D. Finn Pressly

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As class action attorneys continue to target wellness programs and tobacco user surcharges, plan sponsors must be mindful of the complex rules governing these common plan features. Ballard Spahr employee benefits attorneys Finn Pressly and Uchenna Osagiede will break down what employer-sponsored medical plans need to know about these programs and will provide practical steps to help ensure compliance.… Continue Reading

A federal district court in Texas has invalidated and enjoined actions by federal agencies on and after March 23, 2010—when the Affordable Care Act (ACA) was enacted—to implement the ACA requirement that health plans and insurance policies cover the full cost of in-network preventive care that carries an A or B rating by the USPSTF.… Continue Reading

On January 30, 2023, the Biden Administration said that it will end COVID-19 emergency declarations on May 11, 2023.  The federal government has been paying for COVID-19 vaccines, some tests, and certain treatments under the public health emergency declaration. Many of those costs now will be transferred to private insurance and government health plans.… Continue Reading

The Consolidated Appropriations Act, 2021, (CAA) and transparency regulations introduced major changes to health benefit plans. These changes continue to evolve with some requirements just now taking effect.

The Upshot

  • Health plan sponsors need to comply with new requirements for reporting on prescription drug and other health care expenditures, although they have been given a very short reprieve.
… Continue Reading

In a new set of Frequently Asked Questions, the U.S. Departments of Labor, Health and Human Services, and the Treasury provide significant relief to health plan sponsors and insurers seeking to report on expenditures for prescription drugs and other health care items and services in compliance with the Consolidated Appropriations Act, 2021.… Continue Reading