On April 3, 2009, CMS published a notice delaying for the second time the effective date of its December 3, 2008 final rule that provides states with increased flexibility to define the scope of covered Medicaid services. Specifically, CMS is delaying the effective date until December 31, 2009, and the agency is reopening the comment period through May 4, 2009. The Obama Administration had previously solicited comments on the Medicaid benefits package rule. Based on comments received in response to that solicitation, along with new provisions of the Children’s Health Insurance Program Reauthorization Act (CHIPRA) of 2009 enacted on February 4, 2009, the Administration believes that it “may be necessary to revise a substantial portion of the December 3, 2008 final rule.