Weekly Roundup -
August 5 , 2026
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Connecting the Dots: What CMS’s Proposed Rule on Provider Taxes Rule Could Mean for States, Marketplaces, and Health Insurers
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on July 21, 2026, to implement Section 71115 of the 2025 budget reconciliation act, P.L. 119-21, the Working Families Tax Cut (WFTCA). The proposal calls for introducing significant changes to how states finance Medicaid through healthcare-related taxes.
Though much of the attention has focused on the proposed rule’s implications for Medicaid provider taxes, it also raises important questions for State-Based Marketplaces (SBMs), Section 1332 reinsurance programs, health insurers, and state budget officials. The comment period closes September 12, 2026, giving states and stakeholders a limited window to assess the proposal and provide feedback to CMS.
To better understand the potential implications, Andrea Maresca spoke with Mary Goddeeris, Principal at Health Management Associates (HMA) and Medicaid financing expert; Lina Rashid, Principal at HMA and federal healthcare and Marketplace policy expert; and Zach Sherman, Managing Director for Coverage Policy and Program Design at HMA, and a national expert on ACA Marketplaces and state coverage programs.
Q: What is CMS proposing in this rule, and why is it generating attention among state policymakers and healthcare leaders?
Mary Goddeeris: At its core, the proposal implements Section 71115 of WFTCA, which significantly changes the federal rules governing Medicaid provider taxes. Historically, states could satisfy the federal indirect hold harmless test by using a generally applicable 6 percent threshold. The new law replaces that standard with more restrictive state- and provider-specific thresholds. For many provider taxes in Medicaid expansion states, allowable thresholds will phase down beginning in fiscal year 2028 and fall to 3.5 percent by 2032. The proposed rule implements those statutory changes.
The statutory change has attracted a lot of attention because provider taxes are one of the primary tools states use to finance Medicaid programs. Any changes to those financing mechanisms can have a ripple effect on state budgets, provider payments, managed care financing, supplemental payment programs, and long-term Medicaid strategy. State officials and healthcare leaders are all evaluating the potential fiscal and operational implications.
Q: The proposal is framed as a Medicaid financing rule. Why are stakeholders outside Medicaid also paying attention?
Lina Rashid: One reason is that CMS proposes creating a new permissible provider tax class called “services of health insurers.” CMS indicates this class could include issuers offering individual market coverage, group market coverage, catastrophic plans, short-term limited duration insurance, and certain excepted benefit products (dental and vision only policies), among others. Managed care organizations would generally remain under an existing provider class.
The proposal raises questions because many states already use insurer assessments to fund activities outside Medicaid. These assessments may support State-Based Marketplaces (SBMs), Section 1332 reinsurance programs, or other state affordability initiatives. The proposed rule seems to make these assessments subject to the same provider tax framework and hold harmless restrictions that would be applied to Medicaid financing rules.
The proposal does not clearly answer how broadly CMS intends to interpret these provisions, especially in the cases of taxes that have no direct connection to Medicaid financing. Under a strict framework, it is possible that many states may not meet CMS’s standard, and that they may face financial consequences with respect to the Medicaid program, SBMs, or other initiatives.
Q: How could the proposed rule affect ACA Marketplaces and Section 1332 reinsurance programs?
Zach Sherman: The immediate challenge is the uncertainty with this proposed rule. Many SBMs and reinsurance programs rely on assessments imposed on commercial health insurers. Currently, those assessments generally support Marketplace operations, affordability programs, or reinsurance initiatives rather than Medicaid.
CMS writes that healthcare-related taxes imposed on the new insurer class would be subject to the same hold harmless framework established in Section 71115. The proposal does not, however, clearly state whether insurer assessments used for non-Medicaid purposes would be included. Clarity on this issue is critical because many states depend on these assessments to sustain Marketplace infrastructure and affordability initiatives.
States that already operate SBMs, states considering transition to an SBM, and states supporting reinsurance programs through insurer assessments will want to evaluate how the proposal could affect existing funding models and future flexibility, alongside impacts to Medicaid funding.
Q: For the newly established health insurer permissible class, is the applicable threshold determined by aggregating all taxes imposed on entities within the class, for example including assessments on individual market issuers and catastrophic plans, or is the threshold applied separately to distinct entities within the class?
Rashid: If individual market issuers and catastrophic plans are both included in the same new permissible class (“services of health insurers”), then they would be aggregated across the class to measure if it meets CMS’s threshold, not separately. It would be the combined impact of individual market issuers and catastrophic plans revenue generated from the taxes imposed divided by the applicable revenue base for the health insurer class.
Q: What are the most significant questions states should be considering right now?
Goddeeris: States first need to understand their exposure under the Medicaid provisions themselves. Many states rely heavily on provider taxes to support Medicaid financing. They should be analyzing existing tax structures, estimating future fiscal impacts, and understanding how the phased-down thresholds could affect funding sources over time.
State officials should also consider how this proposal intersects with other major Medicaid policy and budget pressures. States are conducting eligibility redeterminations, implementing new federal requirements, evaluating managed care financing approaches, and managing broader budget constraints. This proposed rule could become another important factor in long-term Medicaid financing decisions and potential driver for significant policy and programmatic changes.
Q: Where should healthcare stakeholders focus their attention while the regulation is pending?
Sherman: Stakeholders should start by assessing whether they could be directly or indirectly affected. States, Marketplaces, health plans, providers, and trade associations may all have different perspectives on implementation questions that remain unresolved.
Rashid: Organizations also should focus on identifying areas where they need additional clarification. In our review, some of the most significant questions involve the scope of the insurer class, how CMS will measure the allowable threshold within each class, the applicability of the rule and hold harmless requirements to non-Medicaid assessments, and how CMS intends to interpret statutory language. Those are all issues stakeholders may want to address in their comments.
How HMA Can Help
Although CMS’s proposal focuses on implementing Medicaid financing reforms enacted by Congress, the effect may extend beyond Medicaid to include insurer assessments, Marketplace funding, reinsurance programs, and state affordability initiatives. Until CMS provides clarification, states and insurers will likely continue evaluating potential operational, fiscal, and policy implications.
HMA Medicaid financing, federal policy, actuarial, and Marketplace experts are helping states, health plans, provider organizations, and other stakeholders evaluate the proposed rule, assess potential impacts, and develop comment strategies.
HMA and its companies, including Wakely and Leavitt Partners, can support strategic planning, design and implementation of SBMs, Medicaid and Marketplace policy development and regulatory compliance, actuarial analysis, data development and reporting. Connect with us to learn how we can help your organization navigate the federal and state policy changes. Access additional insights from the ACA Marketplace team here.
Early Bird Pricing Ends August 7 for HMA's National Conference: US Healthcare 2026: Signals, Signs & Flashing Lights
The agenda is now live for US Healthcare 2026: Signals, Signs & Flashing Lights, the Health Management Associates (HMA) national conference, October 5-7, 2026, in New Orleans, LA. Healthcare leaders will join peers, policymakers, innovators, and industry experts to discuss the most significant trends in healthcare, including historic policy and financing changes in Medicaid, program integrity, artificial intelligence (AI), behavioral health transformation, affordability challenges, and emerging care delivery models.
Early bird registration pricing ends August 7!
New This Year: Two Exclusive Preconference Sessions
HMA is offering two special preconference sessions that combine our expert-led learning with valuable networking opportunities.
Attendees will deepen their understanding of, and gain insights into, the federal policy landscape heading into the mid-term elections. This interactive session led by Leavitt Partners, an HMA company, will help attendees understand what’s coming next from Washington, DC, and explore the strategic implications for health plans, providers, state agencies, and healthcare investors.
A preconference session, AI in Healthcare: Moving from Experimentation to Execution, will lead attendees through practical applications of AI across healthcare operations, clinical workflows, analytics, consumer engagement, and administrative efficiency. Discussion will center on topics such as governance, implementation, and risk considerations. Attendees will have the opportunity to learn from peers, share experiences, and build connections in a collegial setting before the main conference begins.
Key Topics Shaping the Healthcare Agenda
The 2026 agenda is intentionally reflective of the issues facing leaders who work in strategy, operations, growth, policy, innovation, quality, and community impact across healthcare sectors.
Highlights include sessions on:
- The future of Medicaid financing, delivery system transformation, and state innovation
- Fraud, waste, abuse, and program integrity priorities across federal and state programs
- AI applications that are reshaping healthcare operations, care delivery, and decision-making
- Rural Health Transformation Programs (RHTPs) and strategies for sustainable community investment
- Behavioral health policy and delivery trends, including the evolving crisis care continuum
- Applied behavior analysis (ABA) therapy at the intersection of behavioral health, access, and oversight
- Life sciences innovation and its impact on payers, providers, and patients
- Coverage transitions, affordability challenges, and changing market dynamics
- Emerging opportunities for collaboration across healthcare, social services, and community-based care
Attendees also will have opportunities to engage in HMA’s popular Coffee Conversations, during which participants can join facilitated discussions on timely topics and exchange ideas.
Review the full agenda, secure your hotel accommodations, and take advantage of early bird savings before August 7, 2026.
Federal Policy News
Fueled By Leavitt Partners Weekly Health Intelligence
Congress Prepares for Recess While Health Policy Takes the Campaign Trail
This week, the Senate is in its final planned week of legislative activity ahead of the extended August recess, with a handful of major items on the agenda, now including a short-term continuing resolution (CR), posted by the Senate Appropriations Committee. Senate Appropriations Committee Susan Collins released legislative text for the Continuing Appropriations and Extensions Act, 2027, the Senate version of a continuing resolution intended to allow Congress to delay federal funding deliberations until after the November midterms by continuing current funding levels through December 11 (in contrast with the December 4 end date included in the CR passed by the House last month). The Senate proposal also includes a provision blocking the Office of Management and Budget (OMB)’s Regulation for Federal Financial Assistance proposed rule, with Chair Collins citing the rule’s “potential to politicize grants and harm small, rural communities, families, and biomedical research.”
In publishing the stopgap legislation, Chair Collins emphasized the bipartisan process that went into the bill’s drafting, and Senate Appropriations Committee Ranking Member Patty Murray (D-WA) released a separate statement supporting the bill’s passage, indicating that the Senate could advance the legislation this week, though the OMB provision’s path through the House is less certain.
In addition to FY 2027 funding, in the coming weeks and months, members will be focused on midterm elections, with legislative activity likely confined largely to “must-pass” priorities, nominations, and messaging exercises on issues with salience on the campaign trail. Both parties have recently sought to position themselves as more reliable on healthcare policy. Senate Finance Committee Ranking Member Ron Wyden (D-OR), for instance, has continued advancing his healthcare agenda through an ongoing request for information (RFI) process. The most recent RFI targets FY 2025 budget reconciliation law provisions as a driver of healthcare costs. Republican lawmakers, by contrast, have sought to promote the law as improving affordability, including through tax cuts and program integrity improvements.
Republican leadership is also targeting Democrats’ affordability messaging efforts, including by promoting findings published by CBO last week on the Inflation Reduction Act, suggesting that “the costs of the Part D redesign have been significantly larger because of greater-than-anticipated increases in spending because of greater use of prescription drugs.” Similar messaging efforts from both parties will continue through the midterm elections, though movement on major reforms will likely see little traction until the end of the year, if not later.
HRSA Revises Its 340B Rebate Model After Court Challenge
On July 31, the Health Resources & Services Administration (HRSA) released a revised 340B Rebate Model Program, which provides qualifying drug manufacturers with a voluntary pathway to effectuate 340B ceiling prices through retrospective rebates, rather than up-front discounts, for a limited set of covered outpatient drugs. Under the revised model, participating manufacturers will issue rebates after validating eligible claims at the transaction level. The agency also notes that the model aims to help preserve the long-term sustainability of the 340B Program and is consistent with HRSA’s statutory authority to approve manufacturer rebate plans as an alternative mechanism for effectuating the 340B ceiling price. The revised model follows the American Hospital Association et al. v. U.S. Department of Health and Human Services litigation, in which the U.S. District Court for the District of Maine temporarily blocked an earlier iteration of HRSA’s 340B rebate pilot, prompting the agency to revise the program before moving forward. Rebate plans for selected drugs will become effective January 1, 2027, and eligible manufacturers must submit rebate plans to HRSA by August 24, 2026.
CMS Finalizes FY 2027 Payment Rules Across Multiple Care Settings
The Centers for Medicare & Medicaid Services (CMS) finalized several fiscal year 2027 payment rules, including those for skilled nursing facilities (SNFs), inpatient psychiatric facilities (IPFs), hospice providers, and inpatient hospitals, updating Medicare payment rates and making changes to quality reporting and program requirements.
- In the FY 2027 Skilled Nursing Facility (SNF) PPS Final Rule (CMS-1843-F), CMS finalized a 2.4 percent payment update for FY 2027, removed two COVID-19 vaccination measures from the SNF Quality Reporting Program, shortened quality reporting submission timelines, required Minimum Data Set reporting for all residents receiving covered skilled care regardless of payer, and finalized FY 2029 and FY 2030 Value-Based Purchasing performance standards.
- In the FY 2027 Inpatient Psychiatric Facility (IPF) PPS Final Rule (CMS-1847-F), CMS finalized a 2.3 percent payment update for FY 2027, adopted a facility-level cap on outlier payments beginning in FY 2028, removed certain quality measures, and implemented a standardized Inpatient Psychiatric Facility Patient Assessment Instrument (IPF-PAI).
- In the FY 2027 Hospital Inpatient and Long-Term Care Hospital (IPPS/LTCH PPS) Final Rule (CMS-1849-F), CMS finalized a 2.3 percent payment update for IPPS hospitals and LTCHs, expanded the Comprehensive Care for Joint Replacement model nationwide beginning January 1, 2028, finalized changes to graduate medical education and organ acquisition policies, and adopted, modified, or removed multiple measures across hospital quality reporting, readmissions, value-based purchasing, long-term care hospital quality reporting, and interoperability programs.
- In the FY 2027 Hospice Final Rule (CMS-1851-F), the agency finalized a Medicare hospice payment update of 2.3 percent, instituted various oversight reforms, and enacted other policy changes, including by mandating that providers furnish the hospice election statement addendum to all hospice patients, as opposed to simply “upon request.”
HHS Launches New Behavioral Health Quality Initiative
On July 29, U.S. Department of Health and Human Services (HHS) Secretary Kennedy announced that several healthcare systems, providers, medical societies, and other behavioral health stakeholders have committed to advance behavioral health in line with HHS’s behavioral health quality metrics and best practices. At a roundtable discussion with these stakeholders, Secretary Kennedy outlined the Department’s goal to improve patient health outcomes for those with mental health conditions or substance use disorders by improving behavioral health quality and access. CMS Administrator, Dr. Mehmet Oz, noted in the press release the pledge’s alignment with the Make American Health Again (MAHA) movement within the Administration. Dozens of stakeholders expressed their commitment to furthering this goal at the roundtable discussion through the several best practices noted by Secretary Kennedy. Some of these best practices included:
- Improving accessibility to mental health and addiction treatment;
- Ongoing review of quality and outcome accountability measures;
- Centering long-term care plans around patients and their recovery; and
- Treating patients holistically to address conditions, such as HIV and HCV, simultaneously with mental health or substance use disorder treatment.
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State Policy News
Arizona Issues ALTCS-EPD RFP
The Arizona Health Care Cost Containment System issued on August 4, 2026, a request for proposals (RFP) to reprocure its Arizona Long-Term Care System – Elderly and Physically Disabled (ALTCS-EPD) program. The new solicitation follows the agency’s September 2025 termination of the prior procurement. Selected health plans will provide integrated physical health, behavioral health, long-term services and supports, and case management statewide, with contractors required to provide case management directly and prioritize home and community-based care in the least restrictive setting. Members enrolled in a fully integrated dual eligible special needs plan must enroll with the aligned Arizona Long Term Care System contractor. Current incumbents include Banner-University Family Care, Mercy Care Plan, and UnitedHealthcare. Proposals are due September 24, 2026, with awards anticipated January 5, 2027, and services beginning October 1, 2027; contracts will run for three years with four optional one-year extensions.
Arkansas Medicaid Expansion Demonstration Renewal Rejected by CMS
The Arkansas Advocate reported on July 31, 2026, that the Centers for Medicare & Medicaid Services (CMS) rejected Arkansas’s request to extend its Arkansas Health and Opportunity for Me (ARHOME) hybrid Medicaid expansion demonstration through 2031. The current demonstration expires December 31. State officials are seeking a temporary extension while developing a replacement model, which could involve fee-for-service, managed care, or another hybrid structure. The decision follows Centene’s announcement that it will exit ARHOME in 2027 and comes as Arkansas prepares to implement federally required work requirements.
Indiana Medicaid to Cover GLP-1s for Obesity
Indiana Governor Mike Braun announced on July 30, 2026, that Indiana will join the federal BALANCE model to expand Medicaid coverage of GLP-1 medications for obesity. Eligibility requirements and the implementation timeline are still being finalized. The initiative is intended to improve health outcomes, support workforce participation, and reduce obesity-related economic costs.
Nevada Seeks Information on Provider Models for Foster Youth with IDD
The Nevada Department of Human Services (DHS) issued on August 4, 2026, a request for information (RFI) to identify providers capable of operating community-based residential homes and support services for foster youth with intellectual and developmental disabilities (IDD). The state is seeking information on models such as small community homes, enhanced behavioral support homes, medically complex homes, transitional or step-down placements, crisis homes and trauma-informed wraparound services. Providers are asked to describe their Nevada capacity, ability to expand into rural areas, staffing and licensing approaches, estimated costs, emergency-placement capabilities and recommendations for addressing workforce or regulatory barriers. Responses are due August 28.
Virginia Receives Federal Approval for BTCSSHV Section 1115 Demonstration Renewal
The Centers for Medicare & Medicaid Services (CMS) announced on July 31, 2026, that it has approved a five-year extension of Virginia’s Building and Transforming Coverage, Services, and Supports for a Healthier Virginia (BTCSSHV) Section 1115 demonstration. The renewal allows the state to continue to provide substance use disorder treatment services within institutions of mental disease for eligible beneficiaries. It also extends Medicaid eligibility to former foster care youth under 26 who aged out in another state and sunsets the High Needs Support section of the demonstration. The renewal is effective from August 1, 2026, through December 31, 2031.
Private Market News
Fueled By Wakely Consulting Group
Humana To Exit More Medicare Advantage Plans In 2027
Humana is continuing to reduce its Medicare Advantage footprint as part of its strategy to achieve long-term margin targets. This year, the company exited three states and 194 counties. For next year, Humana plans to discontinue lower-return plans and concentrate on plans with stronger profitability, allowing it to maintain stable benefits and retain members in plans that better support its long-term goal of achieving 3% margins, according to the CEO.
Access more news in the Wakely Wire.
Our Insights
Fueled By Experts Across Our HMA Companies
Health Management Associates
CMS Proposed Rule (CMS-2452-P) Could Reshape State Health Insurer Assessments—and Put Marketplace and Reinsurance Funding at Risk
The Centers for Medicare & Medicaid Services (CMS) released the Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P) to implement Section 71115 of the 2025 budget reconciliation legislation (P.L. 119-21). Although the proposal is primarily intended to reform Medicaid financing and provider taxes, it raises broader questions about whether state assessments on commercial health insurers—including those used to fund State-Based Marketplaces (SBMs), Section 1332 reinsurance programs, and other state affordability initiatives—could become subject to new federal limitations.
HMA’s latest analysis examines the proposed rule, explains the policy changes, and explores the potential implications for states, insurers, Marketplace authorities, and policymakers. Download the full white paper to understand what CMS is proposing, what remains unclear, and what organizations should be monitoring as the rulemaking process continues.
A Summer Webinar Series (August 12): How New Program Integrity Expectations Affect Medicaid Payments
This webinar series will deliver timely analysis and actionable insights on the evolving policy and operational environment affecting Medicaid funding, enrollment, and access to services. Each session will feature up-to-the-moment information and perspectives from our subject matter experts, with content tailored to reflect the latest federal guidance, waiver activity, litigation, state implementation decisions, and market developments.
Webinar: Rural Health Transformation Program: Beyond the Grant Approval Phase – Implementing for Sustainability (August 19)
Rural Health Transformation Programs (RHTPs) are creating new opportunities for rural communities to improve both access to care as well as health outcomes while strengthening the long-term sustainability of local healthcare providers. This webinar will go beyond the grant planning processes and explore how an effective RHTP implementation process can support measurable improvements in population health, enhance financial viability for rural hospitals and healthcare organizations, and foster stronger systems of care across our rural communities.
Participants will explore opportunities for creating cross-initiative implementation strategies that enhance the impact of individual initiatives such as workforce, telehealth, maternal care, EMS, behavioral health and chronic disease monitoring and management.
Webinar: Advancing Community Health Through CHWs: Research, Recommendations, and Action (August 26)
Community Health Workers (CHWs) play a critical role in connecting communities to trusted health information, services, and resources. In this webinar, Health Management Associates (HMA) will present findings from its research examining how health-related information reaches, is interpreted by, and flows through Community Health Workers in Cook County, Illinois. Participants will learn about HMA’s key findings and recommendations for strengthening health information systems, elevating the value of the CHW workforce, and advancing partnerships that support equitable, community-centered care. The session will also highlight opportunities for state agencies, funders, health systems, CHW employers, and community organizations to translate these findings into policy, funding, and practice.
Wakely
CMS Rewrites the LEAD Model Business Case: What ACOs Must Recalculate for PY 2027
CMS’s July 14 LEAD methodology update materially changes the plan year (PY) 2027 business case for many accountable care organizations (ACOs). The Professional Risk Option is more attractive, but revised regional efficiency, prior savings, risk adjustment, alignment, and benchmark rules make organization-specific modeling essential before participant TIN decisions are finalized. In this paper, Wakely’s actuaries compare the July releases with CMS’s April 15 Request for Applications.
The Digital Quality Future Is Now on the Calendar: ACOs Should Not Wait to Prepare
For the first time, CMS has outlined a potential roadmap for transitioning Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) to Fast Healthcare Interoperability Resources (FHIR)-based digital quality measurement (dQM). The CY2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P) introduces an optional transition beginning in 2028 and signals mandatory reporting for applicable measures beginning in 2030 through a Request for Information (RFI).
Wakely’s latest white paper explains what these proposed changes mean for ACOs. It distinguishes between the rule’s formal proposals and the RFI, outlines why organizations should begin preparing now, and explores how investments in FHIR-based quality measurement can support not only future MSSP requirements but also broader value-based care initiatives across Medicare Advantage and commercial contracts.
RFP Calendar
RFP Calendar
| Date | State/Program | Event | Beneficiaries |
|---|---|---|---|
| Date: Summer 2026 | State/Program: Illinois Foster Care | Event: RFP Release | Beneficiaries: 33,000 |
| Date: July 28, 2026 (Delayed) | State/Program: Nevada Children's Specialty | Event: Awards | Beneficiaries: NA |
| Date: August 2026 | State/Program: Indiana | Event: RFP Release | Beneficiaries: 1,400,000 |
| Date: September 2, 2026 | State/Program: Missouri | Event: Proposals Due | Beneficiaries: 1,000,000 |
| Date: September 24, 2026 | State/Program: Arizona LTC-EPD | Event: Proposals Due | Beneficiaries: 26,000 |
| Date: January 1, 2027 | State/Program: Illinois | Event: Implementation | Beneficiaries: 2,400,000 |
| Date: January 1, 2027 | State/Program: Nevada CO D-SNP | Event: Implementation | Beneficiaries: 88,000 |
| Date: January 1, 2027 | State/Program: Wisconsin LTC GSR 3 | Event: Implementation | Beneficiaries: 56,000 (all GSR) |
| Date: January 1, 2027 | State/Program: Illinois Tailored Care Management Program | Event: Implementation | Beneficiaries: 22,400 |
| Date: January 5, 2027 | State/Program: Arizona LTC-EPD | Event: Awards | Beneficiaries: 26,000 |
| Date: July 1, 2027 | State/Program: Nevada Children's Specialty | Event: Implementation | Beneficiaries: NA |
| Date: Fall 2027 | State/Program: Oregon | Event: RFP Release | Beneficiaries: 1,200,000 |
| Date: October 1, 2027 | State/Program: Arizona LTC-EPD | Event: Implementation | Beneficiaries: 26,000 |
| Date: January 1, 2028 | State/Program: Wisconsin LTC GSR 4,6 | Event: Implementation | Beneficiaries: 56,000 (all GSR) |
| Date: 2028 | State/Program: North Carolina | Event: RFP Release | Beneficiaries: 2,200,000 |
| Date: 2029 | State/Program: California | Event: RFP Release | Beneficiaries: NA |