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Major PBM Reforms Advance in Congress as DOL Proposes New PBM Fee-Disclosure Rule

PUBLISHED February 4th, 2026
DeAnn Deck

Federal oversight efforts directed at the pharmaceutical benefit manager (PBM) industry have accelerated in recent weeks. On Jan. 22, 2026, the House of Representatives passed the Consolidated Appropriations Act (CAA) of 2026, a funding package containing a broad range of (…)

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Compliance
PUBLISHED July 8th, 2025

Congress Permanently Extends Pre-deductible Telehealth Coverage for HDHPs/HSAs

DeAnn Deck

On July 4, 2025, President Donald Trump signed a major tax and spending bill (commonly referred to as the “One Big Beautiful Bill Act”) …

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Compliance
PUBLISHED June 27th, 2025

U.S. Supreme Court Upholds ACA’s Mandate for Free Preventive Care

DeAnn Deck

On June 27, 2025, the U.S. Supreme Court upheld a key component of the Affordable Care Act’s (ACA) preventive care mandate (Kennedy v. Braidwood …

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Benefits+
PUBLISHED June 27th, 2025

PCORI Fees Due July 31, 2025

DeAnn Deck

The Affordable Care Act (ACA) requires health insurance issuers and self-insured plan sponsors to pay Patient-Centered Outcomes Research Institute fees (PCORI fees). The fees …

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Compliance
PUBLISHED June 26th, 2025

U.S. Supreme Court Upholds State Ban on Gender-affirming Care for Minors

DeAnn Deck

On June 18, 2025, the U.S. Supreme Court upheld the constitutionality of a Tennessee law banning certain medical care, such as puberty blockers and …

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Compliance
PUBLISHED June 25th, 2025

U.S Supreme Court Declines to Extend ADA Protections to Retirees

DeAnn Deck

On June 20, 2025, the U.S. Supreme Court issued a decision in Stanley v. City of Sanford, Florida, holding that a former employee does …

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Compliance
PUBLISHED May 30th, 2025

Health Plans Must Expand Coverage for Breast Cancer Screening for 2026

DeAnn Deck

Effective for plan years beginning after Dec. 30, 2025, group health plans and health insurance issuers must expand their first-dollar coverage for preventive care …

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Benefits+
PUBLISHED May 29th, 2025

Federal Court Vacates PWFA Abortion Accommodation Mandate

DeAnn Deck

On May 21, 2025, the U.S. District Court for the Western District of Louisiana vacated the U.S. Equal Employment Opportunity Commission’s (EEOC) requirement that …

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Benefits+
PUBLISHED May 16th, 2025

HSA/HDHP Limits Will Increase for 2026

DeAnn Deck

On May 1, 2025, the IRS released Revenue Procedure 2025-19 to provide the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health …

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Benefits+
PUBLISHED May 15th, 2025

New Executive Order Aims to Reduce Drug Costs by Aligning with Global Prices

DeAnn Deck

On May 12, 2025, President Donald Trump issued an executive order (EO) that aims to bring the prices Americans pay for prescription drugs in …

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Compliance
PUBLISHED May 15th, 2025

Form 5500 Deadline is July 31

DeAnn Deck

Each year, employers that are subject to the Employee Retirement Income Security Act of 1974 (ERISA) must electronically file an annual report (Form 5500) …

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Benefits+
PUBLISHED May 14th, 2025

Important Court Ruling May Impact Employer ACA Shared Responsibility Payments

DeAnn Deck

A recent federal court ruling has major implications for how the IRS enforces the Affordable Care Act (ACA)’s Employer Shared Responsibility Provisions (ESRP). Employers …

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Benefits+
PUBLISHED May 2nd, 2025

Keeping Up With Compliance Quarterly—Q2 2025

DeAnn Deck

Keeping up with compliance developments can be difficult and time-consuming. This quarterly update highlights recent legal developments to help your organization stay on top …

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