21st Century Cures

The 21st Century Cures Act (P.L. 114-255) is landmark, bipartisan legislation that was signed into law on Dec. 13, 2016, and touches virtually all aspects of biomedical research, medical product development and the regulatory approval process. Read what FasterCures has said about 21st Century Cures over the years.

FasterCures worked closely with Congress, federal agencies and the advocacy community throughout the legislation’s journey to the president’s desk. In February 2017, we debuted the 21st Century Cures Tracker to track the implementation of the 100+ sections in Division A, which include the key provisions relevant to biomedical research and innovation. (Other divisions of the law pertain to mental health and Medicare; since those are not areas of focus for FasterCures, we will not be actively tracking them here.) Learn more about how to use the tracker with our FAQs page.

A few examples of the issues we will be tracking include the impact of changes to the National Institutes of Health’s administrative requirements for grantees, how the Food and Drug Administration implements new changes designed to enhance patient engagement and how the Department of Health and Human Services is using its new authorities to promote health information technology interoperability.

Many external factors will affect the progress of these initiatives, including policies related to hiring freezes and uncertain funding levels. This tracker is not meant to be a pass/fail report card, but rather a snapshot in time that can help explain impact and identify where progress is needed.

Please keep coming back, as we will be updating the information regularly. Use the button below to send us feedback on the value of the information we are presenting, and the usability of this new resource.

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FasterCures' 21st Century Cures Act Tracker (P.L. 114-255)

Status Section Tracked Deadlines and Requirements Update Date of Update Tags
fa fa-2x fa-check Sec. 4010. Medicare pharmaceutical and technology ombudsman. 12/13/2017: requires HHS to establish a pharmaceutical and technology ombudsman.

2/12/2018: CMS announced James Bailey is currently serving as the new Medicare Pharmaceutical and Technology Ombudsman. 

20180212 02/12/2018 CMS, Health IT
fa fa-2x fa-check Sec. 4012. Telehealth services in Medicare. 12/13/2017: requires CMS to provide information to Congress on use of telehealth services by Medicare.

2/15/2018: Medicare published updated Medicare Learning Network (MLN) Booklet on Telehealth Services

2/9/2018: Congress passes the Bipartisan Budget Act including landmark support for telemedicine in Medicare. Specific sections on the topic: Sec. 50323. Increasing convenience for Medicare Advantage enrollees through telehealth.Sec. 50324. Providing accountable care organizations the ability to expand the use of telehealth., and; Sec. 50325. Expanding the use of telehealth for individuals with stroke.

11/15/2017: The Congressional Research Service published a report, "Telehealth Services Proposed for Medicare Part B Reimbursements, 2018: Fact Sheet"

6/15/2017: MedPac issued the June 2017 Report to the Congress: Medicare and the Health Care Delivery System. It includes some reference to telehealth.

Other resources relating to CMS telehealth services include:

20180215 02/15/2018 CMS, Health IT


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