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HIPAA Privacy Rule Model Attestation for Reproductive Health Information

Earlier we discussed the Office for Civil Rights (“OCR”) of the US Department of Health and Human Services final rules relating to reproductive health care information (the “Final Rules”). In our prior blog we discussed that...more

ERISA Blog | Changes to the HIPAA Privacy Rules A Primer for Self-Insured Group Health Plans [Video]

The Office for Civil Rights (“OCR”) of the US Department of Health and Human Services recently released a final rule (“Final Rule”) to update the HIPAA Privacy Rules for reproductive health care information. The Final Rule...more

Changes to the HIPAA Privacy Rules – A Primer for Self-Insured Group Health Plans

The Office for Civil Rights (“OCR”) of the US Department of Health and Human Services recently released a final rule (“Final Rule”) to update the HIPAA Privacy Rules for reproductive health care information. The Final Rule...more

HHS Aligns Part 2 Rules with the HIPAA Privacy Rules – Effects on Self-Insured Plan Sponsors

In a December 2023 blog post, we discussed the HHS proposed revisions to the Part 2 regulations and that finalization of those regulations was imminent.  On February 8, 2024, HHS through the Substance Abuse and Mental Health...more

Looking Forward to 2024 for HIPAA Privacy

Over the last two years, the Office for Civil Rights (“OCR”) has released a number of proposed regulations and new guidance relating to the HIPAA privacy rules.  Not to be left out, recently, the Federal Trade Commission...more

2024 IRS Retirement Benefit Plan Limits

The IRS has announced inflation-adjusted limits for retirement plans in Notice 2023-75. ...more

Employer Considerations Concerning the HIPAA Special Enrollment Rule Temporary Extension

On July 20th, CMS issued an open letter to employers, plan sponsors and insurers requesting that they extend the normal 60-day special enrollment period for Medicaid and CHIP terminations of coverage....more

Taxation of Infertility Treatments and Surrogacy Benefits

Many people, for one reason or another, are unable to start or expand a family. Some people look to assisted reproductive technologies (“ARTs”) to conceive a child. These ART treatments include in vitro fertilization...more

Employer Travel Assistance for Reproductive Health Care

Since the U.S. Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization in June, employers have been evaluating ways to protect reproductive health care rights for their employees in those states which ban or...more

Biden Administration Reminds Employers that Contraception is Required under ACA’s Preventive Care Mandate with a Few Surprises

On July 28, 2022, the federal regulators (referred to as the “Departments”) released a new set of FAQs (Part 54) under the Affordable Care Act (“ACA”) to clarify the scope of the preventive care mandate, in particular, with...more

HHS Releases Privacy Rule Guidance Regarding Abortion-Related Disclosures

Following the U.S. Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, the Department of Health and Human Service (HHS) has issued several pieces of guidance regarding protections for an individual’s...more

Biden Administration Signs Executive Order after Dobbs Decision

Since the Dobbs decision, employers and health plan sponsors have been scrambling to determine how they can assist employees and health plan participants in states that currently or will soon be restricting access to...more

Supreme Court Upholds ERISA Plan Design for Dialysis Coverage

The Supreme Court released an opinion Tuesday, June 21, 2022, holding that the Marietta Memorial Hospital Employee Health Benefit Plan (“Marietta Plan”) did not violate the Medicare Secondary Payer statute merely because it...more

Regulators Issue Further Guidance on Mandatory Coverage of Over-the-Counter COVID-19 Tests

As we previously discussed, federal regulators released FAQs on January 10, 2022 (“January FAQs”), requiring health plans to cover over-the-counter (OTC) COVID-19 tests for all participants during the pandemic, without...more

Health Plans Must Cover Over-the-Counter COVID-19 Tests for All Participants

Federal regulators recently released FAQs providing that health plans are now required to cover over-the-counter (OTC) COVID-19 tests for all participants through the remaining duration of the pandemic, without requiring an...more

EBSA Answers Key Compensation Disclosure Questions in Latest Bulletin

Section 202 of Title II of Division BB of the Consolidated Appropriations Act, 2021 (“CAA”) added new ERISA Section 408(b)(2)(B) to be effective as of December 27, 2021. The new section requires persons who provide...more

IRS Proposes to Permanently Extend Form 1095-B and -C Deadline for Individuals

On November 22, 2021, the IRS released a draft version of proposed regulations that have been submitted for publication to the Federal Register (but not yet formally published) which would permanently extend the annual...more

2022 Health and Fringe Benefit Plan Limits

Medicare Tax - The regular Medicare tax rate of 1.45% remains unchanged and applies to all income without a limitation for both the employee and employer portion. The Affordable Care Act additional Medicare tax of 0.9%...more

IRS Clarifies COBRA Deadlines in Latest Tolling Notice

On Wednesday, the Internal Revenue Service (“IRS”) and Department of Treasury (“Treasury”) released guidance (Notice 2021-58) clarifying certain deadlines relating to COBRA continuation coverage in connection with the ongoing...more

Mental Health Parity Part II – Next Steps for Plan Sponsors

Last week we discussed on our ERISA Blog that the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) has become a top agenda item for plan sponsors in 2021. In this next post we will discuss the next steps that...more

Mental Health Parity - New Requirements for Plan Sponsors

On August 12, 2021, the U.S. Department of Labor announced a $15.6 million settlement related to violations of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). In the news release announcing the...more

Surprise! Biden Administration Releases Surprise Billing Guidance

The Departments of Health and Human Services, Treasury, and Labor jointly released a package of guidance relating to the surprise billing reforms included in the Consolidated Appropriations Act, 2021 (“CAA”). The guidance...more

Mental Health Parity Compliance Becomes New Once Again

Since the passage of the original mental health parity requirements over two decades ago, mental health parity can be described as riding a porpoise as it dives in and out of the waters of compliance. However, with the...more

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