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ACA Repeal-and-Replace Continues: What Employers Need to Know About the MacArthur Amendment
Venable LLP Link to more items from this source
Apr. 28, 2017

"Because the MacArthur Amendment allows states to obtain waivers with respect to essential health benefits ... [it] could result in significant opportunities for employer group health plans.... Under the ACA, an employer with a self-funded health plan can choose any state as its point of reference for essential health benefit purposes. If even one state obtains a waiver and eliminates prescription drug coverage from the list of essential health benefits, any employer with a self-funded health plan -- no matter where the employer is located -- could impose annual and lifetime limits on prescription drugs and could exclude prescription drugs from the out-of-pocket maximum."

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