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“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
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Search the News Archive
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24 Matching News Items |
| 1. |
Keenan & Associates
Oct. 15, 2025
"Beginning on January 1, 2026, PBMs will not be able to include spread pricing terms in their contracts.... The new law provides that PBMs have a fiduciary duty to both self-insured employer plan, and health insurance carrier clients ... [T]he law provides a mechanism for a plan sponsor to obtain quarterly disclosures of rebates and fees received from drug manufacturers, fees and assessments charged to network pharmacies, and payments made to pharmacies, as well as de-identified utilization information for the plan."
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| 2. |
Keenan & Associates
Oct. 2, 2025
"Essentially, AB 144 freezes in place, for California health plans, the federal vaccine and preventive service recommendations that were in effect prior to Secretary of Health and Human Services (HHS) Robert F. Kennedy, Jr. taking the helm at HHS. It simultaneously authorizes California regulators to supplement and modify those recommendations for the purposes of state and federal preventive coverage mandates."
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| 3. |
Keenan & Associates
July 15, 2025
"The decision to leave Mulready as-is re-enforces ERISA preemption and the corresponding limitations of a state's ability to impact employer-sponsored health plans. However, while this decision preserves an ERISA plan sponsor's control over benefit design and network structure, states will likely continue their pursuit of PBM legislation and regulation." [PCMA v. Mulready, No. 22-6074 (10th Cir. Aug. 15, 2023; cert pet. denied Jun. 30, 2025, No. 23-1213]
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| 4. |
Keenan & Associates
July 2, 2025
"Even if buyers carefully review the seller's health and welfare benefits, often they do less analysis to understand the impact of the transaction on their own benefit plans.... This checklist is designed to help an employer think about health and welfare plan issues that need to be considered, preferably well in advance, when a merger or acquisition is likely to take place."
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| 5. |
Keenan & Associates
July 1, 2025
"Employers were previously required to revise their HIPAA policies, procedures, and training materials as of Dec. 22, 2024, to account for the new category of prohibited use or disclosure of Protected Health Information. Those changes should now be undone, reverting to the pre-2024 requirements." [Purl v. HHS, No. 24-0228 (N.D. Tex. Jun. 18, 2025)]
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| 6. |
Keenan & Associates
May 13, 2025
"It remains to be seen whether Congress would pass legislation allowing HHS to negotiate pricing with manufacturers on behalf of the millions of group and individual health plans throughout the United States.... Continued expansion of drug importation could have a positive effect on cost reduction more widely.... [E]xpansion of biosimilars, expansion in 340(b) hospital programs and other reforms long championed by Rx reformers could lead to a broader impact on prescription drug pricing."
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| 7. |
Keenan & Associates
Apr. 13, 2025
"[F]ully insured health plans issued, amended, renewed or delivered on or after July 1, 2025 ... [will be required] to provide coverage without cost-sharing for emergency room medical care and follow-up health care treatment for an insured who is treated following a rape or sexual assault for the first nine months after the enrollee initiates treatment.... The law does not apply to self-funded plans."
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| 8. |
Keenan & Associates
Mar. 18, 2025
"On February 27, 2025, a group of more than 300 employers, insurance industry professionals, and others sent a letter to the majority and minority leaders in Congress, asking them to restore and make permanent the safe harbor. On the same day, a bipartisan bill was introduced in the House and the Senate (HR 1650 and S 763). The bill would make the telehealth exception permanent and would be effective for plans beginning on or after January 1, 2025."
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| 9. |
Keenan & Associates
Mar. 11, 2025
"Since the Final Rules regarding the Comparative Analysis requirement were issued in September of 2024, many plan sponsors have asked questions regarding compliance. This briefing addresses some of the most commonly asked questions."
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| 10. |
Keenan & Associates
Mar. 11, 2025
"[T]he bill's July 1, 2025 effective date remains unchanged.... Small group carriers have to offer to employers the option to cover infertility under this law. Small employers, however, don't have to provide coverage for infertility services.... The law's definition of 'infertility' ... encompasses both single people of either gender as well as same-sex couples."
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