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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.

Trump Freezes Federal Grants With Big Potential Impact On Providers, Medicaid

Trump’s budget office has ordered all federal agencies to pause financial assistance, including grants, pending a review of their programs.

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What Trump’s Busy First Week Means For Healthcare: AI Policy Shifts, HHS Comms Blackout, Patient Protections And More

President Donald Trump made good on his campaign promises to kick off his second term in office with a tidal wave of executive orders. Either in front of cheering supporters at a Monday evening rally or later that night in the Oval Office, Trump signed dozens of executive orders and outlined other presidential actions spanning ...

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How Donald Trump’s Return Affects Hospitals: Medicaid, The Affordable Care Act And Tariffs

Hospitals are pressing Trump to preserve key funding for Medicare and other important priorities. But perhaps the biggest source of anxiety lies over the Medicaid program, which enables Americans with lower incomes to access healthcare.

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Trump Rescinds Biden-Era Supplemental Health Benefits Notice Requirement

First-day administration moves also helped short-term health insurance and ended several Medicare efforts to change the way the drug market works.

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Simplifying ACA IRS Reporting: Employer Deadlines, Fire Relief, and New Compliance Updates

Applicable Large Employers (ALEs) in 2024 must file Affordable Care Act (ACA) reports with the IRS by March 31, 2025, detailing their compliance with the ACA’s employer mandate. ALEs must generate a report for each employee who worked full time for at least one full calendar month of 2024. Additionally, ALEs must furnish copies of these reports to ...

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Public Divided On Trump Health Agenda, Strong Support For Price Transparency

When asked about a variety of health care proposals, including those put forth by Republican and Democratic lawmakers, about 6 in 10 said boosting price transparency rules to ensure that health care prices are available to patients should be a top priority.

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Employer Group Sues To Stop Biden Rules That ‘Overstep’ Existing Mental Health Parity Law

The ERISA Industry Committee sues to stop new Biden administration mental health regulations issued in 2024, saying they are “arbitrary and capricious” and employers cannot certify compliance “due to vague, undefined terms."

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SCOTUS Agrees To Hear Challenge To Obamacare’s Preventive Care Coverage

The Supreme Court on Friday agreed to hear a broad challenge to the Affordable Care Act’s coverage of preventive services in its upcoming term, the latest in more than a decade of battles over the health reform law. A ruling for the conservative Texas employers who filed the case would erode the coverage of tens ...

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CMS Finalizes Strict Broker Punishments For Violations In 2026 Plan Year

One week before President-elect Donald Trump’s inauguration, the Biden administration is finalizing a rule that sets new standards for the individual market under the Affordable Care Act (ACA). First proposed in October, the rule protects consumers from having their coverage swapped unwittingly. Brokers and agents that violate this policy, and pose other “unacceptable” risks, can ...

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HHS Proposes New Cybersecurity Requirements As First Major HIPAA Update In 10 Years

The Department of Health and Human Services (HHS) proposed a rule days before the new year began that would hold healthcare organizations to a higher standard for protecting sensitive healthcare information from security threats like cyberattacks. The proposal would require that entities covered by the Health Information Portability and Accountability Act (HIPAA) achieve specific technical ...

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