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Gender-Affirming Care and Group Health Plans: Insured vs. Self-Funded Plans, Applicable Federal Laws, State Law IssuesBARBRI |
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June 17, 2025 On-Demand Webinar |
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This CLE webinar will provide employee benefits and ERISA counsel a detailed analysis of the current state of gender-affirming care and navigating the challenges faced by health plan sponsors and administrators. The panel will discuss applicable federal regulations that must be considered, including the ERISA preemption doctrine, Affordable Care Act (ACA), MHPAEA, and HIPAA, along with state law issues that may arise. The panel will also discuss current approaches to gender-affirming coverage and offer best practices for insured and self-funded plans and pitfalls to avoid. Description Gender-affirming care has been a hot topic among federal and state regulators for the past couple of years. Plan sponsors and administrators struggle with navigating conflicting state laws while also trying to maintain compliance with applicable federal laws. Attorneys, plan sponsors, and administrators must have a firm understanding of applicable federal and state laws and current approaches to gender-affirming coverage. On Jan. 28, 2025, President Trump issued an executive order that directs agencies and programs to work toward limiting some access to gender affirming care nationwide. This has caused confusion amongst agencies, plan sponsors, and administrators along with some disruption of services. Listen as our panel discusses applicable federal regulations that must be considered for gender-affirming coverage, including the ERISA preemption doctrine, ACA, MHPAEA, and HIPAA, along with state law issues that may arise. The panel will also discuss current approaches to gender-affirming coverage and offer best practices for insured and self-funded plans. Outline
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