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 the RxDC Reporting Mandate, 2023 Fee Guidance for the Federal IRD Process, the Consolidated Appropriations Act of 2023 and more.
Just in the Nick of Time – Good Faith Relief for RxDC Reporting | Learn More
The RxDC Reporting mandate requires group health plans and group health insurers to submit prescription drug and health care spending reports to the Departments on an annual basis. The first report reflecting the 2020 and 2021 reference (calendar) years was initially due on December 27, 2022.
Amendments to 2023 Fee Guidance for Federal IDR Process Under the No Surprises Act | Learn More
The Departments have amended previously issued 2023 guidance and have increased the administrative fee related to the Federal independent dispute resolution (IDR) process from $50 to $350.
Consolidated Appropriations Act of 2023 (the Act) | Learn More
On December 29, 2022, President Biden signed H.R. 2717, the Consolidated Appropriations Act of 2023 (the Act).
Nicotine Surcharge Class Actions | Learn More
Two class action cases, one in the U.S District Court for the Central District of California case, Platt v. Sodexo, S.A. and Sodexo, Inc., and the other, a U.S. District Court for the Western District of Missouri case, Williams v. The Missouri Gaming Company, LLC, et al, relate to nicotine surcharges in employer health coverage. In recent years, nicotine surcharges have increased, however, in order to be legal, the surcharges need to comply with the terms of ERISA as applied to medical plans by the ACA.
2023 Mileage Rates | Learn More
New rates went into effect on January 1, 2023.
Vermont’s Voluntary Paid Family and Medical Leave | Learn More
Vermont joins New Hampshire in launching a voluntary paid family and medical leave program.
Illinois Consumer Disclosure Notice | Learn More
Under the Consumer Coverage Disclosure Act, employers employing individuals in the State of Illinois are to provide a health plan comparison to its employees of what benefits the employer’s plan provides compared to the essential health benefits as required by the State.