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Health & Welfare Plans Newsletter
April 17, 2025
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💼 New Job Opportunity Today
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[Guidance Overview]
Executive Order Outlines Drug Pricing Plan
"This lengthy order instructs a range of executive actors to engage in drug pricing-related issues, both on their own and
through working with Congress.... [T]his article [will] explain and analyze the most significant policies discussed in the executive order, placing them in context with previous drug pricing reform efforts, and assess the potential impact of these efforts." MORE >>
Health Affairs Forefront
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[Guidance Overview]
Cook County, Illinois Further Revises Mandatory Paid Leave Rules
"On April 10, 2025, the Cook County Board of Commissioners approved further revisions to the ... regulations implementing the county's paid leave ordinance.... [1] No accrual of paid leave when using paid leave ... [2] Pay date when paid leave
used ... [3] Additional benefits when using paid leave ... [4] Use if employee suspended or placed on disciplinary leave ." MORE >>
Littler
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The Battlefield of Health Plan Fiduciary Litigation: Where Do We Stand?
"These cases underscore the tension between corporate governance, employee benefits, and the obligation of fiduciaries to act solely in the best interest of plan participants. They also illustrate the potential ripple effect of fiduciary litigation, prompting calls for
transparency and prudent management ... But what exactly does it mean to be a prudent fiduciary? And how does one act in the best interest of the Plan and its participants?" MORE >>
MZQ Consulting, LLC
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Arkansas First-of-Its-Kind State Law Bans PBMs from Owning Pharmacies
"[Arkansas HB 1150] prohibits state permits to
pharmacies owned by pharmacy benefit managers effective Jan. 1, 2026.... [S]imilar ownership provisions [have been] introduced or amended into bills in Indiana, New York, Texas, and Vermont.... [A] bipartisan coalition of 39 state and territory attorneys general sent a letter to congressional leaders urging them to pass legislation prohibiting PBMs from owning or operating pharmacies." MORE >>
National Community Pharmacists Association [NCPA]
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ERISA Preemption: Impact on State PBM Laws
"State regulations on PBMs are expanding, but ERISA preemption adds an additional layer of analysis, especially for self-insured plans.... To stay compliant, employer plan sponsors should work closely with their carriers, PBMs and ERISA counsel to understand their legal
responsibilities around the growing number of state laws." MORE >>
Sequoia
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The Effect of Delaying the Selection of Small Molecule Drugs for Medicare Drug Price Negotiation
"In the new executive order, the Secretary of HHS is directed to work with Congress to implement a change in the Medicare Drug
Price Negotiation Program [that would] delay negotiation of so-called 'small molecule' drugs beyond 7 years after FDA approval under current law. This change ... could lead to higher Medicare prescription drug spending, higher prices, and potentially higher Medicare Part D premiums." MORE >>
Henry J. Kaiser Family Foundation
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[Opinion]
Why Employers Should Care About the Preventive Healthcare SCOTUS Case
"Employers and insurers can help deliver peace of mind to their employees by simply maintaining free access to these services regardless of what the Supreme Court rules.... At the same time, insurers and employers can use their influence to encourage state governments to codify
these protections for as many people as possible and advocate for the Supreme Court to keep this mandate intact." MORE >>
Forbes; subscription may be required
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Employee Benefits Jobs
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Press Releases |
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Payroll Integrations and UKG Partner to Automate Payroll and Benefits Administration
Payroll Integrations
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OneDigital Welcomes BoliColi
OneDigital
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Webcasts and Conferences (Health & Welfare Plans) |
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The Price of Innovation: Understanding the Factors Driving Healthcare Costs
RECORDED
HUB International
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Gender-Affirming Care and Group Health Plans: Insured vs. Self-Funded Plans, Applicable Federal Laws, State Law Issues
June 17, 2025 WEBINAR
Strafford
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Last Issue's Most Popular Items |
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Text of Executive Order: Lowering Drug Prices by Once Again Putting Americans First
Executive Office of the President
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Which Group Health Plan Mandates Apply to Retiree Health Plans?
Willis Towers Watson
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Are Employers Required to Translate SPDs, SMMs and SARs for Non-English-Speaking Employees?
Willis Towers Watson
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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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