------------------------------------
Greater than $85,000....................................              80
------------------------------------------------------------------------


------------------------------------------------------------------------
                                                            Beneficiary
  Table 3 to paragraph (b)(3): Modified adjusted gross      percentage
           income effective beginning in 2019                (percent)
------------------------------------------------------------------------
Greater than $85,000 but less than $415,000.............              80
Greater than or equal to $415,000.......................              85
------------------------------------------------------------------------

* * * * *
[FR Doc. 2018-24336 Filed 11-6-18; 8:45 am]
BILLING CODE 4191-02-P



                                           55626            Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations




                                           BILLING CODE 4910–13–C                                     Issued in Burlington, MA, on November               The Bipartisan Budget Act of 2018 (BBA
                                           (h) Alternative Methods of Compliance                    01, 2018.                                             2018) revised the MAGI ranges again for
                                           (AMOCs)                                                  Robert J. Ganley,                                     years beginning with 2019. We consider
                                              (1) The Manager, ECO Branch, FAA, has                 Manager, Engine and Propeller Standards               a beneficiary’s MAGI and tax filing
                                           the authority to approve AMOCs for this AD,              Branch, Aircraft Certification Service.               status to determine: The percentage of
                                           if requested using the procedures found in 14            [FR Doc. 2018–24250 Filed 11–6–18; 8:45 am]           the unsubsidized Medicare Part B
                                           CFR 39.19. In accordance with 14 CFR 39.19,              BILLING CODE 4910–13–P                                premium that the beneficiary must pay;
                                           send your request to your principal inspector                                                                  and the percentage of the cost of basic
                                           or local Flight Standards District Office, as                                                                  Medicare prescription drug coverage the
                                           appropriate. If sending information directly             SOCIAL SECURITY ADMINISTRATION                        beneficiary must pay. This final rule
                                           to the manager of the certification office,
                                           send it to the attention of the person
                                                                                                                                                          makes our regulations consistent with
                                                                                                    20 CFR Part 418                                       the MAGI ranges specified by MACRA
                                           identified in paragraph (i) of this AD. You
                                           may email your request to: ANE-AD-AMOC@                  [Docket No. SSA–2018–0041]                            and BBA 2018.
                                           faa.gov.                                                                                                       DATES: This rule is effective November
                                                                                                    RIN 0960–AI37
                                              (2) Before using any approved AMOC,
                                                                                                                                                          7, 2018.
                                           notify your appropriate principal inspector,             Income-Related Monthly Adjustment
                                           or lacking a principal inspector, the manager                                                                  FOR FURTHER INFORMATION CONTACT:
                                                                                                    Amounts for Medicare Part B and
                                           of the local flight standards district office/                                                                 Donald Murphy, Office of Income
                                                                                                    Prescription Drug Coverage Premiums
                                           certificate holding district office.                                                                           Security Programs, Social Security
                                           (i) Related Information                                  AGENCY:    Social Security Administration.            Administration, 6401 Security
                                             For more information about this AD,                    ACTION:   Final rule.                                 Boulevard, Baltimore, MD 21235–6401,
                                           contact Kevin M. Clark, Aerospace Engineer,                                                                    (410) 965–9090. For information on
                                                                                                    SUMMARY:  The Medicare Access and
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                                           ECO Branch, FAA, 1200 District Avenue,                                                                         eligibility or filing for benefits, call our
                                           Burlington, MA, 01803; phone: 781–238–
                                                                                                    CHIP Reauthorization Act of 2015                      national toll-free number, 1–800–772–
                                           7088; fax: 781–238–7199; email:                          (MACRA) changed the modified                          1213, or TTY 1–800–325–0778, or visit
                                           kevin.m.clark@faa.gov.                                   adjusted gross income (MAGI) ranges                   our internet site, Social Security Online,
                                                                                                    associated with Medicare Part B and
                                           (j) Material Incorporated by Reference                                                                         at http://www.socialsecurity.gov.
                                                                                                    Medicare prescription drug coverage
                                                                                                                                                                                                         ER07NO18.005</GPH>




                                              None.                                                 premiums for years beginning in 2018.                 SUPPLEMENTARY INFORMATION:



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                                                            Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations                                        55627

                                           Background                                               Explanation of Changes                                MAGI ranges need to be in place by
                                              For Medicare Part B, the income-                        The changes detailed below make our                 calendar year 2019. We find that it is
                                           related monthly adjustment amount                        regulations consistent with the updates               unnecessary to delay the effective date
                                           (IRMAA) is the amount that a                             specified by MACRA and BBA 2018.                      of the final rule because the rule merely
                                           beneficiary must pay in addition to the                    In § 418.1115 and § 418.2115, we                    reflects the changes to the law that
                                           Medicare Part B standard monthly                         updated the lists of MAGI ranges for                  Congress has already made. In addition,
                                           premium when the beneficiary’s MAGI                      beneficiaries of all tax filing statuses for          we find that it is in the public interest
                                           is above a specified threshold.1 For                     2018 and for years beginning in 2019.                 to make this final rule effective on the
                                           Medicare prescription drug coverage,                       In § 418.1120 and § 418.2120, we                    date of publication in order to ensure
                                           IRMAA is an amount that a beneficiary                    added tables to show the figures that are             that our rules accurately reflect the
                                           will pay in addition to the Medicare                     applicable for 2018 and for years                     statute when the MAGI ranges for 2019
                                           prescription drug coverage plan                          beginning in 2019. The tables in                      become effective.
                                           monthly premium when the                                 § 418.1120 show the updated MAGI                      Executive Order (E.O.) 12866, as
                                           beneficiary’s MAGI is above the                          ranges, and within each range, the                    Supplemented by E.O. 13563
                                           specified threshold.2                                    percentage of the unsubsidized
                                              To determine a beneficiary’s IRMAA,                   Medicare Part B premium that will be                    We consulted with the Office of
                                           we consider the beneficiary’s MAGI,                      paid by beneficiaries and the percentage              Management and Budget (OMB) and
                                           together with tax filing status, to                      of the Medicare Part B premium that                   determined that this final rule does not
                                           determine: (1) The percentage of the                     will be subsidized by contributions from              meet the criteria for a significant
                                           unsubsidized Medicare Part B premium                     the Federal Government. The tables in                 regulatory action under E.O. 12866, as
                                           the beneficiary must pay; and (2) the                    § 418.2120 show the updated MAGI                      supplemented by E.O. 13563. Thus,
                                           percentage of the cost of basic Medicare                 ranges, and within each range, the                    OMB did not review the final rule.
                                           prescription drug coverage that the                      percentage of the cost of basic Medicare                We also determined that this final
                                           beneficiary must pay.                                    prescription drug coverage that                       rule meets the plain language
                                              In our regulations, we use lists and                  beneficiaries will pay.                               requirement of E.O. 12866.
                                           tables to show the MAGI ranges we use                      We also made minor conforming
                                           to determine IRMAA for specific years.                   changes in these sections.                            E.O. 13132 (Federalism)
                                           The lists associated with both Medicare                  Regulatory Procedures                                   We analyzed this rule in accordance
                                           Part B and Medicare prescription drug                                                                          with the principles and criteria
                                           coverage specify the MAGI ranges. The                       We follow the Administrative
                                                                                                                                                          established by Executive Order 13132,
                                           tables associated with Medicare Part B                   Procedure Act (APA) rulemaking
                                                                                                                                                          and determined that the rule will not
                                           show, within each MAGI range, the                        procedures specified in 5 U.S.C. 553
                                                                                                                                                          have sufficient Federalism implications
                                           percentage of the unsubsidized                           when we develop regulations.
                                                                                                                                                          to warrant the preparation of a
                                           Medicare Part B premium that                             Generally, the APA requires that an
                                                                                                                                                          Federalism assessment. We also
                                           beneficiaries must pay and the                           agency provide prior notice and
                                                                                                                                                          determined that this rule will not
                                           percentage that will be subsidized by                    opportunity for public comment before
                                                                                                                                                          preempt any State law or State
                                           contributions from the Federal                           issuing a final rule. The APA provides
                                                                                                                                                          regulation or affect the States’ abilities
                                           Government. The tables associated with                   exceptions to its notice and public
                                                                                                                                                          to discharge traditional State
                                           prescription drug coverage show, within                  comment procedures when an agency
                                                                                                                                                          governmental functions.
                                           each MAGI range, the percentage of the                   finds there is good cause for dispensing
                                           cost of basic Medicare prescription drug                 with such procedures because they are                 Regulatory Flexibility Act
                                           coverage the beneficiaries must pay.                     impracticable, unnecessary, or contrary
                                              MACRA 3 changed the MAGI ranges                       to the public interest.                                  We certify that these rules will not
                                           associated with Medicare Part B and                         We find that there is good cause                   have a significant economic impact on
                                           prescription drug coverage premiums                      under 5 U.S.C. 553(b)(B) to issue this                a substantial number of small entities
                                           for years beginning in 2018. BBA 2018 4                  regulatory change as a final rule without             because they affect individuals only.
                                           changed the MAGI ranges associated                       prior public comment. We find that                    Therefore, a regulatory flexibility
                                           with Medicare Part B and prescription                    prior public comment is unnecessary                   analysis is not required under the
                                           drug coverage premiums for years                         because this final rule merely makes our              Regulatory Flexibility Act, as amended.
                                           beginning in 2019. Based on these                        regulations (20 CFR 418.1115, 418.1120,               E.O. 13771
                                           changes, we revised the lists and tables                 418.2115, and 418.2120) consistent with
                                           to show the updated MAGI ranges and                      the MAGI ranges specified by MACRA                      This regulation does not impose novel
                                           associated figures for 2018 and for years                and BBA 2018. BBA 2018 indicated that                 costs on the public and as such is
                                           beginning in 2019. In each case, the                     the new amounts for 2019 must be in                   considered an exempt regulatory action
                                           MAGI ranges are subject to an inflation                  place by calendar year 2019.                          under E.O. 13771.
                                           adjustment for calendar years beginning                  Importantly, we have no agency
                                                                                                                                                          Paperwork Reduction Act
                                           in 2020, as we explain in sections                       discretion for establishing these figures.
                                           418.1105(c), 418.1115(e), 418.2105(c),                   Accordingly, we find there is good                       This rule does not create any new or
                                           and 418.2115(e).                                         cause to issue this final rule without                affect any existing collections and,
                                                                                                    prior public comment.                                 therefore, does not require Office of
                                             1 Medicare Part B standard monthly premiums               In addition, we find that there is good            Management and Budget approval
                                                                                                    cause for dispensing with the 30-day                  under the Paperwork Reduction Act.
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                                           may also be increased for late enrollment and for
                                           reenrollment. See 42 CFR 408.22 for an explanation.      delay in the effective date of a
                                             2 Medicare prescription drug coverage premiums                                                               (Catalog of Federal Domestic Assistance
                                                                                                    substantive rule provided by 5 U.S.C.                 Program Nos. 96.001, Social Security—
                                           may also be increased for the reasons found in 42
                                           CFR 423.286.
                                                                                                    553(d)(3). As we explained above, these               Disability Insurance; 96.002, Social
                                             3 Public Law 114–10, section 402, 129 Stat. 87,        final rules merely make our regulations               Security—Retirement Insurance; 96.004,
                                           160.                                                     consistent with the MAGI ranges                       Social Security—Survivors Insurance; and
                                             4 Public Law 115–123, section 53114.                   specified by Congress in the law. Those               96.006, Supplemental Security Income).



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                                           55628            Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations

                                           List of Subjects in 20 CFR Part 418                          (2) For calendar year 2018—                          (i) Greater than $85,000 but less than
                                             Administrative practice and                                (i) Greater than $85,000 but less than             $415,000; and
                                                                                                     or equal to $107,000;                                   (ii) Greater than or equal to $415,000.
                                           procedure, Aged, Blind, Disability                                                                                (e)(1) Subject to paragraph (e)(2) of
                                                                                                        (ii) Greater than $107,000 but less
                                           benefits, Medicare, Reporting and                                                                               this section, in 2019, CMS will set the
                                                                                                     than or equal to $133,500;
                                           recordkeeping requirements.                                                                                     modified adjusted gross income ranges
                                                                                                        (iii) Greater than $133,500 but less
                                           Nancy A. Berryhill,                                       than or equal to $160,000; and                        for 2020 and publish them in the
                                           Acting Commissioner of Social Security.                      (iv) Greater than $160,000                         Federal Register. In each year thereafter,
                                                                                                        (3) For calendar years beginning with              CMS will set the modified adjusted
                                             For the reasons set forth in the                        2019—                                                 gross income ranges by increasing the
                                           preamble, we amend subpart B and                             (i) Greater than $85,000 but less than             preceding year’s ranges by any
                                           subpart C of part 418 of title 20 of the                  or equal to $107,000;                                 percentage increase in the Consumer
                                           Code of Federal Regulations as set forth                     (ii) Greater than $107,000 but less                Price Index rounded to the nearest
                                           below:                                                    than or equal to $133,500;                            $1,000 and will publish the amounts for
                                           PART 418—MEDICARE SUBSIDIES                                  (iii) Greater than $133,500 but less               the following year in September of each
                                                                                                     than or equal to $160,000;                            year.
                                           Subpart B—Medicare Part B Income-                            (iv) Greater than $160,000 but less                  (2) The amounts listed in paragraphs
                                           Related Monthly Adjustment Amount                         than $500,000; and                                    (b), (c), and (d) of $415,000, $500,000,
                                                                                                        (v) Greater than or equal to $500,000.             and $750,000 will not be adjusted under
                                           ■ 1. The authority citation for subpart B                    (c) The modified adjusted gross                    paragraph (e)(1) of this section until
                                           of part 418 continues to read as follows:                 income ranges for individuals who are                 2028. Beginning in 2027, and in each
                                             Authority: Secs. 702(a)(5) and 1839(i) of
                                                                                                     married and filed a joint tax return for              year thereafter, CMS will adjust these
                                           the Social Security Act (42 U.S.C. 902(a)(5)              the tax year we use to make the income-               range amounts for the following year
                                           and 1395r(i)).                                            related monthly adjustment amount                     under paragraph (e)(1) of this section
                                                                                                     determination are as follows.                         and publish the updated ranges in the
                                           ■  2. Amend § 418.1001 by revising the                       (1) For calendar years 2011 through                Federal Register.
                                           first sentence of the introductory text to                and including 2017—                                   ■ 4. Amend § 418.1120 by revising
                                           read as follows:                                             (i) Greater than $170,000 but less than            paragraph (b) to read as follows:
                                           § 418.1001       What is this subpart about?              or equal to $214,000;
                                                                                                        (ii) Greater than $214,000 but less                § 418.1120 How do we determine your
                                              This subpart relates to section 1839(i)                                                                      income-related monthly adjustment
                                                                                                     than or equal to $320,000;
                                           of the Social Security Act (the Act), as                                                                        amount?
                                                                                                        (iii) Greater than $320,000 but less
                                           amended. * * *                                                                                                  *      *     *     *    *
                                                                                                     than or equal to $428,000; and
                                           *     *     *    *       *                                   (iv) Greater than $428,000.                           (b) Tables of applicable percentage.
                                           ■ 3. Amend § 418.1115 by:                                    (2) For calendar year 2018—                        The tables in paragraphs (b)(1) through
                                           ■ a. Revising the first sentence of                          (i) Greater than $170,000 but less than            (b)(3) of this section contain the
                                           paragraph (a); and                                        or equal to $214,000;                                 modified adjusted gross income ranges
                                           ■ b. Revising paragraphs (b), (c), (d), and                  (ii) Greater than $214,000 but less                for calendar years 2011 through and
                                           (e).                                                      than or equal to $267,000;                            including 2017, 2018, and beginning in
                                              The revisions read as follows:                            (iii) Greater than $267,000 but less               2019 in the column on the left in each
                                                                                                     than or equal to $320,000; and                        table. The middle column in each table
                                           § 418.1115 What are the modified adjusted                    (iv) Greater than $320,000.                        shows the percentage of the
                                           gross income ranges?                                                                                            unsubsidized Medicare Part B premium
                                                                                                        (3) For calendar years beginning in
                                              (a) We list the modified adjusted gross                2019—                                                 that will be paid by individuals with
                                           income ranges for the calendar years                         (i) Greater than $170,000 but less than            modified adjusted gross income that
                                           2011 through and including 2017, 2018,                    or equal to $214,000;                                 falls within each of the ranges. The
                                           and for years beginning in 2019 for each                     (ii) Greater than $214,000 but less                column on the right in each table shows
                                           Federal tax filing category in paragraphs                 than or equal to $267,000;                            the percentage of the Medicare Part B
                                           (b), (c) and (d) of this section. * * *                      (iii) Greater than $267,000 but less               premium that will be subsidized by
                                              (b) The modified adjusted gross                        than or equal to $320,000;                            contributions from the Federal
                                           income ranges for individuals with a                         (iv) Greater than $320,000 but less                Government. We use your tax filing
                                           Federal tax filing status of single, head                 than $750,000; and                                    status and your modified adjusted gross
                                           of household, qualifying widow(er) with                      (v) Greater than or equal to $750,000.             income for the tax year to determine
                                           dependent child, and married filing                          (d) The modified adjusted gross                    which income-related monthly
                                           separately when the individual has                        income ranges for married individuals                 adjustment amount to apply to you. The
                                           lived apart from his/her spouse for the                   who file a separate return and have                   dollar amount of income-related
                                           entire tax year for the year we use to                    lived with their spouse at any time                   monthly adjustment for each range will
                                           make our income-related monthly                           during the tax year we use to make the                be set annually for each year after 2019
                                           adjustment amount determination are as                    income-related monthly adjustment                     as described in paragraph (c) of this
                                           follows.                                                  amount determination are as follows.                  section. The modified adjusted gross
                                              (1) For calendar years 2011 through                       (1) For calendar years 2011 through                income ranges will be adjusted annually
                                           and including 2017—                                       and including 2017—                                   after 2019 as described in § 418.1115(e).
                                              (i) Greater than $85,000 but less than                    (i) Greater than $85,000 but less than                (1) General tables of applicable
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                                           or equal to $107,000;                                     or equal to $129,000; and                             percentages. If, for the tax year, we use
                                              (ii) Greater than $107,000 but less                       (ii) Greater than $129,000.                        your filing status for your Federal
                                           than or equal to $160,000;                                   (2) For calendar year 2018—Greater                 income taxes for the tax year is single;
                                              (iii) Greater than $160,000 but less                   than $85,000.                                         head of household; qualifying
                                           than or equal to $214,000; and                               (3) For calendar years beginning in                widow(er) with dependent child; or
                                              (iv) Greater than $214,000.                            2019—                                                 married filing separately and you lived


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                                                            Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations                                                                                       55629

                                           apart from your spouse for the entire tax                                year we use is in the range listed in the                                      reduced to the percentage listed in the
                                           year, we will use the general tables of                                  left column in the following tables, then                                      right column. You will pay an amount
                                           applicable percentages. When your                                        the Federal Government’s Part B                                                based on the percentage listed in the
                                           modified adjusted gross income for the                                   premium subsidy of 75 percent is                                               center column.

                                                                                                                                                                                                                                          Federal
                                                                                                                                                                                                                          Beneficiary    premium
                                                            Table 1 to paragraph (b)(1): Modified adjusted gross income effective in 2011–2017                                                                            percentage      subsidy
                                                                                                                                                                                                                           (percent)     (percent)

                                           Greater   than   $85,000 but less than or equal to $107,000 ......................................................................................                                       35               65
                                           Greater   than   $107,000 but less than or equal to $160,000 ....................................................................................                                        50               50
                                           Greater   than   $160,000 but less than or equal to $214,000 ....................................................................................                                        65               35
                                           Greater   than   $214,000 ............................................................................................................................................                   80               20


                                                                                                                                                                                                                                          Federal
                                                                                                                                                                                                                          Beneficiary    premium
                                                                Table 2 to paragraph (b)(1): Modified adjusted gross income effective in 2018                                                                             percentage      subsidy
                                                                                                                                                                                                                           (percent)     (percent)

                                           Greater   than   $85,000 but less than or equal to $107,000 ......................................................................................                                       35               65
                                           Greater   than   $107,000 but less than or equal to $133,500 ....................................................................................                                        50               50
                                           Greater   than   $133,500 less than or equal to $160,000 ..........................................................................................                                      65               35
                                           Greater   than   $160,000 ............................................................................................................................................                   80               20


                                                                                                                                                                                                                                          Federal
                                                                                                                                                                                                                          Beneficiary    premium
                                                       Table 3 to paragraph (b)(1): Modified adjusted gross income effective beginning in 2019                                                                            percentage      subsidy
                                                                                                                                                                                                                           (percent)     (percent)

                                           Greater   than   $85,000 but less than or equal to $107,000 ......................................................................................                                       35               65
                                           Greater   than   $107,000 but less than or equal to $133,500 ....................................................................................                                        50               50
                                           Greater   than   $133,500 but less than or equal to $160,000 ....................................................................................                                        65               35
                                           Greater   than   $160,000 but less than $500,000 ......................................................................................................                                  80               20
                                           Greater   than   or equal to $500,000 ..........................................................................................................................                         85               15



                                             (2) Tables of applicable percentages                                   income for that tax year is in the range                                       right column. You will pay an amount
                                           for joint returns. If, for the tax year, we                              listed in the left column in the following                                     based on the percentage listed in the
                                           use your Federal tax filing status is                                    tables, then the Federal Government’s                                          center column.
                                           married filing jointly for the tax year                                  Part B premium subsidy of 75 percent
                                           and your modified adjusted gross                                         is reduced to the percentage listed in the

                                                                                                                                                                                                                                          Federal
                                                                                                                                                                                                                          Beneficiary    premium
                                                            Table 1 to paragraph (b)(2): Modified adjusted gross income effective in 2011–2017                                                                            percentage      subsidy
                                                                                                                                                                                                                           (percent)     (percent)

                                           Greater   than   $170,000       but less than or equal to $214,000 ....................................................................................                                  35               65
                                           Greater   than   $214,000       but less than or equal to $320,000 ....................................................................................                                  50               50
                                           Greater   than   $320,000       but less than or equal to $428,000 ....................................................................................                                  65               35
                                           Greater   than   $428,000       ............................................................................................................................................             80               20


                                                                                                                                                                                                                                          Federal
                                                                                                                                                                                                                          Beneficiary    premium
                                                                Table 2 to paragraph (b)(2): Modified adjusted gross income effective in 2018                                                                             percentage      subsidy
                                                                                                                                                                                                                           (percent)     (percent)

                                           Greater   than   $170,000       but less than or equal to $214,000 ....................................................................................                                  35               65
                                           Greater   than   $214,000       but less than or equal to $267,000 ....................................................................................                                  50               50
                                           Greater   than   $267,000       but less than or equal to $320,000 ....................................................................................                                  65               35
                                           Greater   than   $320,000       ............................................................................................................................................             80               20


                                                                                                                                                                                                                                          Federal
                                                                                                                                                                                                                          Beneficiary    premium
                                                       Table 3 to paragraph (b)(2): Modified adjusted gross income effective beginning in 2019                                                                            percentage      subsidy
                                                                                                                                                                                                                           (percent)     (percent)
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                                           Greater   than   $170,000 but less than or equal to $214,000 ....................................................................................                                        35               65
                                           Greater   than   $214,000 but less than or equal to $267,000 ....................................................................................                                        50               50
                                           Greater   than   $267,000 but less than or equal to $320,000 ....................................................................................                                        65               35
                                           Greater   than   $320,000 but less than $750,000 ......................................................................................................                                  80               20
                                           Greater   than   or equal to $750,000 ..........................................................................................................................                         85               15



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                                           55630              Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations

                                             (3) Tables of applicable percentages                                  at some time during that tax year, and                                   of 75 percent is reduced to the
                                           for married individuals filing separate                                 your modified adjusted gross income is                                   percentage listed in the right column.
                                           returns. If, for the tax year, we use your                              in the range listed in the left column in                                You will pay an amount based on the
                                           Federal tax filing status is married filing                             the following tables, then the Federal                                   percentage listed in the center column.
                                           separately, you lived with your spouse                                  Government’s Part B premium subsidy

                                                                                                                                                                                                                                 Federal
                                                                                                                                                                                                                 Beneficiary    premium
                                                              Table 1 to paragraph (b)(3): Modified adjusted gross income effective in 2011–2017                                                                 percentage      subsidy
                                                                                                                                                                                                                  (percent)     (percent)

                                           Greater than $85,000 but less than or equal to $129,000 ......................................................................................                                  65               35
                                           Greater than $129,000 ............................................................................................................................................              80               20


                                                                                                                                                                                                                                 Federal
                                                                                                                                                                                                                 Beneficiary    premium
                                                                   Table 2 to paragraph (b)(3): Modified adjusted gross income effective in 2018                                                                 percentage      subsidy
                                                                                                                                                                                                                  (percent)     (percent)

                                           Greater than $85,000 ..............................................................................................................................................             80               20


                                                                                                                                                                                                                                 Federal
                                                                                                                                                                                                                 Beneficiary    premium
                                                           Table 3 to paragraph (b)(3): Modified adjusted gross income effective beginning in 2019                                                               percentage      subsidy
                                                                                                                                                                                                                  (percent)     (percent)

                                           Greater than $85,000 but less than $415,000 ........................................................................................................                            80               20
                                           Greater than or equal to $415,000 ..........................................................................................................................                    85               15



                                           *        *        *        *         *                                    (ii) Greater than $107,000 but less                                       (i) Greater than $170,000 but less than
                                                                                                                   than or equal to $160,000;                                               or equal to $214,000;
                                           Subpart C—Income-Related Monthly                                          (iii) Greater than $160,000 but less                                      (ii) Greater than $214,000 but less
                                           Adjustments to Medicare Prescription                                    than or equal to $214,000; and                                           than or equal to $267,000;
                                           Drug Coverage Premiums                                                    (iv) Greater than $214,000.                                               (iii) Greater than $267,000 but less
                                                                                                                     (2) For calendar year 2018—                                            than or equal to $320,000; and
                                           ■ 5. The authority citation for subpart C
                                                                                                                     (i) Greater than $85,000 but less than                                    (iv) Greater than $320,000.
                                           of part 418 continues to read as follows:
                                                                                                                   $107,000;                                                                   (3) For calendar years beginning in
                                             Authority: Secs. 702(a)(5), 1860D–13(a)                                 (ii) Greater than $107,000 but less                                    2019—
                                           and (c) of the Social Security Act (42 U.S.C.                           than $133,500;                                                              (i) Greater than $170,000 but less than
                                           902(a)(5), 1395w–113(a) and (c)).
                                                                                                                     (iii) Greater than $133,500 but less                                   or equal to $214,000;
                                           ■ 6. Amend § 418.2115 by:                                               than $160,000; and                                                          (ii) Greater than $214,000 but less
                                           ■ a. Revising the first sentence in                                       (iv) Greater than $160,000.                                            than or equal to $267,000;
                                           paragraph (a); and                                                        (3) For calendar years beginning in                                       (iii) Greater than $267,000 but less
                                           ■ b. Revising paragraphs (b), (c), (d), and                             2019—                                                                    than or equal to $320,000;
                                           (e).                                                                      (i) Greater than $85,000 but less than                                    (iv) Greater than $320,000 but less
                                              The revisions read as follows:                                       or equal to $107,000;                                                    than $750,000; and
                                           § 418.2115 What are the modified adjusted                                 (ii) Greater than $107,000 but less                                       (v) Greater than or equal to $750,000.
                                           gross income ranges?                                                    than or equal to $133,500;                                                  (d) The modified adjusted gross
                                              (a) We list the modified adjusted gross                                (iii) Greater than $133,500 but less                                   income ranges for married individuals
                                           income ranges for the calendar years                                    than or equal to $160,000;                                               who file a separate return and have
                                           2011 through and including 2017, 2018,                                    (iv) Greater than $160,000 but less                                    lived with their spouse at any time
                                           and beginning in 2019 for each Federal                                  than $500,000; and                                                       during the tax year we use to make the
                                           tax filing category in paragraphs (b), (c)                                (v) Greater than or equal to $500,000.                                 income-related monthly adjustment
                                           and (d) of this section. * * *                                            (c) The modified adjusted gross                                        amount determination are as follows:
                                              (b) The modified adjusted gross                                      income ranges for individuals who are                                       (1) For calendar years 2011 through
                                           income ranges for individuals with a                                    married and filed a joint tax return for                                 and including 2017—
                                           Federal tax filing status of single, head                               the tax year we use to make the income-                                     (i) Greater than $85,000 but less than
                                           of household, qualifying widow(er) with                                 related monthly adjustment amount                                        or equal to $129,000; and
                                           dependent child, and married filing                                     determination are as follows.                                               (ii) Greater than $129,000.
                                           separately when the individual has                                        (1) For calendar years 2011 through                                       (2) For calendar year 2018—Greater
                                           lived apart from his/her spouse for the                                 2017—                                                                    than $85,000.
                                           entire tax year for the year we use to                                    (i) Greater than $170,000 but less than                                   (3) For calendar years beginning in
                                           make our income-related monthly                                         or equal to $214,000;                                                    2019—
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                                           adjustment amount determination are as                                    (ii) Greater than $214,000 but less                                       (i) Greater than $85,000 but less than
                                           follows:                                                                than or equal to $320,000;                                               $415,000; and
                                              (1) For calendar years 2011 through                                    (iii) Greater than $320,000 but less                                      (ii) Greater than or equal to $415,000.
                                           and including 2017—                                                     than or equal to $428,000; and                                              (e)(1) Subject to paragraph (e)(2) of
                                              (i) Greater than $85,000 but less than                                 (iv) Greater than $428,000.                                            this section, in 2019, CMS will set the
                                           or equal to $107,000;                                                     (2) For calendar year 2018—                                            modified adjusted gross income ranges


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                                                            Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations                                                                                                     55631

                                           for 2020 and publish them in the                                         § 418.2120 How do we determine your                                            apply to you. The dollar amounts used
                                           Federal Register. In each year thereafter,                               income-related monthly adjustment                                              for each of the ranges of income-related
                                                                                                                    amount?                                                                        monthly adjustment will be set annually
                                           CMS will set the modified adjusted
                                           gross income ranges by increasing the                                    *     *      *     *    *                                                      after 2019 as described in paragraph (c)
                                           preceding year’s ranges by any                                             (b) Tables of applicable percentage.                                         of this section. The modified adjusted
                                           percentage increase in the Consumer                                      The tables in paragraphs (b)(1) through                                        gross income ranges will be adjusted
                                                                                                                    (b)(3) of this section contain the                                             annually after 2019 as described in
                                           Price Index rounded to the nearest
                                                                                                                    modified adjusted gross income ranges                                          § 418.2115(e).
                                           $1,000 and will publish the amounts for
                                                                                                                    for calendar years 2011 through and
                                           the following year in September of each                                  including 2017, 2018, and 2019, and the                                           (1) General tables of applicable
                                           year.                                                                    corresponding percentage of the cost of                                        percentages. If your filing status for your
                                             (2) The amounts listed in paragraphs                                   basic Medicare prescription drug                                               Federal income taxes for the tax year we
                                           (b), (c), and (d) of $415,000, $500,000,                                 coverage that individuals with modified                                        use is single; head of household;
                                           and $750,000 will not be adjusted under                                  adjusted gross incomes that fall within                                        qualifying widow(er) with dependent
                                           paragraph (e)(1) of this section until                                   each of the ranges will pay. The                                               child; or married filing separately and
                                           2028. Beginning in 2027, and in each                                     monthly dollar amounts will be                                                 you lived apart from your spouse for the
                                           year thereafter, CMS will adjust these                                   determined by CMS using the formula                                            entire tax year, we will use the general
                                           range amounts for the following year                                     in section 1860D–13(a)(7)(B) of the Act.                                       tables of applicable percentages. When
                                           under paragraph (e)(1) of this section                                   Based on your tax filing status for the                                        your modified adjusted gross income for
                                           and publish the updated ranges in the                                    tax year we use to make a determination                                        the year we use is in the range listed in
                                                                                                                    about your income-related monthly                                              the left column in the following tables,
                                           Federal Register.
                                                                                                                    adjustment amount, we will determine                                           you will pay an amount based on the
                                           ■ 7. Amend § 418.2120 by revising                                        which table is applicable to you. We                                           percentage listed in the right column,
                                           paragraph (b) to read as follows:                                        will use your modified adjusted gross                                          which represents a percentage of the
                                                                                                                    income to determine which income-                                              cost of basic Medicare prescription drug
                                                                                                                    related monthly adjustment amount to                                           coverage.

                                                                                                                                                                                                                                                      Beneficiary
                                                                         Table 1 to paragraph (b)(1): Modified adjusted gross income effective in 2011–2017                                                                                           percentage
                                                                                                                                                                                                                                                       (percent)

                                           Greater   than   $85,000 but less than or equal to $107,000 ..................................................................................................................                                       35
                                           Greater   than   $107,000 but less than or equal to $160,000 ................................................................................................................                                        50
                                           Greater   than   $160,000 but less than or equal to $214,000 ................................................................................................................                                        65
                                           Greater   than   $214,000 ........................................................................................................................................................................                   80


                                                                                                                                                                                                                                                      Beneficiary
                                                                              Table 2 to paragraph (b)(1): Modified adjusted gross income effective in 2018                                                                                           percentage
                                                                                                                                                                                                                                                       (percent)

                                           Greater   than   $85,000 but less than or equal to $107,000 ..................................................................................................................                                       35
                                           Greater   than   $107,000 but less than or equal to $133,500 ................................................................................................................                                        50
                                           Greater   than   $133,500 but less than or equal to $160,000 ................................................................................................................                                        65
                                           Greater   than   $160,000 ........................................................................................................................................................................                   80


                                                                                                                                                                                                                                                      Beneficiary
                                                                      Table 3 to paragraph (b)(1): Modified adjusted gross income effective beginning in 2019                                                                                         percentage
                                                                                                                                                                                                                                                       (percent)

                                           Greater   than   $85,000 but less than or equal to $107,000 ..................................................................................................................                                       35
                                           Greater   than   $107,000 but less than or equal to $133,500 ................................................................................................................                                        50
                                           Greater   than   $133,500 but less than or equal to $160,000 ................................................................................................................                                        65
                                           Greater   than   $160,000 but less than $500,000 ..................................................................................................................................                                  80
                                           Greater   than   or equal to $500,000 ......................................................................................................................................................                         85



                                              (2) Tables of applicable percentages                                  adjusted gross income for that tax year                                        in the right column, which represents a
                                           for joint returns. If your Federal tax                                   is in the range listed in the left column                                      percentage of the cost of basic Medicare
                                           filing status is married filing jointly for                              in the following tables, you will pay an                                       prescription drug coverage.
                                           the tax year we use and your modified                                    amount based on the percentage listed

                                                                                                                                                                                                                                                      Beneficiary
                                                                         Table 1 to paragraph (b)(2): Modified adjusted gross income effective in 2011–2017                                                                                           percentage
                                                                                                                                                                                                                                                       (percent)
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                                           Greater   than   $170,000       but less than or equal to $214,000 ................................................................................................................                                  35
                                           Greater   than   $214,000       but less than or equal to $320,000 ................................................................................................................                                  50
                                           Greater   than   $320,000       but less than or equal to $428,000 ................................................................................................................                                  65
                                           Greater   than   $428,000       ........................................................................................................................................................................             80




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                                           55632               Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Rules and Regulations

                                                                                                                                                                                                                                                        Beneficiary
                                                                                Table 2 to paragraph (b)(2): Modified adjusted gross income effective in 2018                                                                                           percentage
                                                                                                                                                                                                                                                         (percent)

                                           Greater      than   $170,000      but less than or equal to $214,000 ................................................................................................................                                  35
                                           Greater      than   $214,000      but less than or equal to $267,000 ................................................................................................................                                  50
                                           Greater      than   $267,000      but less than or equal to $320,000 ................................................................................................................                                  65
                                           Greater      than   $320,000      ........................................................................................................................................................................             80


                                                                                                                                                                                                                                                        Beneficiary
                                                                        Table 3 to paragraph (b)(2): Modified adjusted gross income effective beginning in 2019                                                                                         percentage
                                                                                                                                                                                                                                                         (percent)

                                           Greater      than   $170,000 but less than or equal to $214,000 ................................................................................................................                                       35
                                           Greater      than   $214,000 but less than or equal to $267,000 ................................................................................................................                                       50
                                           Greater      than   $267,000 but less than or equal to $320,000 ................................................................................................................                                       65
                                           Greater      than   $320,000 but less than $750,000 ..................................................................................................................................                                 80
                                           Greater      than   or equal to $750,000 ......................................................................................................................................................                        85



                                             (3) Tables of applicable percentages                                     at some time during that tax year, and                                         in the right column, which represents a
                                           for married individuals filing separate                                    your modified adjusted gross income is                                         percentage of the cost of basic Medicare
                                           returns. If, for the tax year we use, your                                 in the range listed in the left column in                                      prescription drug coverage.
                                           Federal tax filing status is married filing                                the following tables, you will pay an
                                           separately, you lived with your spouse                                     amount based on the percentage listed

                                                                                                                                                                                                                                                        Beneficiary
                                                                            Table 1 to paragraph (b)(3): Modified adjusted gross income effective in 2011–2017                                                                                          percentage
                                                                                                                                                                                                                                                         (percent)

                                           Greater than $85,000 but less than or equal to $129,000 ..................................................................................................................                                             65
                                           Greater than $129,000 ........................................................................................................................................................................                         80


                                                                                                                                                                                                                                                        Beneficiary
                                                                                Table 2 to paragraph (b)(3): Modified adjusted gross income effective in 2018                                                                                           percentage
                                                                                                                                                                                                                                                         (percent)

                                           Greater than $85,000 ..........................................................................................................................................................................                        80


                                                                                                                                                                                                                                                        Beneficiary
                                                                        Table 3 to paragraph (b)(3): Modified adjusted gross income effective beginning in 2019                                                                                         percentage
                                                                                                                                                                                                                                                         (percent)

                                           Greater than $85,000 but less than $415,000 ....................................................................................................................................                                       80
                                           Greater than or equal to $415,000 ......................................................................................................................................................                               85



                                           *        *        *         *        *                                     preparer penalty. The final regulations                                        reviewed and approved under control
                                           [FR Doc. 2018–24336 Filed 11–6–18; 8:45 am]                                are necessary to implement recent law                                          number 1545–1570. Control number
                                           BILLING CODE 4191–02–P                                                     changes that expand the scope of the tax                                       1545–1570 was discontinued in 2014, as
                                                                                                                      return preparer due diligence penalty so                                       the burden for the collection of
                                                                                                                      that it applies to the child tax credit                                        information contained in § 1.6695–2 is
                                           DEPARTMENT OF THE TREASURY                                                 (CTC)/additional child tax credit                                              reflected in the burden for Form 8867,
                                                                                                                      (ACTC), and the American opportunity                                           ‘‘Paid Preparer’s Due Diligence
                                           Internal Revenue Service                                                   tax credit (AOTC) as well as to                                                Checklist,’’ under control number 1545–
                                                                                                                      eligibility to file a return or claim for                                      1629.
                                           26 CFR Part 1                                                              refund as head of household. The                                               SUPPLEMENTARY INFORMATION:
                                                                                                                      regulations affect tax return preparers.
                                           [TD 9842]                                                                                                                                                 Background
                                                                                                                      DATES:
                                           RIN 1545–BO63                                                                 Effective date: These regulations are                                          This document contains amendments
                                                                                                                      effective November 7, 2018.                                                    to the Income Tax Regulations (26 CFR
                                           Tax Return Preparer Due Diligence                                             Applicability date: For the                                                 part 1) under section 6695(g) of the
                                           Penalty Under Section 6695(g)                                              applicability date, see § 1.6695–2(e).                                         Internal Revenue Code (Code) regarding
                                           AGENCY:  Internal Revenue Service (IRS),                                   FOR FURTHER INFORMATION CONTACT:                                               the tax return preparer due diligence
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                                           Treasury.                                                                  Marshall French, 202–317–6845 (not a                                           requirements.
                                           ACTION: Final regulation and removal of                                    toll-free number).                                                                Prior to 2016, section 6695(g) imposed
                                           temporary regulation.                                                                                                                                     a penalty on tax return preparers who
                                                                                                                      Paperwork Reduction Act                                                        failed to comply with due diligence
                                           SUMMARY:  This document contains final                                       The collection of information in                                             requirements set forth in regulations
                                           regulations relating to the tax return                                     current § 1.6695–2 was previously                                              prescribed by the Secretary with respect


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Document Created: 2018-11-07 00:04:46
Document Modified: 2018-11-07 00:04:46
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule.
DatesThis rule is effective November 7, 2018.
ContactDonald Murphy, Office of Income Security Programs, Social Security Administration, 6401 Security Boulevard, Baltimore, MD 21235-6401, (410) 965-9090. For information on eligibility or filing for benefits, call our national toll-free number, 1-800-772-1213, or TTY 1-800-325-0778, or visit our internet site, Social Security Online, at http://www.socialsecurity.gov.
FR Citation83 FR 55626 
RIN Number0960-AI37
CFR AssociatedAdministrative Practice and Procedure; Aged; Blind; Disability Benefits; Medicare and Reporting and Recordkeeping Requirements

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