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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.

Tax Law Signing May Lead To New Fight For PBM, HSA And HRA Changes

A legal analyst says conservative House Republicans may now press for health provisions left out of the final version of OBBBA.

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The Senate Megabill Is On A Collision Course With House Fiscal Hawks

House fiscal hawks are looking at the math underlying Senate Republicans’ sprawling domestic policy legislation, and they don’t like what they see.

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SCOTUS Upholds ACA Preventive Services Task Force In 6-3 Ruling

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 ...

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We Caught 4 More States Sharing Personal Health Data With Big Tech

Healthcare exchanges in Nevada, Maine, Massachusetts and Rhode Island shared users’ sensitive health data with companies like Google and LinkedIn.

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Trump Administration Aims To Save ACA Exchange System From Enrollment Fraud

The number of people using HealthCare.gov and other Affordable Care Act public exchange programs to get health coverage will fall 40% in 2026, but the programs will still serve 15.4 million people.

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House Lawmakers Demand Answers From Covered California On Sending Data To LinkedIn

“This story was originally published by CalMatters. Sign up for their newsletters.” Citing an investigation by The Markup and CalMatters, lawmakers in the House of Representatives are questioning why California’s state health insurance exchange shared sensitive health data with LinkedIn. In a letter sent last week to Jessica Altman, executive director of the state’s exchange, the lawmakers write ...

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Trump Administration Makes Sweeping Changes To Obamacare, Ends ‘Dreamer’ Coverage

The Trump administration is shortening ObamaCare’s annual open enrollment period and ending the law’s coverage of immigrants who entered the U.S. illegally as children, according to a final rule announced Friday. The Biden administration made it easier and more affordable to sign up for Affordable Care Act plans, causing enrollment to swell to an all-time high. The Trump ...

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CMS Finalizes Rule Aimed At ‘Improper’ Sign-Ups On The ACA Exchanges

The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that it says will address “the surge of improper enrollments” on Affordable Care Act (ACA) exchanges as well as take on wasteful spending. The agency said late Friday that there are likely millions of people who were improperly enrolled in ACA exchange plans. The CMS ...

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Health Plans Take Action to Simplify Prior Authorization

New Commitments Aim to Accelerate Decision Timelines, Increase Transparency, Expand Access to Affordable, Quality Care

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How Trump’s ‘Big Beautiful Bill’ Threatens Access To Obamacare

Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and, crucially, the premiums they pay.

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