Federal Transparency Efforts: Prescription Drug and Health Cost Reporting Is Next
What is it?
As part of the Consolidated Appropriations Act, 2021 (CAA), all insurance companies and self-funded health …
San Francisco’s Health Care Security Ordinance Requires New Contribution Rates for 2023
Employers in San Francisco should be aware of a rate change in the Employer Spending Requirement (ESR) effective …
Paid Leave Oregon – Oregon’s New Paid Family and Medical Leave Insurance Program
Oregon (OR) is the most recent state expected to finalize rules which will add to the patchwork of …
Affordable Care Act: 2023 “Affordability” Percentage
In Revenue Procedure 2022-34, the IRS significantly decreased the affordability percentage from 9.61% to 9.12% for 2023.
Background
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Regulators Will Enforce Mandatory Contraceptive Coverage Rules in All States
On June 27, the Department of Health and Human Services, the Department of Labor, and the Department …
Dobbs Decision: Federal Response Timeline to Date
On Friday, June 24, 2022, SCOTUS issued a decision in the Dobbs v. Jackson Women’s Health Organization case …
Court Rules that A County’s Health Plan Violated Title VII by Excluding Gender Transition
There has been health plan confusion relating to coverage of gender affirming care since the §1557 regulations in …
Roe v. Wade – Group Health Plan Considerations
This past Friday, June 24, 2022, the Supreme Court of the United States (SCOTUS) issued a decision in …
US Supreme Court Determines Health Plan Limited Dialysis Benefit Did Not Violate Medicare Secondary Payer Act
DaVita, one of the nation’s largest dialysis providers, sued Marietta Memorial Hospital over its limited dialysis coverage. The …
US Supreme Court Overturns Roe v. Wade: Group Health Plan Comments
Early in the morning on Friday, June 24, 2022, the Supreme Court of the United States (SCOTUS) issued …
CMS Technical Clarification – TiC Final Rule Machine Readable Files
With July 1 fast approaching it is still not entirely clear how, or even if, employers should link …
COVID-19 Vaccines Approved Down to 6 Months Old, Health Plans Must Immediately Cover
On Friday, June 17, 2022, the US FDA granted Emergency Use Authorization (EUA) for the Pfizer and Moderna …