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Which 2026 ACA Adjustments Apply to Healthcare Plans in Puerto Rico?
Carlos Gonzalez Law Office LLC 
[Guidance Overview] Aug. 6, 2025 "The employer shared responsibility requirements of Code Section 4980H do not apply in Puerto Rico ... [However,] healthcare plans in operation in Puerto Rico are subject to limitation on cost-sharing requirements of PHSA Section 2707(b) ... [F]or plan year 2026, annual cost sharing on in-network essential health benefits covered by healthcare plans in operation in Puerto Rico cannot exceed $10,600 for plan participants with self-only coverage and $21,200 for plan participants with coverage other than self-only, such as family coverage." MORE >> |
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