McDermott Will & Schulte
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Treasury, DOL and HHS Issue Landmark Mental Health Parity Proposed Rule
By Sarah Raaii, Jacob Mattinson and McDermott Will & Schulte on Aug 8, 2023
Posted In Employee Benefits, Health and Welfare Plans, Mental Health Parity and Addiction Equity Act
The US Departments of the Treasury, Labor, and Health and Human Services (the Departments) recently issued much-anticipated proposed regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA) to better ensure that health plans allow access to mental health or substance use disorder benefits as easily as medical or surgical benefits. The proposed regulations...
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Agencies Issue FAQs on Surprise Billing and Cost-Sharing Rules Coordination
By McDermott Will & Schulte on Jul 25, 2023
Posted In Employee Benefits, Health and Welfare Plans
A recent article by the Kaiser Family Foundation (KFF) and National Public Radio (NPR) raised the prospect that patients may still see surprise medical bills despite the enactment of the No Surprises Act (NSA). The article, entitled A Surprise-Billing Law Loophole? Her Pregnancy Led to a Six-Figure Hospital Bill, reports the story of a woman...
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IRS Clarifies Status of Fixed-Indemnity Health Plans Claiming Big Tax Savings
By McDermott Will & Schulte on Jul 20, 2023
Posted In Employee Benefits, Health and Welfare Plans
A recent Internal Revenue Service (IRS) memorandum addresses the tax status of certain fixed-indemnity health plans that promise employers major payroll tax savings. In this American Staffing Association article, Alden J. Bianchi summarizes the memorandum and outlines what employers need to know. Read the article.
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Fixing the ACA’s Family Glitch
By Teal Trujillo and McDermott Will & Schulte on Jul 13, 2023
Posted In Employee Benefits, Health and Welfare Plans
The “family glitch” was a regulatory oddity of the Affordable Care Act (ACA). It required the affordability of an employer-sponsored health plan to be determined based solely on the cost of the plan to an individual employee, disregarding the costs to add family members to a plan. This resulted in many families being ineligible for...
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HIPAA Compliance 101: Lessons from a Recent OCR Settlement
By McDermott Will & Schulte on Jul 10, 2023
Posted In Employee Benefits, Health and Welfare Plans
The US Department of Health and Human Services Office for Civil Rights (OCR) recently announced a settlement with a community hospital resolving an investigation under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules. While the settlement involved a medical provider, it offers some important lessons for other HIPAA-covered entities,...
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SECURE 2.0 Act and the Future of the Employee Plans Compliance Resolution System
By Sarah L. Engle and McDermott Will & Schulte on Jul 6, 2023
Posted In Employee Benefits, Retirement Plans, SECURE 2.0 Act
The Internal Revenue Service’s (IRS) Employee Plans Compliance Resolution System (EPCRS) allows employers to correct errors involving the maintenance and operation of tax-qualified retirement plans. The correction programs and options that make up EPCRS have, until now, been established exclusively in a series of IRS notices and revenue procedures dating back more than 30 years....
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Buyer Beware: The Newest Wave of Hospital/Fixed Indemnity Programs Promising Payroll Tax Savings
By McDermott Will & Schulte on May 31, 2023
Posted In Employee Benefits, Health and Welfare Plans
For decades, promoters have marketed programs to employers seeking to leverage the favorable tax treatment accorded employer-provided medical benefits. These programs are variously described as “wellness” or “preventive services” arrangements, and they are usually wrapped in or offered with hospital indemnity policies. While varying in their design features and terminology, these programs all hold out...
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From Clinic to Courtroom: Legislation and Litigation Limiting Prescription Practices
By McDermott Will & Schulte on May 10, 2023
Posted In Employee Benefits, Health and Welfare Plans
On April 20, 2023, McDermott’s Alden Bianchi was a speaker at the ERISA Industry Committee’s 2023 Annual Spring Policy Conference, which was held at the National Press Club in Washington, D.C. The panel in which he participated was entitled “From Clinic to Courtroom – Legislation and Litigation Limiting Prescription Practices,” and it covered three main...
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Proposed Universal Contraceptive Coverage in Response to Roe Reversal
By Sarah Raaii and McDermott Will & Schulte on Feb 14, 2023
Posted In Employee Benefits, Health and Welfare Plans
The US Departments of Health and Human Services, Labor and Treasury (the Departments) recently issued a proposed rule to eliminate a moral exemption to the Affordable Care Act (ACA) contraceptive mandate and establish an “individual contraceptive arrangement” to permit individuals to obtain contraceptive services at no cost in instances in which their employer does not offer...
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No Surprises Act and Three Takeaways on Surprise Billing
By Sarah Raaii and McDermott Will & Schulte on Feb 8, 2023
Posted In Employee Benefits, Health and Welfare Plans
The No Surprises Act (NSA) provides federal protections against surprise billing with respect to emergency services, non-emergency items or services furnished by out-of-network providers at certain in-network healthcare facilities, and air ambulance services furnished by out-of-network providers of air ambulance services. The NSA also establishes that certain federal agencies publish information quarterly about the Federal...
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