CMS published a notice on November 23, 2009 withdrawing a controversial August 2007 proposed rule that would have amended the definition of Medicaid “rehabilitative services.” Separately, on November 30, 2009, CMS published a final rule further delaying two rules regarding Medicaid benefit packages and beneficiary cost-sharing. Specifically, CMS is again delaying the effective date of its 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. The new effective date of the rules is July 1, 2010.