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.
President Trump on Tuesday threatened to impose tariffs of up to 250 percent on pharmaceutical imports, the highest rate he’s discussed to date. “We’ll be putting a, initially small tariff on pharmaceuticals,” Trump told CNBC’s “Squawk Box.” “But in one year, one in a half years maximum, it’s going to go to 150 percent, and ...
The health IT arm of the Department of Health and Human Services finalized a rule this week that federal leaders say will remove red tape and enable faster prior authorization and real-time prescription benefit checks. The policy changes also will improve electronic prescribing standards, the agency said. The final rule, called the Health Data, Technology, ...
The new numbers will affect what some employers owe if employees apply, and get, federal premium subsidies.
The American Benefits Council is urging Congress to consider the cost to employers, workers and their families as it proposes changes to the 340B drug pricing program.
Nevada Attorney General Aaron Ford and Democratic officials in 20 other states filed a lawsuit challenging a new federal health insurance rule that tightens restrictions for enrolling in marketplace plans through the Affordable Care Act and bans coverage requirements for gender-affirming care. The officials argue that the new rule could strip coverage from millions of ...
NEW YORK (AP) — The U.S. Department of Labor is aiming to rewrite or repeal more than 60 “obsolete” workplace regulations, ranging from minimum wage requirements for home health care workers and people with disabilities to standards governing exposure to harmful substances. If approved, the wide-ranging changes unveiled this month also would affect working conditions at constructions sites and in ...
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 ...