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.
In late June 2025, the California legislature approved a delay to the new fertility benefit mandate for fully insured group health plans — including coverage for In Vitro Fertilization (IVF) and other specified services. Originally set to take effect July 1, 2025, under Senate Bill 729 (signed in Fall 2024), the mandate will now apply ...
Rising health costs and expected fallout from President Trump’s tax-and-spending law are casting a pall over major health insurers, who’ve been issuing a steady drip of grim financial forecasts over the past month. Why it matters: Higher drug costs and increased demand for services including mental health care are squeezing health plans. And the new law is ...
A federal judge in Texas reversed a Biden-era rule on Friday that permitted medical debt to be wiped from credit reports, according to court documents. U.S. District Judge Sean Jordan, a 2019 appointee of President Trump, said the rule by the previous administration exceeds the authority of the Consumer Financial Protection Bureau (CFPB). The CFPB, an independent agency, finalized the rule in ...
The Department of Health and Human Services has rescinded a policy from 1998 that gave undocumented immigrants access to certain federal health benefits, such as Head Start and mental health programs. Issued by President Bill Clinton, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 was passed into law and deemed a major welfare ...
Congress has made permanent a pandemic-era telehealth provision for millions of Americans with high deductible health plans. In its massive tax package signed into law on July 4, Congress included a last minute provision to allow employer-sponsored health plans to offer covered telehealth services before employees meet their deductibles. In 2023, 41.7% of commercially-insured Americans had high deductible health ...
On June 27, 2025, the Supreme Court issued its highly anticipated decision in Kennedy v. Braidwood Management, Inc. By a vote of 6-3, the Court upheld the Affordable Care Act’s (ACA’s) long-standing requirement that insurers and health plans cover certain recommended preventive services without cost sharing. The United States (US) Preventive Services Task Force (Task Force), the majority held, ...
A legal analyst says conservative House Republicans may now press for health provisions left out of the final version of OBBBA.
House fiscal hawks are looking at the math underlying Senate Republicans’ sprawling domestic policy legislation, and they don’t like what they see.
The Supreme Court upheld a key preventive services task force in a 6-3 ruling issued Friday morning. The high court determined that members of the U.S. Preventive Services Task Force, which makes recommendations for coverage requirements under the Affordable Care Act, are selected within the bounds of the Constitution. In the case, Braidwood Management, an ...
Healthcare exchanges in Nevada, Maine, Massachusetts and Rhode Island shared users’ sensitive health data with companies like Google and LinkedIn.