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Holiday Relief for Reporting Requirements

In a new set of Frequently Asked Questions, the U.S. Departments of Labor, Health and Human Services, and the Treasury provide significant relief to health plan sponsors and insurers seeking to report on expenditures for...more

Dispute Resolution Process Is Modified Under the CAA's No Surprise Billing Rules

Summary - The Departments of Labor, Treasury, and Health & Human Services have finalized regulations regarding the dispute resolution process implemented under the No Surprise Billing Rules in the Consolidated...more

Third Circuit Affirms Decision Enjoining Hackensack Meridian - Englewood Merger

Summary - The Third Circuit upheld the district court’s decision to grant a preliminary injunction enjoining the merger between Englewood Healthcare Foundation and Hackensack Meridian Health, Inc., handing a victory to the...more

U.S. Department of Health and Human Services Approves Updates to the List of Preventive Items and Services to be Covered Without...

Revisions to preventive care and screening guidelines will require health plans and health insurance policies to provide 100 percent coverage for additional services for women, adolescents, children, and infants, following an...more

DOL Proposes Another Round of ESG Investing Rules for Plan Fiduciaries

Summary - The U.S. Department of Labor (DOL) released Proposed Regulations for plan fiduciaries on the role Environmental, Social, and Governance (ESG) considerations should play in investment decisions....more

Keeping Up With No Surprises

Summary - Two sets of rules were issued last month by federal agencies as part of the No Surprises Act....more

Reminder: COBRA Subsidy to End, Notice of Termination Required

The subsidy for COBRA coverage under the American Rescue Plan Act comes to an end on September 30, 2021. There is no indication at this time that the subsidy will be extended....more

PA Proposes Long-Awaited Changes to Regulations for Long-Term Care Nursing Facilities

Summary - On July 31, 2021, the Pennsylvania Department of Health officially began its first overhaul of the Commonwealth’s long-term care nursing facility regulations since 1999. The regulatory changes will be implemented...more

Enforcement Delayed Under the New Health Plan Disclosure Requirements

Summary - Three federal agencies, the Departments of Labor, Health and Human Services, and Treasury, jointly released new FAQs on August 20, 2021, regarding compliance with new health plan disclosure requirements of the...more

COBRA Premium Subsidies - A Little More Guidance (and a Reminder)

The IRS issued a new notice that provides guidance on a few issues that were not fully addressed in its earlier notice on the Consolidated Omnibus Budget Reconciliation Act (COBRA) premium subsidy requirements set forth in...more

CMS Rule Proposes to Further Modify Stark Regulations' Definition of Indirect Compensation Arrangement

Summary - On July 23, 2021, the Centers for Medicare & Medicaid Services (CMS) released proposed changes to the Physician Self-Referral Law, commonly known as the “Stark Law,” regulations defining an “indirect compensation...more

New Regulations Aim to Prevent Surprises in Medical Billing

Summary - The U.S. Departments of the Treasury, Labor, and Health and Human Services, along with the federal Office of Personnel Management have issued interim final regulation under the No Surprises Act aimed at...more

Stand Down – The Affordable Care Act Survives Another Supreme Court Challenge

In a 7-2 decision, the Supreme Court rebuffed a challenge to the constitutionality of the Affordable Care Act, finding that the plaintiffs who challenged the ACA lacked standing to bring the lawsuit....more

HHS to Enforce Section 1557 of the Affordable Care Act to Prohibit Discrimination Based on Sexual Orientation and Gender Identity

Summary - Federal agencies will enforce Section 1557 of the Affordable Care Act to prohibit discrimination based on sexual orientation or gender identity. The announcement reverses an effort under the previous...more

New Stimulus Law Seeks to Strengthen Mental Health Parity Compliance

This alert is the latest in a series from our Employee Benefits and Executive Compensation and Health Care Practice Groups about the most recent federal stimulus bill. We provided an overview of how the law addresses new...more

More Value, Less Volume – CMS Makes Significant Changes to Clarify the Stark Law Regulations and Incentivize Provider...

Summary - Publication of the Centers for Medicare and Medicaid Services recent final rule on the Physician Self-Referral Law—known as the Stark Law—may mark the end of the Trump administration’s Regulatory Sprint to...more

HHS Issues HIPAA Guidance on Contacting Survivors of COVID-19 About Plasma Donation

The Office of Civil Rights of the U.S. Department of Health and Human Services has issued guidance clarifying how HIPAA’s Privacy Rule permits covered entities (in particular, health care providers and health plans) or their...more

PA Provides New Spending Flexibilities and Nonjudicial Settlement Opportunities for Nonprofits, Charitable Trusts

On July 23, 2020, Pennsylvania Governor Tom Wolf approved 2020 Act 71, enacting House Bill 2484. The new law amends the Pennsylvania Consolidated Statutes, Titles 15 (Corporations and Unincorporated Associations) and 20...more

Nonprofits Should Consider Updated May 13, 2020 SBA Guidance on PPP Applications

On May 13, 2020, the Small Business Administration (SBA), with support from the Department of the Treasury, made two important announcements in its Frequently Asked Questions for administration of the Paycheck Protection...more

IRS Provides Flexibility for Employer-Sponsored Health Plans and FSAs in Response to COVID-19 Pandemic

The Internal Revenue Service (IRS) has issued new guidance, Notice 2020-29, in response to the COVID-19 pandemic, providing for temporary flexibility with respect to mid-year elections made during 2020 under Code section 125...more

Update: CARES Act Health Care Provider Relief Fund–What Eligible Providers Should Know

Note: This is an update to our April 13 alert. CARES Act 2.0, signed into law on April 24, 2020, authorized additional funding of certain programs established in the initial CARES Act, including supplemental funding for...more

NJ Grants Health Care Professionals and Facilities Immunity in Treating COVID-19 Patients

Tuesday evening, April 14, 2020, New Jersey Governor Murphy signed into law Bill No. S2333, which provides health care professionals, facilities, and systems civil immunity for care given to those affected by COVID-19. The...more

Health Care and the CARES Act

On March 27, 2020, Congress passed the CARES Act (the Act), an approximately $2 trillion bill drafted in response to the COVID-19 crisis, with the goal of providing much needed relief for the United States economy. ...more

CMS Releases Recommendations on Adult Elective Surgeries, Non-Essential Medical, Surgical, and Dental Procedures During COVID-19...

CMS Adult Elective Surgery and Procedures Recommendations: Limit All Non-Essential Planned Surgeries and Procedures, Including Dental, Until Further Notice. ...more

OCR Guidance Related to Telehealth Remote Communications During the COVID-19 Emergency

On March 20, 2020, the Office for Civil Rights (OCR) issued guidance in furtherance of its Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency. ...more

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