by The Lawyers | Apr 6, 2023 | ACA, Employee Benefits, Health Insurance, Pharmacy
On March 30, 2023, U.S. District Court Judge Reed O’Connor of the Northern District of Texas issued a final judgment that strikes down portions of the Affordable Care Act’s (ACA) preventive care coverage requirement. The ACA requires the following preventive care...
by The Lawyers | Mar 22, 2023 | Compliance, Dept of Labor, Employee Benefits, ERISA, Pharmacy
Compliance Alert: Guidance issued on gag clause prohibitions The new compliance obligations that the Consolidated Appropriations Act of 2021 (CAA, 21) created for employer-sponsored plans can seem endless at times. One of the lesser-known parts of the CAA, 21 is the...
by The Lawyers | Mar 14, 2023 | ACA, Compliance, Employee Benefits
Compliance Alert: 2024 Employer Mandate Penalties Released The Affordable Care Act (ACA) requires applicable large employers (ALEs), meaning employers that averaged at least fifty full-time employees (including full-time equivalent employees) during the preceding...
by The Lawyers | Feb 28, 2023 | ACA, ACA Reporting, Compliance
Compliance Alert: New Rule Requires Electronic Information Reporting for Most Businesses On February 23, 2023, the Internal Revenue Service (IRS) issued a final regulation that requires electronic form filing for common employer form series, such as Form W-2, the Form...
by The Lawyers | Feb 21, 2023 | Compliance, Employee Benefits, Health Insurance
Compliance Alert: Federal action temporarily halts surprise billing arbitration decisions The federal No Surprises Act protects health insurance consumers from being billed for anything other than typical in-network cost-sharing when they receive emergency care from...
by The Lawyers | Feb 6, 2023 | Compliance, Uncategorized
Compliance Alert: Impact of planned end of COVID-19 emergency periods on Employer Health Plans The Administration recently announced its intention to end both the COVID-19 pandemic national emergency period and the public health emergency as of May 11,...
by The Lawyers | Feb 1, 2023 | Compliance, Employee Benefits, Health Insurance, Human Resources, TeleHealth
The Administration recently announced its intention to end both the COVID-19 pandemic national emergency period and the public health emergency as of May 11, 2023. The end of each will bring about many public health developments, including very significant changes...
by The Lawyers | Jan 30, 2023 | Compliance, Dept of Labor, ERISA
Compliance Alert: Telehealth relief included in end-of-year omnibus bill On December 23, 2022, the Consolidated Appropriations Act, 2023 (CAA23) was signed into law. While this legislation does not include as many health provisions as the CAA of 2021, it does include...
by The Lawyers | Jan 6, 2023 | ACA, Compliance, Uncategorized
Compliance Alert: 2022-2023 PCORI Fee Released The Patient-Centered Outcomes Research Institute (PCORI) fee established by the Affordable Care Act helps fund research to evaluate and compare health outcomes, clinical effectiveness, risks, and benefits of medical...
by The Lawyers | Dec 29, 2022 | Compliance, Pharmacy
Compliance Alert: Administration Extends 2020 and 2021 RxDC Reporting Deadline and Provides Other Limited Reporting Relief Late in the afternoon on December 23, 2022, the Administration issued Affordable Care Act FAQ #56, and in doing so gave a little holiday gift to...