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Market Intelligence Resource | October 3, 2025

CMS Letter: Section 71116 Of The One Big Beautiful Bill Act On State Directed Payments

On September 9, 2025, the Centers for Medicare & Medicaid Services (CMS) published this letter regarding Section 71116 of One Big Beautiful Bill Act on State Directed Payments. CMS is preparing a notice of proposed rulemaking to revise 42 CFR part 438 as required by section 71116 and consistent with the Presidential directive outlined in the Presidential Memorandum, dated June 6, 2025. As part of this rulemaking effort, CMS is considering changes to the total payment rate limit for SDPs for other services beyond the four services mandated by section 71116 . . .

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