Updates – health

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ERIC Submits Comments on North Dakota’s Reinsurance Program

On behalf of The ERISA Industry Committee (ERIC), thank you for accepting input from interested stakeholders as you explore ways to stabilize North Dakota’s individual health insurance market through a reinsurance program… More

ERIC Comments on North Dakota Telemedicine Bill

Today, ERIC submitted comments on North Dakota Senate Bill 2094, which would require most telemedicine visits to be performed using both audio and video communication technology… More

ERIC Submits Comments on North Dakota’s Proposed Telemedicine Legislation

On behalf of The ERISA Industry Committee (ERIC), thank you for accepting input from interested stakeholders as you consider the proposed legislation, Senate Bill 2094, regarding telemedicine… More

protected content DOL on MHP, State health initiatives, Rx cost update

The government is still shut down, but the system continues to churn. I have a couple relatively quick updates today, as activity continues in those agencies that are not shut down, the states are absolutely keeping busy, and burgeoning prescription drug price hikes are putting pressure on Congress, consumers, and plan sponsors… More

protected content Alert: North Dakota Proposes § 1332 Waiver Featuring Assessment on TPAs

North Dakota’s 2019 legislative session began today, January 3, and a bill to create a reinsurance program via an ACA § 1332 Waiver has been introduced… More

protected content ERIC: Wellness Rule Vacated, House Moves ACA Tax Delay, Final HRA Comments, and More!

Today we will discuss: (1) EEOC signals the end of their current ADA & GINA wellness rules, (2) House moves tax vehicle with ACA tax delays, (3) ERIC files comment letter on proposed HRA rule, (4) Judge says ACA is unconstitutional, but leaves it in place (5) ERIC comments on Administration’s 1332 waiver speed-dating proposal (6) Air ambulance – ERIC needs volunteers for a federal advisory board, (7) Ding, dong, HPID is dead, (8) Surprise billing – ERIC develops joint principles with employer, consumer groups… More

ERIC Submits Comments on Proposal to Expand Health Reimbursement Arrangements

ERIC submitted comments on the Trump Administration’s proposal to expand and facilitate access to Health Reimbursement Arrangements (HRAs) and other account-based plans… More

ERIC Advises Federal Agencies on 1332 Waiver Evaluations

ERIC submitted comments related to Section 1332 of the Patient Protection and Affordable Care Act (ACA) to the Centers for Medicare & Medicaid Services, the Department of Health and Human Services, and the Department of the Treasury urging the federal government to be vigilant to ensure that state activity does not violate the federal law that governs employer health benefit plans… More

ERIC Submits Comments to CMS on 1332 Waivers

The ERISA Industry Committee is pleased to submit these comments in response to the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS), and the Department of the Treasury (Treasury) guidance related to section 1332 of the Patient Protection and Affordable Care Act (ACA) and its implementing regulations, published in the Federal Register on October 24, 2018… More

protected content Alert: ERIC Comments to CMS on Section 1332 Waiver Guidance

Today, ERIC submitted comments to the Centers for Medicare & Medicaid Services in response to its guidance related to Section 1332 of the Affordable Care Act (ACA), which was released on October 22… More

protected content HRA Webinar Tomorrow, HSA & Caddy Lame Duck Push

I know a lot of you are interested in the Administration’s proposal to expand Health Reimbursement Arrangements, to enable new coverage options including letting some employees purchase health insurance with HRA funds. We will go through the rule and talk about ways in which we think it could be improved or changed… More

protected content 11/15 HRA Rule & Comment Webinar

I hope you are all doing well, and are as glad as I am that the long run-up to the 2018 midterms is finally over! We're working to try and finish off some projects before the end of the year, but there's a lot that could happen (or not happen!) in a lame duck session, so more on that when we have it… More

protected content Health regulation blitz – HRAs and 1332 waivers!

Hopefully, if you are interested in state health innovations waivers under section 1332, which often are accompanied by threats to ERISA plans such as mandatory reinsurance fees, assessments on payers and the like… More

protected content Alert: New Guidance Issued on ACA Section 1332 Waivers

On October 22, the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services, and the Department of the Treasury issued joint guidance related to Section 1332 Waivers under the Affordable Care Act (ACA). These waivers were previously known more colloquially as “State Innovation Waivers,” but are now called “State Relief and Empowerment Waivers”… More

protected content Pre-Conference Health Update on Opioids, Surprise Bills, Caddy

Chalk this up as an ERIC win worth several billion dollars to the employer community – the President has been sent a final opioids bill (H.R. 6, the “SUPPORT for Patients and Communities Act”), and the proposed payfor that would have extended from 30 to 33 months the coordinating period during which an employer must pay for kidney dialysis patients was not included. VICTORY! So for now, we are still at 30 months for end-stage renal disease (ESRD) patients on the employer plan… but we need to stay vigilant… More

ERIC Victory: President Signs Bill Banning Pharmacy Gag Clauses

ERIC applauds lawmakers and the Administration for coming together and banning so-called “gag clauses” in group health plans and individual market health insurance plans… More

ERIC Sends Letter to Hill Opposing ESRD Provision in Opioids Bill

ERIC and members of the National Coalition on Benefits sent a letter reiterating our strong opposition to the end-stage renal disease (ESRD) provision in the House-passed version of the opioids bill… More

protected content Reminders, Surprise Billing, Opioids & Gag Clauses

The Senate has had a very busy week already, and ERIC has a number of opportunities for you coming up, so this will be a quick update to keep you in the loop. You probably saw that an appropriations bill passed too – one that funds the Departments of Labor and Health and Human Services, which is paired with a Continuing Resolution to keep the government from shutting down prior to the election… More

protected content Quick Legislative Update, Even Quicker Balance Billing Survey

On the morning of Thursday, September 13, the House Energy and Commerce Committee unanimously approved H.R. 6733, the “Know the Cost Act of 2018.” This bill would ban pharmacy “gag clauses,” which prevent a pharmacist from telling a patient if it might be cheaper to just pay cash, rather than use their insurance… More

ERIC Works to Make Prescription Drug Costs More Transparent

ERIC sent a letter to the U.S. Senate urging lawmakers to support S. 2554, the “Patient Right to Know Drug Prices Act.” The bill would ban so-called “gag clauses” in group health plans and individual market health insurance plans. These clauses prevent pharmacists from informing a patient that filling a prescription might be cheaper if the patient pays cash, rather than the negotiated copay under their insurance coverage… More

U.S. House of Representatives Should Vote Yes to Delay Cadillac Tax

ERIC sent a letter to the U.S. House of Representatives urging lawmakers to vote yes on H.R. 3798, the “Save American Workers Act of 2018.”… More

ERIC Supports Legislation to Delay Cadillac Tax

This week, the House is expected to vote on H.R. 3798, the “Save American Workers Act of 2018.” The ERISA Industry Committee (ERIC) urges you to support this legislation. ERIC is the only national trade association that advocates exclusively for federal, state, and local public policies that support large employers sponsoring health, retirement, and compensation plans… More

protected content Seattle lawsuit update, Pharmacy gag clause bills advance, FTC biosimilars letter, and more!

This week there has been some progress in ERIC’s lawsuit to have Part 3 of the Seattle hotel health care mandate ruled preempted by ERISA. On September 5, ERIC and the City of Seattle agreed to this order, which was subsequently filed for approval with Judge Zilly. Under the terms of the order, the City will get an extension on their deadline to file a response to our initial complaint. In exchange, the City will not enforce Part 3 of the law, which is the part that mandates hotels of a certain size provide gold-level coverage (80% actuarial value) at a very high affordability threshold (no more than 5% of income)… More

protected content California ESRD regulation, House committee to take up “gag clause” bill

Last night, the California Assembly (their lower legislative chamber) passed a piece of legislation that we have been watching closely – which mirrors efforts ERIC has been engaged in on the federal level. Here’s a rundown of what you’ll care about in the bill, SB 1156… More

protected content Opioids bill draft released, Summer miscellany

Response Act,” which combined legislation that moved through the Senate Finance, Judiciary, and Health, Education, Labor and Pensions (HELP) Committees. The final bill continues to be negotiated, with Capitol Hill staff now indicating that their goal is to vote the package out of the Senate after Labor Day… More

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