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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.

New CMS Data Suggest Future ACA Market Turmoil As Feds Crack Down On Fraud

The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud on the Affordable Care Act (ACA) exchanges. Plans received data finding 23% of enrollees did not have a claim in 2019. That number jumped sharply to 35% last year. Before the pandemic, the data were ...

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Medical Loss Ratio (MLR) Rebates for 2025 – What Employers Need to Know

The Affordable Care Act (ACA) introduced Medical Loss Ratio (MLR) requirements for fully insured medical plans. These rules require insurers to spend a substantial portion of premium dollars on actual health care services and quality improvements. In turn, they limit the dollars that can go toward administrative costs like marketing, salaries, agent commissions, and profits. The MLR ...

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New Medicaid Federal Work Requirements Mean Less Leeway For States

When President Donald Trump signed a law adding work requirements for some Medicaid recipients, he may have undercut lawmakers in at least 14 states who were designing their own plans, according to health industry observers. Georgia is the only state with a work requirement in place for Medicaid, but several states have been pursuing such ...

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HHS Pilot Program Raises Democratic Concerns Over Medicare Red Tape

House Democrats are sounding the alarm and demanding more information about a new Department of Health and Human Services (HHS) demonstration they say will increase red tape by adding prior authorization requirements in Medicare. Led by Reps. Suzan DelBene (D-Wash.) and Ami Bera (D-Calif.), a group of 17 Democrats questioned why HHS would want to test adding prior authorization ...

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Trump Threatens Pharma Tariffs Of Up To 250 Percent

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 ...

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HHS Locks In Health IT Rule To Advance Electronic Prior Auth, Real-Time Prescription Benefit Checks

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, ...

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IRS Employer Health Insurance ‘Pay-Or-Play’ Penalties To Rise 15.2% In 2026

The new numbers will affect what some employers owe if employees apply, and get, federal premium subsidies.

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Benefits Council Asks Congress To Restore Expanding 340B Program To Its Original Intent

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.

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Nevada, Other States Sue Trump Administration Over New Health Insurance Rule

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 ...

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Trump’s Labor Department Proposes More Than 60 Rule Changes In A Push To Deregulate Workplaces

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 ...

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