CMS published a proposed rule on October 30, 2009 that would further delay two rules regarding Medicaid benefit packages and beneficiary cost-sharing. Specifically, the rule would again delay the effective date of CMS’s December 3, 2008 final rule that provides states with increased flexibility to define the scope of covered Medicaid services, along with a November 25, 2008 final rule designed to enhance state flexibility to impose premium and cost sharing requirements on certain Medicaid recipients. Upon review of legislation enacted this year and public comments received on previous notices delaying enforcement of the regulations, CMS believes "it is necessary to revise a substantial portion" of these rules. Because it may take several months, CMS is soliciting comments on delaying the effective date of the final rules from December 31, 2009 until July 1, 2010. Comments on the proposal will be accepted until November 19, 2009.