Notice2025-20250
Medicare Program; CY 2026 Part A Premiums for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 19, 2025
Effective
January 1, 2026
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
This notice announces Medicare's Hospital Insurance Program (Medicare Part A) premium for uninsured enrollees in calendar year (CY) 2026. This premium is paid by enrollees aged 65 and over who are not otherwise eligible for benefits under Medicare Part A (hereafter known as the "uninsured aged") and by certain individuals with disabilities who have exhausted other entitlement. The monthly Medicare Part A premium for the 12 months beginning January 1, 2026 for these individuals will be $565. The premium for certain other individuals as described in this notice will be $311.
Full Text
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<title>Federal Register, Volume 90 Issue 221 (Wednesday, November 19, 2025)</title>
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[Federal Register Volume 90, Number 221 (Wednesday, November 19, 2025)]
[Notices]
[Pages 52060-52062]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-20250]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-8090-N]
RIN 0938-AV55
Medicare Program; CY 2026 Part A Premiums for the Uninsured Aged
and for Certain Disabled Individuals Who Have Exhausted Other
Entitlement
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This notice announces Medicare's Hospital Insurance Program
(Medicare Part A) premium for uninsured enrollees in calendar year (CY)
2026. This premium is paid by enrollees aged 65 and over who are not
otherwise eligible for benefits under Medicare Part A (hereafter known
as the ``uninsured aged'') and by certain individuals with disabilities
who have exhausted other entitlement. The monthly Medicare Part A
premium for the 12 months beginning January 1, 2026 for these
individuals will be $565. The premium for certain other individuals as
described in this notice will be $311.
DATES: The premium announced in this notice is effective on January 1,
2026.
FOR FURTHER INFORMATION CONTACT: Yaminee Thaker, (410) 786-7921.
SUPPLEMENTARY INFORMATION:
I. Background
Section 1818 of the Social Security Act (the Act) provides for
voluntary enrollment in Medicare Part A, subject to payment of a
monthly premium, of certain persons aged 65 and older who are uninsured
under the Old-Age, Survivors, and Disability Insurance (OASDI) program
or the Railroad Retirement Act and do not otherwise meet the
requirements for entitlement to Medicare Part A. These ``uninsured
aged'' individuals are uninsured under the OASDI program or the
Railroad Retirement Act, because they do not have 40 quarters of
coverage under Title II of the Act (or are/were not married to someone
who did). (Persons insured under the OASDI program or the Railroad
Retirement Act and certain others do not have to pay premiums for
Medicare Part A.)
Section 1818A of the Act provides for voluntary enrollment in
Medicare Part A, subject to payment of a monthly premium for certain
individuals with disabilities who have exhausted other entitlement.
These are individuals who were entitled to coverage due to a disabling
impairment under section 226(b) of the Act, but who are no longer
entitled to disability benefits and premium-free Medicare Part A
coverage because they have gone back to work and their earnings exceed
the statutorily defined ``substantial gainful activity'' amount
(section 223(d)(4) of the Act).
Section 1818A(d)(2) of the Act specifies that the provisions
relating to premiums for the aged under section 1818(d) through section
1818(f) of the Act will also apply to certain individuals with
disabilities as described above.
Section 1818(d)(1) of the Act requires us to estimate, on an
average per capita basis, the amount to be paid from the Federal
Hospital Insurance Trust Fund for services incurred in the upcoming
calendar year (CY) (including the associated administrative costs) on
behalf of individuals aged 65 and over who will be entitled to benefits
under Medicare Part A. We must then determine the monthly actuarial
rate for the following year (the per capita amount estimated above
divided by 12) and publish the dollar amount for the monthly premium in
the succeeding CY. If the premium is not a multiple of $1, the premium
is rounded to the nearest multiple of $1 (or, if it is a multiple of 50
cents but not of $1, it is rounded to the next highest $1).
Section 13508 of the Omnibus Budget Reconciliation Act of 1993
(Pub. L. 103-66) amended section 1818(d) of the Act to provide for a
reduction in the premium amount for certain voluntary enrollees
(sections 1818 and 1818A of the Act). The reduction applies to an
individual who is eligible to buy into the Medicare Part A program and
who, as of the last day of the previous month:
<bullet> Had at least 30 quarters of coverage under Title II of the
Act;
<bullet> Was married, and had been married for the previous 1-year
period, to a person who had at least 30 quarters of coverage;
<bullet> Had been married to a person for at least 1 year at the
time of the person's death if, at the time of death, the person had at
least 30 quarters of coverage; or
<bullet> Is divorced from a person and had been married to the
person for at least 10 years at the time of the divorce if, at the time
of the divorce, the person had at least 30 quarters of coverage.
Section 1818(d)(4)(A) of the Act specifies that the premium that
these individuals will pay for CY 2026 will be equal to the premium for
uninsured aged enrollees reduced by 45 percent.
Section 1818(g) of the Act requires the Secretary of the Department
of Health and Human Services (the Secretary), at the request of a
State, to enter into a Medicare Part A buy-in agreement with a State to
pay Medicare Part A premiums for Qualified Medicare Beneficiaries
(QMBs). Under the QMB program, State Medicaid agencies must pay the
Medicare Part A premium for those not eligible for premium-free
Medicare Part A if those individuals meet all of the eligibility
requirements for the QMB program under the State's Medicaid State plan.
(Entering into a Medicare Part A buy-in agreement would permit a State
to avoid any Medicare Part A late enrollment penalties that the
individual may owe and would allow States to enroll persons in Medicare
Part A at any time of the year, without regard to Medicare enrollment
periods.) Other individuals may be eligible for the Qualified Disabled
Working Individuals program, through which State Medicaid programs
provide coverage of Medicare Part A premiums for individuals eligible
to enroll in Medicare Part A by virtue of section 1818A of the Act who
meet certain financial eligibility criteria.
II. Monthly Premium Amount for CY 2026
The monthly premium for the uninsured aged and certain individuals
with disabilities who have exhausted other entitlement for the 12
months beginning January 1, 2026, is $565. The monthly premium for the
individuals eligible under section 1818(d)(4)(B) of the Act, and
therefore, subject to the 45 percent reduction in the monthly premium,
is $311.
III. Monthly Premium Rate Calculation
As discussed in section I of this notice, the monthly Medicare Part
A premium is equal to the estimated monthly actuarial rate for CY 2026
rounded to the nearest multiple of $1 and equals one-twelfth of the
average per capita amount, which is determined by projecting the number
of Medicare Part A enrollees aged 65 years and over, as well as the
benefits and administrative costs that will be incurred on their
behalf.
The steps involved in projecting these future costs to the Federal
Hospital Insurance Trust Fund are:
<bullet> Establishing the present cost of services furnished to
beneficiaries, by type of service, to serve as a projection base;
<bullet> Projecting increases in payment amounts for each of the
service types; and
<bullet> Projecting increases in administrative costs.
We base our projections for CY 2026 on--(1) current historical
data; and (2)
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projection assumptions derived from current law and the Midsession
Review of the President's Fiscal Year 2026 Budget.
For CY 2026, we estimate that 62,921,568 people aged 65 years and
over will be entitled to (enrolled in) benefits (without premium
payment) and that they will incur about $426.445 billion in benefits
and related administrative costs. Thus, the estimated monthly average
per capita amount is $564.78 and the monthly premium is $565.
Subsequently, the full monthly premium reduced by 45 percent is $311.
IV. Costs to Beneficiaries
The CY 2026 monthly premium of $565 is approximately 9.1 percent
higher than the CY 2025 premium of $518. We estimate that approximately
772,000 enrollees will voluntarily enroll in Medicare Part A by paying
the full premium. We estimate that over 90 percent of these individuals
will have their Medicare Part A premium paid by States, since they are
enrolled in the QMB program. Furthermore, the CY 2026 reduced monthly
premium of $311 is approximately 9.1 percent higher than the CY 2025
premium of $285. We estimate that an additional 103,000 enrollees will
pay the reduced premium. Therefore, we estimate that the total
aggregate cost to enrollees paying these premiums in CY 2026, compared
to the amount that they paid in CY 2025, will be about $467 million.
V. Waiver of Proposed Rulemaking
We ordinarily publish a notice of proposed rulemaking in the
Federal Register and invite public comment prior to a rule taking
effect in accordance with section 1871 of the Act. Section 1871(a)(2)
of the Act provides that no rule, requirement, or other statement of
policy (other than a national coverage determination) that establishes
or changes a substantive legal standard governing the scope of
benefits, the payment for services, or the eligibility of individuals,
entities, or organizations to furnish . receive services or benefits
under Medicare shall take effect unless it is promulgated through
notice and comment rulemaking. Unless there is a statutory exception,
section 1871(b)(1) of the Act generally requires the Secretary to
provide for notice of a proposed rule in the Federal Register and
provide a period of not less than 60 days for public comment before
establishing or changing a substantive legal standard regarding the
matters enumerated by the statute. Section 1871(b)(2)(C) of the Act
also provides exceptions from the notice and 60-day comment period,
under the good cause standard set forth in 5 U.S.C. 553(b)(B). Section
553(b)(B) authorizes an agency to dispense with notice and comment
rulemaking for good cause if the agency makes a finding that notice and
comment procedures are impracticable, unnecessary, or contrary to the
public interest.
The annual Medicare Part A premium announcement set forth in this
notice does not establish or change a substantive legal standard
regarding the matters enumerated by the statute or constitute a
substantive rule which would be subject to the notice requirements in
section 1871(b) of the Act. However, to the extent that an opportunity
for public notice and comment could be construed as required for this
notice, we find good cause to waive this requirement. Section 1818(d)
of the Act requires the Secretary during September of each year to
determine and publish the amount to be paid, on an average per capita
basis, from the Federal Hospital Insurance Trust Fund for services
incurred in the impending CY (including the associated administrative
costs) on behalf of individuals aged 65 and over who will be entitled
to benefits under Medicare Part A. Further, the statute requires that
the agency determine the applicable premium amount for each CY in
accordance with the statutory formula, and we are simply notifying the
public of the changes to the Medicare Part A premiums for CY 2026. We
have calculated the Medicare Part A premiums as directed by the
statute; the statute establishes both when the premium amounts must be
published and the information that the Secretary must factor into the
premium amounts, so we do not have any discretion in that regard. We
find notice and comment procedures to be unnecessary for this notice
and we find good cause to waive such procedures under section 553(b)(B)
and section 1871(b)(2)(C) of the Act, if such procedures may be
construed to be required at all. Through this notice, we are simply
notifying the public of the updates to the Medicare Part A premiums, in
accordance with the statute, for CY 2026.
VI. Collection of Information Requirements
This document does not impose information collection requirements,
that is, reporting, recordkeeping or third-party disclosure
requirements. Consequently, there is no need for review by the Office
of Management and Budget under the authority of the Paperwork Reduction
Act of 1995 (44 U.S.C. 3501 et seq.).
VII. Regulatory Impact Analysis
We have prepared this Regulatory Impact Analysis (RIA) section in
the interest of ensuring that the impacts of this notice are fully
understood.
A. Statement of Need
This notice announces the CY 2026 Medicare Part A premiums for the
uninsured aged and for certain disabled individuals who have exhausted
other entitlement, as required by sections 1818 and 1818A of the Act.
It also responds to section 1818(d) of the Act, which requires the
Secretary to provide for publication of these amounts in the Federal
Register during the September that precedes the start of each CY. As
this statutory provision prescribes a detailed methodology for
calculating these amounts, we do not have the discretion to adopt an
alternative approach to these issues.
B. Overall Impact
We have examined the impacts of this rule as required by Executive
Order 12866, ``Regulatory Planning and Review''; Executive Order 13132,
``Federalism``; Executive Order 13563, ``Improving Regulation and
Regulatory Review''; Executive Order 14192, ``Unleashing Prosperity
Through Deregulation''; the Regulatory Flexibility Act (RFA) (Pub. L.
96-354); section 1102(b) of the Social Security Act; section 202 of the
Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4); and the
Congressional Review Act (5 U.S.C. 804(2)).
Executive Orders 12866 and 13563 direct agencies to assess all
costs and benefits of available regulatory alternatives and, if
regulation is necessary, to select those regulatory approaches that
maximize net benefits (including potential economic, environmental,
public health and safety, and other advantages; distributive impacts.).
Section 3(f) of Executive Order 12866 defines a ``significant
regulatory action'' as any regulatory action that is likely to result
in a rule that may: (1) have an annual effect on the economy of $100
million or more or adversely affect in a material way the economy, a
sector of the economy, productivity, competition, jobs, the
environment, public health or safety, or State, local, or tribal
governments or communities; (2) create a serious inconsistency or
otherwise interfere with an action taken or planned by another agency;
(3) materially alter the budgetary impact of entitlements, grants, user
fees, or loan programs or the rights and obligations of recipients
thereof; or (4) raise novel legal or policy
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issues arising out of legal mandates, or the President's priorities.
A regulatory impact analysis (RIA) must be prepared for a
regulatory action that is significant under section 3(f)(1) of E.O.
12866. As stated in section IV. of this notice, we estimate that the
overall effect of the changes in the Medicare Part A premium will be a
cost to voluntary enrollees (sections 1818 and 1818A of the Act) of
about $467 million. Based on our estimates, OIRA has determined this
notice is significant under section 3(f)(1). Accordingly, we have
prepared an RIA that to the best of our ability presents the costs and
benefits of this notice.
In accordance with subtitle E of the Small Business Regulatory
Enforcement Fairness Act of 1996 (also known as the Congressional
Review Act), OIRA has determined that this notice meets the criteria
set forth in 5 U.S.C. 804(2). For the reasons given, however, we find
for good cause that notice and public procedure are impracticable,
unnecessary, and contrary to the public interest and have determined
that this policy will take effect on January 1, 2026, pursuant to 5
U.S.C. 808(2).
C. Accounting Statement and Table
As required by OMB Circular A-4 (available at <a href="https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/circulars/A4/a-4.pdf">https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/circulars/A4/a-4.pdf</a>), in the Table 1, we have prepared an accounting
statement showing the total aggregate cost to enrollees paying premiums
in CY 2026, compared to the amount that they paid in CY 2025. This
amount is approximately $467 million. As stated in section IV. of this
notice, the CY 2026 premium of $565 is approximately 9.1 percent higher
than the CY 2025 premium of $518. We estimate that approximately
772,000 enrollees will voluntarily enroll in Medicare Part A by paying
the full premium. We estimate that over 90 percent of these individuals
will have their Medicare Part A premium paid by States, since they are
enrolled in the QMB program. Furthermore, the CY 2026 reduced premium
of $311 is approximately 9.1 percent higher than the CY 2025 premium of
$285.
Table 1--Estimated Transfers for CY 2025 Medicare Part A Premium
------------------------------------------------------------------------
Period
Category Transfers covered
------------------------------------------------------------------------
Annualized Monetized Transfers...... $467 million........... 2026
From Whom to Whom................... Beneficiaries to .........
Federal Government.
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D. Regulatory Flexibility Act
The RFA requires agencies to analyze options for regulatory relief
of small entities, if a rule has a significant impact on a substantial
number of small entities. For purposes of the RFA, small entities
include small businesses, nonprofit organizations, and small
governmental jurisdictions. Most hospitals and most other providers and
suppliers are small entities, either by being nonprofit organizations
or by meeting the Small Business Administration's (SBA) definition of a
small business (having revenues of less than $9.0 million to $47
million in any 1 year). Individuals and States are not included in the
definition of a small entity. This annual notice announces the Medicare
Part A premiums for CY 2026 and will have an impact on certain Medicare
beneficiaries, but not on small entities as defined by the SBA. As a
result, we are not preparing an analysis for the RFA because the
Secretary has certified that this notice will not have a significant
economic impact on a substantial number of small entities.
In addition, section 1102(b) of the Act requires us to prepare an
RIA if a rule may have a significant impact on the operations of a
substantial number of small rural hospitals. This analysis must conform
to the provisions of section 604 of the RFA. For purposes of section
1102(b) of the Act, we define a small rural hospital as a hospital that
is located outside of a metropolitan statistical area and has fewer
than 100 beds. This annual notice announces the Medicare Part A
premiums for CY 2026 and will have an impact on certain Medicare
beneficiaries. As a result, we are not preparing an analysis for
section 1102(b) of the Act, because the Secretary has certified that
this notice will not have a significant impact on the operations of a
substantial number of small rural hospitals.
E. Unfunded Mandates Reform Act
Section 202 of the Unfunded Mandates Reform Act of 1995 also
requires that agencies assess anticipated costs and benefits before
issuing any rule whose mandates require spending in any 1 year of $100
million in 1995 dollars, updated annually for inflation. In 2025, that
threshold is approximately $187 million. This notice would not impose a
mandate that will result in the expenditure by State, local, and Tribal
Governments, in the aggregate, or by the private sector, of more than
$187 million in any 1 year.
F. Federalism
Executive Order 13132 establishes certain requirements that an
agency must meet when it promulgates a proposed rule (and subsequent
final rule) that imposes substantial direct requirement costs on State
and local governments, preempts State law, or otherwise has Federalism
implications. This notice will not have a substantial direct effect on
State or local governments, preempt State law, or otherwise have
Federalism implications.
G. Congressional Review
This notice is subject to the Congressional Review Act and has been
transmitted to the Congress and the Government Accountability Office's
Comptroller General for review.
Mehemet Oz, Administrator of the Centers for Medicare & Medicaid
Services, approved this document on October 31, 2025.
Robert F. Kennedy, Jr.,
Secretary, Department of Health and Human Services.
[FR Doc. 2025-20250 Filed 11-14-25; 4:45 pm]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on November 19, 2025.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.