Medicare Part D Advisory: Sponsors of Prescription Drug Plans Must Provide Notices Prior to October 15 Each Year
Who must comply: Employers that sponsor a group health plan that covers prescription drugs, regardless of employer size.
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Reference Based Pricing Plans & The No Surprises Act
Reference Based Pricing Plan (RBP): A plan that reimburses a fixed amount for a given medical service using …
Colorado Paid Family and Medical Leave Law: Guidance issued ahead of 1/1/23 Deadline
Background: Colorado passed a paid family and medical leave bill in late 2020 which is better known as …
FAQ 55 Clarifies Employers Do Not Need to Post MRFs
On August 19, federal regulators released frequently asked questions (FAQs) part 55. One of those Q&As clarifies the …
Inflation Reduction Act: Group Health Plan Impact
On Tuesday, August 16, 2022, President Biden signed into law the Inflation Reduction Act (H.R. 5376). The Act …
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 …
