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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.

Biden Team’s Tightrope: Reining In Rogue Obamacare Agents Without Slowing Enrollment

President Joe Biden counts among his accomplishments the record-high number of people, more than 21 million, who enrolled in Obamacare plans this year. Behind the scenes, however, federal regulators are contending with a problem that affects people’s coverage: rogue brokers who have signed people up for Affordable Care Act plans, or switched them into new ...

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DOL Reverses Trump-Era ‘Multiple Employer’ Association Health Plan Rule

The 2018 rule sought to expand opportunities for smaller employers to join together to serve as the sponsor of a single, multiemployer health plan but was never implemented after a court ruling blocked it.

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Drugmakers, Hospitals Spar Over New 340B Drug Discount ‘Dispute Resolution’ Process

The new dispute resolution process is designed to use government officials to oversee disagreements, however, lobby group PhRMA said the new process "panders to 340B hospitals" while ignoring drugmakers' concerns.

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FTC Finalizes Changes To Data Privacy Rule To Step Up Scrutiny Of Digital Health Apps

The Federal Trade Commission (FTC) finalized a rule Friday that aims to tighten the reins on digital health apps sharing consumers’ sensitive medical data with tech companies. The agency issued a final version of its revised Health Breach Notification Rule to underscore the rule’s applicability to health apps in a bid to protect consumers’ data privacy ...

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California’s New Health Insurance Bills In 2024

In California, more than 2,100 bills were introduced for consideration by lawmakers in the second year of our 2023-2024 legislative session. For a bill to become law, it must pass through both the state Senate and Assembly, typically requiring a majority vote.

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CalChamber-Led Coalition Opposing State-Run Health Care System

A large and diverse coalition of 150 California business representatives have joined a CalChamber-led coalition in strong opposition to AB 2200 (Kalra; D-San Jose), a job killer bill, that would create an expensive government bureaucracy to finance a state-run health care system.

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3 Takeaways On The New Federal Data Privacy Proposal After Its First Public Showcase

At the House Energy and Commerce’s data privacy hearing April 17, lawmakers discussed for the first time Chair Cathy McMorris Rodgers’ discussion draft of a new federal data privacy bill, the American Privacy Rights Act (APRA), since its reveal last week.

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HHS Streamlines 340B Dispute Process To Hospitals’ Applause, Pharma’s Disappointment

The Biden administration has put the finishing touches on the steps entities covered under the 340B Drug Discount Program must take to resolve disputes with drug manufacturers. The final rule, issued by the Department of Health and Human Services (HHS) and the Health Resources and Services Administration (HRSA) this week, landed to the delight of ...

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Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don’t Meet Them.

The Biden administration finalized nursing home staffing rules Monday that will require thousands of them to hire more nurses and aides — while giving them years to do so. The new rules from the Centers for Medicare & Medicaid Services are the most substantial changes to federal oversight of the nation’s roughly 15,000 nursing homes in more ...

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Upcoming SCOTUS Case Could Weaken the Impact of Regulation on Key Patient and Consumer Protections

The U.S. Supreme Court is considering jointly two cases, Loper Bright Enterprises v. Raimondo and Relentless, Inc. v. Department of Commerce, that could affect the impact of federal regulations in implementing laws passed by Congress. Although these cases are focused on regulations pertaining to the fishing industry, the court’s decision could have significant implications for numerous other policy ...

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