New Mandatory Preventive Items and Services, 2022 Updates
Most plans will be required to cover new preventive items and services beginning later this year or in 2023 (depending on the plan year), including ones…
New Prescription Drug Reporting Requirement
As previously reported in December 2021, Section 204 of the Consolidated Appropriations Act, 2021 (“CAA”) requires plan sponsors of group health plans to…
IRS Announces 2023 ACA Affordability Indexed Amount
The IRS recently announced in Revenue Procedure 2022-34 that the Affordable Care Act (“ACA”) affordability indexed amount under the Employer Shared…
Further Guidance Issued on Contraceptive Coverage
On July 28, 2022, the Departments of Labor, Health and Human Services and the Treasury (collectively, “the Departments”) issued FAQ Part 54 to clarify…
2023 Inflation Adjusted Amounts for HSAs
The IRS released the inflation adjustments for health savings accounts (“HSAs”) and their accompanying high deductible health plans (“HDHPs”) effective for…
HHS Extends Public Health Emergency Until July 15, 2022 (Downloadable PDF)
On April 12, 2022, the Secretary of Health and Human Services (“HHS”) renewed the COVID-19 pandemic Public Health Emergency, effective April 16, 2022. This…
Temporary Telehealth Relief for HSA Plans (Downloadable PDF)
On March 15, 2022, the President signed government funding legislation, the Consolidated Appropriations Act, 2022 (“CAA- 22”), into law. The legislation…
No Surprises Act IDR Process Altered by Court Order (Downloadable PDF)
Under the No Surprises Act (“NSA”), when out-of-network (“OON”) providers cannot agree to a payment amount from insurers, the payment amount is determined by…
Annual Out-of-Pocket Maximum Adjustments Announced for 2023 (Downloadable PDF)
On December 28, 2021, the Department of Health and Human Services (“HHS”) published the “payment parameters” portion of its Annual Notice of Benefit and…
Additional Guidance Addresses ACA Preventive Care Mandate (Downloadable PDF)
As part of FAQ 51, the Departments of Labor, Health and Human Services, and the Treasury (together, the “Departments”) issued guidance clarifying several…