Health Care Reform Advisory: IRS, DOL, and HHS Issue Guidance on Preventive Care under Health Care Reform

The insurance market reforms enacted as a part of The Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (collectively, the “Act”) establish a series of new requirements that will apply, in phases, to individual and group health insurance contracts and employer-sponsored group health plans. Included is a curb on cost-sharing for “evidenced-based preventive services.” On July 14, 2010, the Internal Revenue Service, the U.S. Department of Labor, and the U.S. Department of Health and Human Services issued an interim final regulation (the “Regulation”) interpreting the preventive services provisions of the Act. This alert summarizes the key features of the Regulation.

The Regulation is the latest in series of rules promulgated under the Act. Previous installments include...

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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