What Is the Gag Clause Prohibition Compliance Attestation?
QUESTION: We have heard there is a reporting requirement for group health plans relating to the prohibition against gag clauses …
IRS Announces Annual PCOR Fee Adjustment
IRS Notice 2023-70 (Oct. 18, 2023) Available at https://www.irs.gov/pub/irs-drop/n-23-70.pdf The IRS has announced the annual increase in Patient-Centered Outcomes Research (PCOR) …
IRS Announces Tax Relief for Leave Donations to Aid 2023 Hawaii Wildfire Victims
IRS Notice 2023-69 (Sept. 28, 2023) Available at https://www.irs.gov/pub/irs-drop/n-23-69.pdf The IRS has announced special tax relief for leave-based donation programs …
CMS Finalizes Regulations Addressing Penalties for MSP Reporting Violations
HHS Final Rule: Medicare Program; Medicare Secondary Payer and Certain Civil Money Penalties, 42 CFR Part 402, 45 CFR Part …
Agency FAQs (Part 61) Lift Enforcement Deferrals for Some Transparency in Coverage Requirements
FAQs About Affordable Care Act Implementation Part 61 (Sept. 27, 2023) Available at https://www.dol.gov/sites/dolgov/files/ebsa/about-ebsa/our-activities/resource-center/faqs/aca-part-61.pdf The DOL, HHS, and IRS have issued FAQ guidance …
Agencies Propose Amendments to Regulations Implementing Surprise Billing IDR Fees
Federal Independent Dispute Resolution (IDR) Process Administrative Fee and Certified IDR Entity Fee Ranges: Proposed Rule, 26 CFR Part 54; …
DOL Extends Grace Period for Obtaining Login.gov Credentials for EFAST2 Filing System Until End of 2023
News Release: Department of Labor Extending Grace Period for EFAST2 Login Credentials (Aug. 28, 2023) Available at https://www.dol.gov/newsroom/releases/ebsa/ebsa20230828 The DOL …
Court OKs Two-Part COBRA Election Notice, Dismisses Most Claims in Class Action
Bryant v. Walgreen Co., 2023 WL 5580415 (N.D. Ill. 2023) A group of terminated employees filed a class action lawsuit …
Additional Portions of Surprise Billing IDR Regulations Vacated; IDR Process Suspended Again
Texas Med. Ass’n v. HHS, 2023 WL 5489028 (E.D. Tex. 2023) In an ongoing dispute between an association of health …
Tenth Circuit Holds That ERISA Preempts Oklahoma PBM Law
Pharm. Care Mgmt. Ass’n v. Mulready, 2023 WL 5218138 (10th Cir. 2023) Available at https://www.ca10.uscourts.gov/sites/ca10/files/opinions/010110903570.pdf The Tenth Circuit has held …