Health Care Reform

On July 17, 2019 the IRS issued guidance expanding the preventive care benefits that can be provided by a high-deductible health plan (HDHP) and remain qualified for HSA eligibility. Ordinarily the HSA rules do not allow for preventive care for services or benefits intended to treat existing illnesses, injuries, or conditions. The new ruling allows for certain conditions to have coverage with no-deductible or below the HSA deductible limits. The Treasury Department and ... Read more
President Trump signed an executive order on June 24, 2019 directing federal agencies to increase healthcare price and quality transparency. The order directs the Departments of Labor, Treasury and Health and Human Services to issue guidance and propose regulations that would disclose negotiated rates, cost-of-care and de-identified federal healthcare data, and to expand the availability of Health Savings Accounts.   The order includes the following five main provi... Read more
On June 13, the U.S. Departments of the Treasury, Labor, and Health and Human Services issued a final rule allowing employees to use the dollars in employer-funded Health Reimbursement Arrangements (HRAs, also called Health Reimbursement Accounts) to purchase individual coverage both on and off the public Marketplace (or Exchange). The rule also creates a new excepted benefit HRA (EBHRA) to enable employees to be reimbursed for excepted benefit costs. Individual Covera... Read more
The Affordable Care Act established the Patient-Centered Outcomes Research Institute (PCORI) to explore the effectiveness, risks and benefits of medical treatments. The fees are to be collected for plan years and policy years that end after September 30, 2012, and before October 1, 2019.  All non-excepted employer sponsored health plans need to pay PCORI Fees by July 31st.  If the plan is fully insured, the carrier is responsible for paying the fee. If the pla... Read more
CMS will once again allow small employers and individual health plans an extension of transitional (grand-mothered) coverage. Read more
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