Fourth Circuit: Exclusion of Gender Affirming Care Violates ACA Section 1557
Kadel v. Folwell, 2024 WL 1846802 (4th Cir. 2024) In a combined decision, the Fourth Circuit has affirmed trial court …
DOL Final Regulations Raise Compensation Thresholds for Overtime Exemption
Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales and Computer Employees, 29 CFR Part 541, 89 Fed. …
HHS Provides Update on Progress of Advanced Explanation of Benefits Guidance
Progress Toward Advanced Explanation of Benefits (AEOB) Rulemaking and Implementation (Apr. 23, 2024) Available at https://www.cms.gov/files/document/progress-aeob-rulemaking-implementation.pdf HHS has released an …
IRS FAQs Address Tax Treatment of Work-Life Referral Services
IRS FS-2024-13: Frequently asked questions about work-life referral services (Apr. 2024) Available at https://www.irs.gov/newsroom/frequently-asked-questions-about-work-life-referral-services The IRS has released guidance on …
2025 Medicare Part D Benefit Parameters Reflect Changes to Part D Benefit Structure
Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (Apr. …
Agencies Finalize Regulations Limiting STLDI, But Hold Back Several Fixed Indemnity Proposals
Short-Term, Limited-Duration Insurance and Independent, Noncoordinated Excepted Benefits Coverage, 26 CFR Part 54; 29 CFR Part 2590; 45 CFR Parts 144, …
ACA Section 1557 Proxy Discrimination Challenge of Hearing Aid Exclusion Proceeds to Trial
E.S. v. Regence BlueShield, 2024 WL 1173805 (W.D. Wash. 2024) A federal trial court has allowed a proposed class action …
HHS Reminds HIPAA Covered Entities of Obligations in Wake of Change Healthcare Cyberattack
HHS Office of Civil Rights Letter Re: Cyberattack on Change Healthcare (Mar. 13, 2024) Available at https://www.hhs.gov/sites/default/files/cyberattack-change-healthcare.pdf Following the ransomware …
IRS Reminder: Personal Expenses for General Health and Wellness Are Not Reimbursable Under Health FSAs, HRAs, or HSAs
IRS alert: Beware of companies misrepresenting nutrition, wellness and general health expenses as medical care for FSAs, HSAs, HRAs and …
HHS Reports to Congress on 2022 HIPAA Compliance and Breach Notifications
Annual Report to Congress on HIPAA Privacy, Security, and Breach Notification Rule Compliance for Calendar Year 2022; Annual Report to …