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Compliance

This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.

Supreme Court Appears Willing To Save ACA Preventive Services Task Force

Following oral arguments Monday, legal onlookers are giving the edge to the federal government in a lawsuit against employer Braidwood Management as the company tries to overturn a provision requiring private insurers to cover certain cost-free preventive services through the Affordable Care Act (ACA) marketplace or in employer-based coverage.

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HHS Eyes Stricter Hospital Cost Report Audits

Health systems would be subject to greater oversight under a White House proposal to expand hospital cost report audits. The White House Office of Management and Budget is seeking information from the Centers for Medicare and Medicaid Services as it weighs whether to increase funding for hospital cost report auditing, according to a leaked draft ...

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House Committee Requests Probe of Health Care Union’s Spending

The ask to the U.S. Department of Labor cites a POLITICO investigation into 1199SEIU President George Gresham’s use of union funds.

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The Administrations Directive To Agencies Could Chop Healthcare Regulations Faster Than Expected

Starting in 5 days, the Department of Health and Human Services (HHS) may begin slashing regulations it considers to be unlawful or to exceed the agency’s authority, according to a memorandum sent by the president on Wednesday.

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Trump Says ‘Major’ Pharmaceutical Tariffs On The Way

President Donald Trump said Tuesday that pharmaceutical imports will soon be hit with “major” tariffs as part of his efforts to drive manufacturing back to the U.S. Drug imports evaded the first round of tariffs that Trump imposed on countries around the world, but the president said they will not be spared. “We’re going to ...

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Tariffs Are Just Part Of Pharma’s Wall Street Tumble

Even before President Trump’s announcement that he plans a “major tariff” on pharmaceuticals, the sector was getting hammered in the markets — and not just over concerns about higher costs. Why it matters: Investors are also responding to broader uncertainty about the Food and Drug Administration and how the industry will be regulated, experts tell Axios. ...

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New California Law Mandates Fertility & IVF Coverage for Large Group Plans – with New Requirements for Small Group Plans

A new California law is about to make infertility coverage – including IVF (in vitro fertilization) – a standard benefit in fully insured Large Group plans. SB 729, signed into law by Governor Newsom in 2024, requires plans issued, amended, or renewed on or after July 1, 2025, to include coverage for the diagnosis and treatment of ...

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States Sue Trump Administration For Rescinding Billions In Health Funding

A coalition of states sued the Trump administration last Tuesday over its decision to cut $11 billion in federal funds that go toward COVID-19 initiatives and various public health projects across the country.

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Federal Judge Temporarily Blocks $11 Billion In Trump Administration’s Cuts To Public Health Funding

A federal judge last Thursday temporarily blocked the Trump administration's move to cut over $11 billion in public health funding to states after 23 states and the District of Columbia sued to keep the funding intact.

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Trump’s Tariffs May Target Pharmaceuticals – Here’s How Drug Prices Could Change

Commonly used drugs like Novo Nordisk’s Ozempic were exempt from President Donald Trump’s expansive reciprocal tariffs announced earlier this week, which are expected to drive prices up across several industries, though analysts and Trump have warned that future tariffs will likely target imported medicines. Key Facts Trump imposed a baseline 10% on most U.S. imports ...

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