As businesses are increasingly focused on reopening and rebuilding, it’s important to also stay on top of non-COVID-related regulatory and legislative matters to ensure continued compliance. This update covers issues involving COVID testing updates, health care transparency, service provider fee disclosures and more.
Insured and self-funded plans must cover up to 8 at-home COVID tests per insured, per month. Health plans must cover colorectal cancer screenings starting at age 50 without cost sharing.
The CMS has released an FAQ document regarding the No Surprises Act (1) Independent Dispute Resolution Process and (2) Model Standard Notice and Consent requirement.
Although enforcement is delayed until December 2022, plans should engage TPAs and PBMs to complete the required prescription drug and expense reporting.
The DOL will not issue further regulations at this time, but will look for good faith, reasonable compliance efforts.
Individuals cannot cash out unused qualified transportation amounts, even if needs change.
The amount of sick leave that must be provided in the state of New York is based on employer size.
The Earned Safe and Sick Time Act has been expanded in New York City to allow employees to accompany and care for a child receiving the vaccine.
Employers beware; you must post a notice informing employees of available paid sick leave in Allegheny County, Pennsylvania.
Employers should talk to their tax and legal advisors in deciding whether or not to initiate withholding a payroll tax to fund long-term care.