The Trump Administration decision to finalize a rule to eliminate rebates in Medicare Part D will lead to higher costs for public sector retirees and their families. The Public Sector HealthCare Roundtable urged the incoming Biden Administration and the new Congress to overturn the final rule to eliminate the safe harbor in the federal antikickback law for rebates negotiated by pharmacy benefit managers (PBMs) on behalf of Medicare Part D plans. Reversing this damaging decision would protect retiree drug coverage and lower costs for millions of American seniors.