The Centers for Medicare and Medicaid Services (CMS) issued an immediate suspension of enrollment and marketing activities for Cigna-HealthSpring Medicare Advantage plans on January 21, 2016. The immediate intermediate sanctions against enrollment and marketing activities to Cigna, HealthSpring, and Bravo Health Medicare Advantage plans sold in the states of Alabama, Arizona, Tennessee, Georgia, Pennsylvania, South Carolina, North Carolina, and Florida. The CMS sanctions were imposed on Medicare Advantage medical plan which include prescription drug coverage also known as MA-PDs.