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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.

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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The New DOL Fiduciary Rule: How It Could Change Your Company’s 401(K) Plan

The DOL's latest iteration, proposed in 2023 and soon to become final, will ensure that advisors prioritize their clients' best interests when recommending investments, prompting employers to make necessary adjustments.

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Biden To Roll Back Trump’s Expansion Of Short-Term Health Insurance Plans

The rule, which was proposed last summer as part of a series of actions aimed at lowering health care costs, limits the duration of new sales of these controversial plans to three months with the option of renewal for a maximum of four months total, the administration said Thursday.

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CMS Final Rule On Broker Comp, Health Equity Could Shake Up Medicare Advantage

Centers for Medicare & Medicaid Services finalized a host of actions ranging from broker compensation, health equity, mental health, supplemental benefits and biosimiliars, in the Contract Year 2025 Medicare Advantage and Part D final rule Thursday night.

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