# Medicare Program; Prohibition of Midyear Benefit Enhancements for Medicare Advantage Organizations
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2008-07-28 · Effective 2008-08-27 · 73 FR 43628
## Document
- **Document number:** E8-17056
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 73 FR 43628
- **CFR reference:** 42 CFR 422
- **Publication date:** 2008-07-28
- **Effective date:** 2008-08-27
- **HHS docket:** CMS-4121-F
## Abstract

This final rule prohibits Medicare Advantage (MA) organizations, including organizations offering MA plans to employer and union group health plan sponsors, from making midyear changes to non-prescription drug benefits, premiums, and cost-sharing submitted in their approved bids for a given contract year. This final rule also clarifies that MA organizations offering certain kinds of plans restricted to employer and union group health plan sponsors and not open to general enrollment may continue to offer benefit enhancements as they do currently, through means other than midyear benefit enhancements (MYBEs). Programs of all-inclusive care for elderly (PACE) are not subject to the provisions of this final rule and may continue to offer enhanced benefits as specified in our guidance for PACE plans.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2008/07/28/E8-17056/medicare-program-prohibition-of-midyear-benefit-enhancements-for-medicare-advantage-organizations)
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