DOL Issues Updated Medicaid / CHIP Model Notice
The Department of Labor (DOL) issued an updated Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) Model Notice.
CMS Requires Prescription Drug Coverage Reporting under Section 111 MSP Reporting
The Centers for Medicare and Medicaid Services (CMS) revised its Section 111 Medicare Secondary Payer (MSP) User Guide and issued FAQs that require responsible reporting entities (RREs) to submit primary prescription drug coverage information as part of their Section 111 MSP Mandatory reporting requirements effective January 1, 2020.
IRS Releases Private Letter Ruling Regarding Section 213(d) Medical Care Expenses
The Internal Revenue Service (IRS) released a private letter ruling (Letter) regarding whether the price of a DNA collection kit – specifically services and reports related to a person’s health that are generated from analyzing the collected DNA – qualify as Section 213(d) medical care expenses.
DOL Issues Advisory Opinion on Intermittent FMLA Leave
The Department of Labor (DOL) issued an advisory opinion regarding whether an employee may take intermittent leave under the Family and Medical Leave Act (FMLA) to attend special education meetings with a speech pathologist, school psychologist, and occupational therapist to discuss the employee’s children’s individualized education programs.
IRS Releases the Indexed 2020 Affordability Percentage
The IRS released Notice 2019-29 that adjusts the affordability percentage for 2020.
USPSTF Issues a Final Recommendation Giving PrEP an “A” Rating
The U.S. Preventive Services Task Force (USPSTF) published a final recommendation that gives an “A” rating to preexposure prophylaxis (PrEP) treatment.
DOL, HHS, and Treasury Publish Final Rules on Health Reimbursement Arrangements
On June 20, 2019, the Department of Labor (DOL), Department of Health and Human Services (HHS), and the Department of Treasury (Treasury) (collectively, the Departments) published their final rules regarding health reimbursement arrangements (HRAs) and other account-based group health plans.
IRS Releases Memo on 2-percent Shareholders’ Health Coverage Deductions
The Internal Revenue Service (IRS) released a memorandum.
Update on Nondiscrimination Regulations Relating to Sex, Gender, Age, and More
On May 24, 2019, the Department of Health and Human Services' Office for Civil Rights (OCR) released a proposed rule to revise its regulations under the Patient Protection and Affordable Care Act's Section 1557. OCR also released a fact sheet and press release.
Tri-Agency Final Rules on Health Reimbursement Arrangements
Final rules have been released regarding health reimbursement arrangements (HRAs) and other account-based group health plans.
CMS Publishes 2020 Benefit Payment and Parameters Final Rule
The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020.
HHS Releases Bulletin that Extends Grandmothered Plans Through 2020
As background, in the fall of 2013, the Department of Health and Human Services (HHS) announced a transitional relief program that allowed state insurance departments to permit early renewal at the end of 2013 of individual and small group policies that do not meet the “market reform” requirements of the Patient Protection and Affordable Care Act (ACA) and for the policies to remain in force until their new renewal date in late 2014.