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.
The Supreme Court on Monday scheduled arguments for April 21 in a case that could decide the legality of the Affordable Care Act’s (ACA) requirement that insurers cover certain preventive services. In a surprising move, the Trump administration said it will continue the Biden White House’s defense of that requirement. But some legal experts said ...
A powerful California lawmaker wants to regulate how artificial intelligence systems interact with health plan participants. Assemblymember Mia Bonte, a Democrat who chairs the assembly’s Health Committee, has introduced a bill that would keep the developers and users of AI systems from having the AI systems imply that they are doctors, nurses or other types ...
California Gov. Gavin Newsom and state legislators in Sacramento seem to agree: Prescription drug prices are too high. But lawmakers and the second-term governor are at odds over what to do about it, and a recent proposal could trigger one of the biggest health care battles in Sacramento this year.
A federal appeals court and the Federal Communications Commission, in one of its first actions under the new presidential administration, have handed down major decisions that many in the insurance industry may see as a double-edged sword. On the one hand, the decisions give new freedom to insurance companies, agencies, quote-comparison sites and others that ...
Trump’s budget office has ordered all federal agencies to pause financial assistance, including grants, pending a review of their programs.
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 ...
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.
First-day administration moves also helped short-term health insurance and ended several Medicare efforts to change the way the drug market works.
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 ...
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.