Employee Benefits Compliance Resource Center
Our employee benefits compliance experts regularly examine state & federal insurance regulations to keep our clients from incurring costly fees or penalties. The Healthcare Reform Resource Center is a repository of insightful articles, videos and other content where HR & Finance professionals gain actionable information. Here, we also offer timely webinars & live events where you could meet our experts. Many of our events are accredited for both HRCI credits and SHRM PDCs.

08.27.2019 | Compliance Alert!

Deadline for Medicare Part D Notice of Creditable Coverage Nears​
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Resources

Find our archived compliance alerts below as well as current compliance policy from the past 6 months.

U.S. Policy

Washington, D.C. Issues Information Reporting Guidance on Its Individual Mandate Law
08.09.2019 — The law generally requires employers that covered at least 50 full-time employees, including at least one employee who was a D.C. resident, to file returns with the city.
D.C. Individual Mandate Guidance »

In The News

Here are the Democrats’ Three Key Disputes About Medicare for All
07.31.2019 — During the Democratic presidential debate, the party’s moderates worked to undermine the liberals’ plan for a national health insurance system.
Washington Post »

Compliance Alert

IRS Lowers ACA Affordability Percentage for 2020; Applies New Method for Determining Annual Percentage Adjustment

07.29.2019
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Compliance Alert

IRS Allows New Expenses for Chronic Conditions to be Treated as Preventive Care​​
07.22.2019
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In The News

House Passes Bill to Repeal the Cadillac Tax 07.17.2019 — The U.S. House of Representatives approved the “Middle Class Health Benefits Tax Repeal Act of 2019,” which would fully repeal the “Cadillac Tax.” The strong bipartisan vote of 419 to 6 underscores both the importance and urgency of full repeal.
Washington Post »
Read the Bill here.

U.S. Policy

IRS Expands Preventive Care Benefits List for HSA Participants
07.17.2019 — The Internal Revenue Service has added care for a range of chronic conditions to the list of preventive care benefits that may be provided by a high deductible health plan (HDHP). Notice 2019-45 (PDF), posted on IRS.gov, lists the new types of medical care that may be treated as preventive care for this purpose.
IRS.gov »

U.S. Policy

Trump Administration Issues Executive Order on Healthcare Price Transparency
06.25.2019 — The Executive Order instructs the DOL, HHS and Treasury to issue guidance on surprise medical bills, high-deductible health plans, health savings accounts, and expenses related to direct primary care arrangements and healthcare sharing ministries. Health Affairs »

Compliance Alert

Agencies Issue Final Regulation Expanding HRA Uses and Availability​
06.18.2019
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In The News

HHS Announces New Plan for Safe Rx Importation
07.31.2019 — The HHS and FDA are publishing a Safe Importation Action Plan laying the foundation for the safe importation of certain prescription drugs.
HHS Press Release »
Safe Importation Action Plan » (.pdf)

In The News

Medicare for All Tax Impact Gets Attention at Democratic Debate
07.30.2019 — One particular aspect of Bernie Sanders’ Medicare for All plan got special scrutiny: whether candidates would raise taxes and whether families’ total healthcare bills would go up. 
NPR Health »

Compliance Alert

New Jersey Issues Guidance on its Individual Mandate Reporting Requirements; Extends Reporting Deadline​

07.29.2019
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U.S. Policy

Three Updates on State Individual Mandate Healthcare Laws:
07.19.2019 New Jersey Issues Guidance on Individual Mandate Reporting Rules/Requirements
NJ.gov »

07.12.2019  Rhode Island Passes Requirement for Residents to Have Health Insurance
Taxnews.ey.com »

06.27.2019  California Legislature Passes Health Insurance Individual Mandate Penalty
ca.gov »
Californiaglobe.com »

In The News

Injunction Against Contraceptive Regulation Upheld
07.16.2019 — On July 12th the Third Circuit Court of Appeals upheld a preliminary nationwide injunction against two rules to dramatically expand exemptions to the ACA’s contraceptive mandate based on religious or moral objections.
Health Affairs »
Read the Court’s decision here.

U.S. Policy

Trump Administration Issues Executive Order on Healthcare Price Transparency
06.25.2019 — The Executive Order instructs the DOL, HHS and Treasury to issue guidance on surprise medical bills, high-deductible health plans, health savings accounts, and expenses related to direct primary care arrangements and healthcare sharing ministries. Health Affairs »

U.S. Policy

Court Issues New Nationwide Injunction On Contraceptive Mandate
06.13.2019 — When considered in light of other recent court decisions, the injunction increases ambiguity about how employers with religious objections to birth control would comply with the ACA Contraceptive Coverage Mandate.
Health Affairs »
ACA Summary Judgment »

Compliance Alert

Reminder: Seventh Year of PCOR Fees Due July 31, 2019​
06.06.2019
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In The News

Trump Administration Plans to Allow Some Imported Rx Drugs from Canada
07.31.2019 — The administration is outlining two possible ways certain drugs that were intended for foreign markets could be imported to the U.S.
NPR Health »

In The News

Proposed Regulation Would Require Hospitals to Publish Rates Negotiated with Insurers 07.29.2019 — The Centers for Medicare & Medicaid Services (CMS) proposed new regulations designed to improve healthcare price and quality transparency. 
CMS News Release »
Proposed Regulation »

U.S. Policy

IRS Lowers ACA Affordability Percentage for 2020
07.25.2019 — Employer-sponsored health coverage will satisfy the ACA’s affordability requirement if the lowest-cost, self-only coverage option available to employees does not exceed 9.78% of household income.
SHRM »
IRS Revenue Procedure »

In The News

AARP Foundation Sues Yale University Over Employee Wellness Program
07.17.2019 — The class action suit alleges that the program, which involves workers undergoing certain medical examinations and divulging health info in lieu of a weekly fine, is a violation of the American with Genetic Information Nondiscrimination Act.
Yale’s Wellness Program Plan Guide »
The Complaint »
Med City News »

In The News

House is Set to Vote on Healthcare Cadillac Tax Repeal
07.15.2019 — On Wednesday, July 17, 2019, the House plans to vote on legislation that would roll back the Affordable Care Act’s Cadillac tax. The 40% surcharge tax applies to certain high-cost employer healthcare plans.
Roll Call »

Compliance Alert

Agencies Directed to Issue Rules on Healthcare Price and Quality Transparency​​
07.01.2019
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U.S. Policy

Final Rule on HRAs Could Shake Up Markets
06.20.2019 — A new rule that expands the use of health reimbursement arrangements (HRAs) changes the health insurance landscape with potential implications for employers, insurers and patients.
Health Affairs »
Final Rule »

U.S. Policy

An Examination of the Current Status of State Individual Mandate Laws
06.13.2019 — Brookings Institution takes a closer look at each of the laws in the jurisdictions that have enacted them: New Jersey, Vermont, Washington, D.C. and Massachusetts.
Center for Health Policy at Brookings »

Compliance Alert

IRS Issues 2020 HSA Limits
05.30.2019
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