2026 Benefit Limits: HSA, HDHP, and ACA
Recently, the IRS released Rev. Proc. 2025-19, which outlines the adjusted amounts for health saving accounts (HSAs) and high deductible ...
Compliance Guidance
What to Know About the Executive Order on Lowering Drug Pricing
On April 15, President Donald Trump signed an executive order titled “Lowering Drug Prices by Once Again Putting Americans First.” This ...
California Assembly Bill 2843: Expanding Health Coverage for Survivors of Sexual Assault
On September 29, 2024, California Governor Gavin Newsom approved Assembly Bill 2843 (AB 2843), which requires fully insured group health plans to provide comprehensive ...
ERISA Preemption: Impact on State PBM Laws
Pharmacy Benefit Managers (PBMs) play a role in the U.S. healthcare system by negotiating drug prices and formulary placements ...
Executive Order Prioritizes Health Care Price Transparency
Recently, President Trump issued Executive Order 14221, Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing ...
New Arkansas Pharmacy Compensation Data Filing Requirements
The Arkansas Insurance Department (AID) recently introduced AID Rule 128: Fair and Reasonable Pharmacy Reimbursements, which requires both self-insured and fully ...
Updated: ACA Reporting–New Changes
On December 23, 2024, President Biden signed two bills into law, the Paperwork Burden Reduction Act (H.R. 3797) and the Employer Reporting ...
Updated: California Mandates Infertility and IVF Coverage
On September 29, 2024, California Governor Gavin Newsom signed bill SB 729 into law, which requires fully insured, large group health plans to ...
Updated: Johnson & Johnson Case Signals Importance of Employer Fiduciary Obligations
On February 5, 2024, a class action lawsuit was filed against Johnson & Johnson, alleging that the company and their pension & benefits committee ...
[Updated]: Hospital & Fixed Indemnity Insurance Notice No Longer Required
Recently, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the Departments) released final regulations which, among ...
Proposed Regulations Aim to Strengthen HIPAA Security Rule
On January 6, 2025, the Department of Health and Human Services (HHS) published proposed regulations, which if finalized, will significantly update and ...
2025 Federal Poverty Level Announced: Impact on ACA Affordability
Recently, the 2025 federal poverty level (FPL) was announced as $15,650 (up from $15,060 in 2024). The annual FPL will...