compliance
May 5, 2023
Compliance Recap | April 2023
While the compliance focus for April continues to be on the Prescription Drug Data Collection (RxDC) of the Consolidated Appropriations Act, 2021, the Centers for Medicare and Medicaid Services (CMS) released a Fact Sheet announcing the 2024 benefit parameters for Medicare Part D. 2024 Benefit ...
April 19, 2023
DOL Signals July 10 as End of COVID-19 Outbreak Period, Despite Early End to National Emergency
On Monday, April 10, 2023, President Biden signed Congress’s jointly-introduced H.J Res. 7 into law, ending the COVID-19 National Emergency immediately instead of on May 11, 2023, as previously announced. However, the Department of Labor (DOL) has unofficially signaled that its previous ...
April 7, 2023
FAQs about FFCRA, CARES Act, and HIPAA Implementation, Part 58
The Biden administration has announced its intent to end the COVID-19 National Emergency (National Emergency) and the COVID-19 Public Health Emergency (PHE) effective May 11, 2023. As a result, group health plans will no longer be required to cover certain services related to COVID-19 (such as ...
April 6, 2023
Federal Judge in Texas Strikes Down Key ACA Provision Regarding Preventive Care Services
On March 30, 2023, the U.S. District Court in the Northern District of Texas (Court) issued a final ruling invalidating certain provisions of the Affordable Care Act’s (ACA) preventive care mandate. Although the ultimate outcome of this decision remains to be seen, the ruling has created some ...
April 5, 2023
Compliance Recap | March 2023
After a slow start to the year in compliance, March ramped up with FAQs from the Department of Labor (DOL), the Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) (the “Agencies”) on the gag clause provision of the Consolidated Appropriations Act (CAA), ...
April 5, 2023
HHS Releases Revised Instructions for Upcoming Prescription Drug and Health Care Spending Reports
The Department of Health and Human Services (HHS) has released revised instructions for group health plans to report prescription drug and health care spending data, as required by the Consolidated Appropriations Act, 2021 (CAA). This data submission is called the RxDC report. The Rx stands for ...
March 6, 2023
Joint Agency Guidance on Gag Clause Prohibition for Health Plan Agreements
On February 23, 2023, the Department of Labor (DOL), the Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) (the “Agencies”) released FAQs addressing the implementation of certain transparency requirements under the Consolidated Appropriations Act of 2021 ...
March 3, 2023
Compliance Recap | February 2023
February saw the start of Affordable Care Act (ACA) reporting for health coverage provided in 2022. The ACA reporting deadlines range from February 28 to March 31, 2023, and the state deadlines range from January 31,2023 to April 30, 2023. Preparing for the end of the COVID-19 National ...
February 6, 2023
Compliance Recap | January 2023
2023 began quietly as the dust settles around open enrollment and the plan changes that can come with it. Proposed End to the Public Health Emergency and the COVID-19 National Emergency In a statement made through the Office of Management and Budget on January 30, President Biden announced his ...
February 3, 2023
President Biden Reveals Plan to End National COVID-19 Emergency
On January 30 President Biden issued a statement of policy to Congress in which he announced that the administration plans to end both the National Emergency related to COVID-19 originally declared by President Trump in 2020 and the public health emergency (PHE) declared by the U.S. Department ...
