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Revisions to preventive care and screening guidelines will require health plans and health insurance policies to provide 100 percent coverage for additional services for women, adolescents, children, and infants, following an update issued by the Health Resources Services Administration (HRSA) of the U.S. Department of Health and Human Services (DHHS). The HRSA update modifies certain other preventive care guidelines as well.
Under a new rule introduced by the Consolidated Appropriations Act, 2021 (CAA), a health plan or insurer must offer an enrollee the opportunity to elect a transitional period of continued care with a provider whose participation in the applicable network ends while the enrollee is in a course of treatment for certain medical conditions. During that transitional period, the plan or insurer must continue to provide benefits to the provider at the same rate as it did before the provider’s participation in the network terminates. This is the sixth briefing in Ballard Spahr’s series on the CAA and transparency regulations. It was originally was published in December 2021.
New rules require group health plans and insurers to disclose pricing information in three phases. This is the third briefing in Ballard Spahr’s series on the Consolidated Appropriations Act, 2021 (CAA) and transparency regulations. It was originally published in November 2021. The first installment addressed the new No Surprises Rules. The second focused on Understanding the Mental Health Parity and Addiction Equity Act.
This is the second briefing in our series on the Consolidated Appropriations Act, 2021 (CAA) and transparency regulations. It concerns a new rule under the Mental Health Parity and Addiction Equity Act (MHPAEA) that requires health plans to conduct and document an analysis that compares the nonquantitative treatment limitations applicable to benefits for mental health and substance use disorders to the nonquantitative treatment limitations applicable to medical and surgical benefits. The briefing originally was published in November, 2021. The first installment of this CAA series addressed the new No Surprises Rules.
On January 13, 2022, the Supreme Court “split the baby” on two federal vaccine mandates. The Court stayed the OSHA “vaccine or test” rule, but allowed the Centers for Medicare & Medicaid Services (CMS) vaccine mandate for health care workers to take effect. Employers now must wrestle with the complex impact of these decisions on their workforce and their responsibilities to maintain a safe workplace.
The Consolidated Appropriations Act, 2021 (CAA) requires the disclosure of information to ensure that brokers and certain consultants receive no more than reasonable compensation for their services. This is the fourth briefing in Ballard Spahr’s series on the Consolidated Appropriations Act, 2021 (CAA) and transparency regulations. It was originally was published in November 2021. The first installment of the series addressed the new No Surprises Rules. The second focused on Understanding the Mental Health Parity and Addiction Equity Act. The third was Understanding the New Health Care Transparency Requirements.
The Departments of the Treasury, Labor, and Health and Human Services jointly issued a report to Congress, fulfilling obligations that they have with regard to the Mental Health Parity and Addiction Equity Act (MHPAEA) and Consolidated Appropriations Act, 2021 (CAA). The report offers valuable insight into the departments’ approach to enforcing the MHPAEA and, in particular, the requirement to document an analysis that compares nonquantitative treatment limitations (NQTLs) that apply to benefits for mental health and substance use disorders to those that apply to medical and surgical expenses.
The following is the first publication in our series on the Consolidated Appropriations Act 2021 (CAA) and transparency regulations.
Health plan vendors sometimes impose contractual restrictions on the disclosure of data that they consider to be confidential or proprietary. A number of new rules aim to foster transparency and require disclosure of pricing and other information that might otherwise be subject to those restrictions. The Consolidated Appropriations Act, 2021 (CAA) prohibits a health plan from entering into certain agreements, particularly those involving a provider network, that impose certain restrictions on the plan’s access and ability to share information about the cost and quality of care.
Green directives on the energy performance of buildings, including energy performance certificate (EPC) ratings in the European Union and United Kingdom, are urging the European real estate industry to assess the costs of compliance.
Impacting environmental, social and corporate governance (ESG) initiatives of the financial industry in Florida, on April 19, 2023, the Florida Senate passed Florida House Bill 3 (HB 3 or the Bill) by a vote of 28 YEAS to 12 NAYS.
Just three years after passing a statute significantly restricting the enforceability of physician non-compete agreements, Indiana’s legislature has passed an amendment, Senate Enrolled Act No. 7.
On April 3, 2023, the US Tax Court issued its opinion in Farhy v. Commissioner, holding that the Internal Revenue Service (IRS) lacked the statutory authority to both assess tax penalties under Internal Revenue Code (Code) Section 6038(b) and collect said penalties via a levy against the taxpayer.
We said it earlier this month: With many state legislative sessions coming to an end, we were likely to see a push by states to finish up debates and votes on consumer privacy laws, and now you can count Tennessee (and Montana) among those states doing just that.
Under new legislation coined the “Coronavirus Stop Act,” employers doing business in the state of Idaho may no longer require a coronavirus vaccination as a term of employment unless required by federal law or where the terms of employment include travel to foreign jurisdictions requiring vaccination.
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