News & Analysis as of

Essential Health Benefits

Manatt, Phelps & Phillips, LLP

Renewing and Sustaining Our Commitment to Health Equity: A Strong Business Case for Action

Health Equity: “The attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender...more

Woodruff Sawyer

​​​​​IRS Releases 2025 HSA Contribution Limits and HDHP Deductible and Out-of-Pocket Limits

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In Rev. Proc. 2024-25, the IRS released the inflation adjusted amounts for 2025 relevant to Health Savings Accounts (HSAs) and high deductible health plans (HDHPs).  The table below summarizes those adjustments and other...more

Manatt, Phelps & Phillips, LLP

New York’s 1332 Waiver Extends Affordable Coverage to Additional Groups

On March 1, the Departments of Health and Human Services (HHS) and the Treasury approved New York’s section 1332 waiver that expands affordable coverage to additional groups of New Yorkers. The waiver essentially suspends New...more

Hogan Lovells

CMS finalizes regulation specifying all covered prescriptions drugs are essential health benefits

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On April 2, 2024, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Notice of Benefit and Payment Parameters (NBPP) final rule (Final Rule), finalizing policies applicable to qualified health plans offered...more

Husch Blackwell LLP

Revitalize and Recharge: The Emergent Trend of Adaptogens and Nootropics in Functional Beverages

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In an industry full of buzzwords, “adaptogens” and “nootropics” are current stand outs within the beverage industry. The beverage industry experienced a significant shift in consumer preference following the COVID-19...more

Davis Wright Tremaine LLP

Washington Employers Now Have Greater Access to PFML Leave Information for Employees

Since Washington launched its Paid Family Medical Leave program ("PFML") in 2020, employers have had very limited access to information from the state regarding employee leaves, including when leaves begin or end. With the...more

Jones & Keller, P.C.

Changes in Labor and Employment Laws from 2018 to 2023; Anticipated Trends for 2024  

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Similar to the prior five years, 2023 brought unprecedented changes in labor and employment laws that have already gone into effect or are now in effect for 2024 in Colorado, across the country in other states, by National...more

Trusaic

[Webinar] Workday Clients: A Game Changing Approach to ACA Compliance - January 11th, 10:00 am - 10:30 am PST

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Join us for a workshop tailored exclusively to teams who use Workday. Discover how to revolutionize your ACA compliance process with Trusaic’s game-changing approach. Led by ACA expert Anuj Mongia, Vice President of Strategic...more

Manatt, Phelps & Phillips, LLP

Massachusetts’ Cutting-Edge Health Equity Initiatives

Editor’s Note: In a recent "State Spotlight" for The Robert Wood Johnson Foundation, reprinted below, Manatt Health discusses the investments and efforts that the Commonwealth of Massachusetts is making to promote health...more

Woodruff Sawyer

Compliance Alert: IRS Releases 2024 HSA Contribution Limits and HDHP Deductible and Out-of-Pocket Limits

Woodruff Sawyer on

In Rev. Proc. 2023-23, the IRS released the inflation-adjusted amounts for 2024 relevant to Health Savings Accounts (HSAs) and high deductible health plans (HDHPs). The table below summarizes those adjustments and other...more

Manatt, Phelps & Phillips, LLP

Leveraging Section 1902(e)(14) Waiver Authority Amid Unwinding

Editor’s Note: In a new expert perspective prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, reproduced below, Manatt Health outlines the time-limited targeted enrollment...more

Manatt, Phelps & Phillips, LLP

Ensuring Continuity of Coverage for High-Need Enrollees When Medicaid Continuous Coverage Ends

Editor’s Note: The current Medicaid continuous coverage requirements enacted by the Families First Coronavirus Act (FFCRA) prohibit states from disenrolling individuals from Medicaid for the duration of the public health...more

Manatt, Phelps & Phillips, LLP

The End Of The Federal Continuous Coverage Requirement In MassHealth: Key Strategies For Reducing Coverage Loss

INTRODUCTION - Like all states, Massachusetts received enhanced federal Medicaid funding under the Families First Coronavirus Response Act (FFCRA), the first major federal stimulus package passed by Congress in response to...more

Ruder Ware

2023 HSA Limits Are Announced

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On April 29, 2022, the IRS announced the Health Savings Account limits for 2023.  With respect to contribution limits, the limits are slightly higher than the ones for 2022, and the required deductible and out of pocket...more

King & Spalding

HHS Releases Notice of Benefit and Payment Parameters 2023 Proposed Rule

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On December 28, 2021, HHS released a proposed rule governing plans issued in the Patient Protection and Affordable Care Act (ACA) marketplaces beginning with the 2023 plan year (the Proposed Rule). Among other changes to the...more

Laner Muchin, Ltd.

New Employer Health Insurance Disclosure Requirement Under the Illinois Consumer Coverage Disclosure Act

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On August 27, 2021, Governor Pritzker signed the Consumer Coverage Disclosure Act (the Act), which became effective immediately. The Act requires Illinois employers (both private and governmental) to disclose to all new hires...more

Womble Bond Dickinson

DEA Set to Allow More Facilities to Produce Marijuana for Research: A Victory for Cannabis Growers, Researchers and the DEA?

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Although many states have legalized marijuana for medicinal and/or recreational use, when it comes to using marijuana in a research setting, sources have been very limited.  The US Drug Enforcement Administration (DEA) has...more

Fox Rothschild LLP

The FDA Makes Plans To Update The Definition Of “Healthy”

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Last week, the U.S. Food and Drug Administration (“FDA”) announced that it will be conducting research in conjunction with a new rule they plan to roll out. The FDA update is located here. This proposed rule would update the...more

Foley Hoag LLP - Medicaid and the Law

CMS Reneges on Historic “Grand Bargain” with Manufacturers in Tennessee Wavier Approval

Now that we have had the chance to read and meditate on the historic Medicaid waiver approved on Friday January 8th, giving Tennessee permission from the Federal government to fundamentally alter Medicaid’s traditional...more

Foley & Lardner LLP

New California Mental Health Law May Affect Health Plan Benefits and Utilization Review

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California health insurers and health care service plans that provide hospital, medical, or surgical coverage and that are issued, amended, or renewed on or after January 1, 2021 will be required to cover all medically...more

K&L Gates LLP

Triage: Updates to Mental Health Parity in California and Nationwide

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In this week’s episode, Carla DewBerry and Kelsey Jernigan discuss issues in mental health parity in the context of recent California legislation. In particular, the presenters discuss how a new California bill has sparked a...more

Troutman Pepper

D.C. Circuit Upholds Short Term Plans as Alternative to ACA Plans

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On July 17, 2020, a panel majority of the D.C. Circuit Court of Appeals upheld a rule issued by the Department of Treasury, the Department of Labor, and the Department of Health and Human Services (collectively, the...more

King & Spalding

France - New notification and authorization regime for exemptions from benefits/payments to the healthcare sector will enter into...

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In France, Ordinance No 2017-49 of 19 January 2017 significantly modified the rules governing payments from life sciences companies to the healthcare sector. After more than three years, on June 15, 2020, Decree No 2020-730...more

King & Spalding

CMS Issues FAQs on Catastrophic Health Coverage for COVID-19

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On March 18, 2020, CMS issued Frequently Asked Questions (FAQs) to clarify that the diagnosis and treatment of Coronavirus Disease 2019 (COVID-19) is covered by catastrophic health plans. CMS also confirms that the agency...more

Perkins Coie

COVID-19: Employee Health Plan Administration Considerations

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As federal and state governments respond to COVID-19, employers and plan fiduciaries must also address the evolving issues arising under employer-sponsored health plans. The specific considerations covered in this update are...more

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