HHS

Posted April 5th, 2023 in

On March 30, 3023, U.S. District Judge Reed O’Connor issued a ruling that health insurance plans are not required to cover many preventive services, nor are the plans required to cover many preventive services cost-free to members. Preventive service coverage requirements have been required as a provision of the Affordable Care Act (ACA) since 2010.

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Posted March 8th, 2023 in Uncategorized

The No Surprises Act (NSA), enacted as part of the Consolidated Appropriations Act of 2021, requires group health plans and health insurers to report information on prescription drug and health care spending to the Department of Health and Human Services (HHS), Department of Labor (DOL), and the Department of Treasury (DOT). The reporting process is referred to as the Prescription Drug Data Collection, or RxDC for short.
 

Posted June 1st, 2022 in Individuals

On April 19, 2022, the Department of Labor (DOL), Department of Health and Human Services (HHS), and the Department of Treasury (DOT) issued some Frequently Asked Question (FAQ) guidance pertaining to the new Transparency in Coverage (TiC) rules that will start to be enforced beginning on July 1, 2022 (and applicable to plan years starting on or after January 1, 2022).

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Posted February 1st, 2022 in Employers, Individuals

The Department of Labor (DOL), Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) jointly issued guidance on a new requirement that individual and group health plans must cover over-the-counter (OTC) COVID-19 diagnostic tests.

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Posted June 14th, 2019 in Producers, Employers, Individuals

The Departments of Labor, Health and Human Services and the Treasury (collectively, the Departments) released new guidance on June 13, 2019 which permit a new type of Health Reimbursement Arrangement, referred to as an Individual Coverage Health Reimbursement Arrangement (ICHRA).

Posted February 27th, 2018 in Producers, Employers, Individuals
In October 2017, President Donald Trump issued an executive order instructing the Department of Health and Human Services (HHS), Department of Labor (DOL) and Department of Treasury (DOT) – collectively known as the “tri-agencies” – to consider proposing rules that would expand short-term, limited duration insurance, also known as short-term medical plans (STM plans). 
 
Posted January 16th, 2018 in Producers, Employers, Individuals
In a letter sent to state Medicaid Directors on Thursday, the Trump Administration announced that it would allow states to impose work requirements to qualify for Medicaid. States will have the flexibility to design their work requirement eligibility structure, but they must submit details to the Centers for Medicare and Medicaid Services (CMS) for approval. 
 
Posted August 8th, 2017 in Producers, Employers, Individuals
We all know that efforts by the Republican party to repeal and replace the Affordable Care Act (ACA) have failed up to this point. It’s unknown what healthcare legislation, if any, will ever get through both chambers of Congress and into the hands of President Donald Trump to sign into law. That will remain a mystery for the foreseeable future, but passing a law isn’t the only way the ACA can be altered. There is also regulatory action that can occur. 
 
Posted January 24th, 2017 in Producers, Employers, Individuals
Just hours after being sworn in as President of the United States, Donald Trump signed an executive order which instructs the Departments of Health and Human Services, Treasury and other agencies who are involved in administering the Affordable Care Act (ACA) to “waive, defer, grant exemptions from, or delay the implementation of any provision or requirement of the Act that would impose a fiscal burden on any State or a cost, fee, tax, penalty, or regulatory burden on individuals, families, healthcare providers, health insurers, patients, recipients of healthcare services, purchasers of h
Posted July 1st, 2016 in Producers, Employers
The Department of Health and Human Services (HHS) recently issued a final rule which effectively implements Section 1557 of the Affordable Care Act (ACA). The new rule prohibits certain discriminatory acts from occurring for health programs or activities that are administered by HHS, including plans that are sold on federal and state Marketplaces. 
 

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