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Congress Enacts Legislation to End Surprise Medical Billing


The “No Surprises” Act: Congress Enacts Legislation to End Surprise Medical Billing in Omnibus Year-End Spending Bill
Wednesday, February 24, 2021
The recently-enacted Consolidated Appropriations Act, 2021 includes the long-debated “No Surprises” Act (the “Act”), which addresses how providers are paid for certain out-of-network health care services, and removes patients from the middle of out-of-network reimbursement disputes.  The Act comprehensively addresses all types of commercial health plans by amending the Public Health Service Act (“PHSA”), the Employee Retirement Income Security Act of 1974 (“ERISA”), the Internal Revenue Code (“IRC”), and Federal Employees Health Benefits Program (“FEHBP”), each with substantially similar companion provisions.  These provisions, summarized in brief below, will be effective January 1, 2022.  Agency rules are expected to start rolling out in July 2021. ....

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SCOTUS Holds ERISA Does Not Preempt Arkansas PBM Law


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Supreme Court Holds that ERISA Does Not Preempt Arkansas PBM Law: The Impact on Employer Sponsored Group Health Plans
Thursday, December 31, 2020
In a recently decided case, 
Rutledge v. Pharmaceutical Care Management Association, the U.S. Supreme Court held that the Employee Retirement Income Security Act of 1974 (ERISA) does not preempt an Arkansas statute that regulates reimbursement levels paid by Pharmacy Benefit Managers (PBMs) to local pharmacies. The Court determined that the Arkansas law affected only the cost of prescription drugs, thus lacking the requisite connection to ERISA-covered plans to trigger preemption. The decision gives the green light for state-by-state regulations of PBM networks and payment practices. The impact of  ....

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A Guide to Pay and Benefits During a Shutdown


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A Guide to Pay and Benefits During a Shutdown
Although lawmakers ultimately expect to reach a deal on federal appropriations, failure to pass a bill before Friday’s deadline could lead to a short lapse in funding. Here s what feds need to know.
As of Wednesday, lawmakers and the White House had just two days to complete negotiations and pass an omnibus spending package to avert a government shutdown beginning Friday night.
If President Trump does not sign appropriations legislation or a continuing resolution, federal agencies would be forced to limit their activities or shut down entirely beginning Dec. 19. Although congressional leaders in both parties are confident they will reach a deal on agency funding and coronavirus relief, the longer negotiations persist, the more likely it will be that a short-term continuing resolution will be needed to ....

White House , District Of Columbia , United States , Vision Insurance Program , Health Benefits Program , Office Of Personnel Management , Civil Service Retirement System , President Trump , Personnel Management , Federal Employees Health Benefits Program , Federal Employees Dental , Federal Employees Retirement , Thrift Savings Plan , வெள்ளை வீடு , மாவட்டம் ஆஃப் கொலம்பியா , ஒன்றுபட்டது மாநிலங்களில் , பார்வை காப்பீடு ப்ரோக்ர்யாம் , ஆரோக்கியம் நன்மைகள் ப்ரோக்ர்யாம் , அலுவலகம் ஆஃப் பணியாளர்கள் மேலாண்மை , சிவில் சேவை ஓய்வு அமைப்பு , ப்ரெஸிடெஂட் துருப்பு , பணியாளர்கள் மேலாண்மை , கூட்டாட்சியின் ஊழியர்கள் ஆரோக்கியம் நன்மைகள் ப்ரோக்ர்யாம் , கூட்டாட்சியின் ஊழியர்கள் டெஂடல் , கூட்டாட்சியின் ஊழியர்கள் ஓய்வு , சிக்கனம் சேமிப்பு திட்டம் ,