Health Care Reform Dashboard

Health Care Reform Dashboard

Charting developments on the
Affordable Care Act

Grandfathered Plans

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02/27/2012

HHS Releases FAQs on Essential Health Benefits

On February 17, 2012, the U.S. Department of Health and Human Services (HHS) released a set of FAQs concerning the Essential Health Benefits Bulletin it issued on December 16, 2011. The FAQs offer new guidance and raise new questions about the scope of what is considered an essential health benefit (EHB) for purposes of applying … Continue Reading »
08/26/2011

HHS Provides Temporary Relief for Stand-Alone HRAs

Continuing the furious pace with which it has been issuing health care reform guidance, the U.S. Department of Health and Human Services (HHS) has indicated that all health reimbursement accounts (HRAs) that were in effect before September 23, 2010, are exempt from the Patient Protection and Affordable Care Act’s prohibition against annual limits for plan … Continue Reading »
03/22/2011

Government Extends Relief from Certain Claim and Appeal Rules

In a new technical release, the government agencies responsible for implementing various health care reform requirements (the U.S. Departments of Labor, the Treasury, and Health and Human Services) have extended the reprieve that they previously granted with respect to certain rules affecting health benefit claims and appeals. Last year, these agencies announced that they would … Continue Reading »
12/23/2010

Notice Announces Delay in Enforcement of Nondiscrimination Requirements for Insured Health Plans

Facing the application of new nondiscrimination rules imposed by national health care reform legislation, insured health plans have been granted a reprieve. According to IRS Notice 2011-1, the government agencies responsible for administering the health care reform law (U.S. Departments of Treasury, Labor, and Health and Human Services) have agreed to delay enforcement of the … Continue Reading »
11/16/2010

Treasury Department Changes Grandfathered Health Plan Regulations

The U.S. Department of the Treasury has revised its previously issued regulations on health plans that are “grandfathered” from certain health care reform requirements. Specifically, a group health plan does not lose its grandfathered status solely due to the issuance of a new health insurance policy, either as a renewal of an existing insurance policy … Continue Reading »
08/26/2010

Additional External Claims Review Guidance Provided for Self-Funded Group Health Plans

The U.S. Departments of Treasury, Labor, and Health and Human Services have released guidance on how employer-sponsored self-funded group health plans can satisfy the new external claims review requirements arising from the federal health care reform legislation. The new guidance, which supplements initial claims review guidance issued by the Departments on July 22, 2010, is … Continue Reading »
07/26/2010

New Regulations Address Claim and Appeal Processes under Health Care Reform

The recent health care reform legislation requires a group health plan to maintain an internal claim and appeal process that meets certain standards and to provide for an external appeal process. The U.S. Departments of Treasury, Labor, and Health and Human Services have jointly released regulations that address these subjects. Internal Claims and Appeals The … Continue Reading »
07/19/2010

New Regulations Address Preventive Services under Health Care Reform

The U.S. Departments of Treasury, Labor, and Health and Human Services have jointly released regulations that address the preventive health care requirements established by the recent health care reform legislation. The regulations apply to plan years beginning on and after September 23, 2010. For calendar year plans, the rules take effect January 1, 2011. The … Continue Reading »
06/23/2010

New Regulations Address Assorted Health Care Reform Topics

The U.S. Departments of Treasury, Labor, and Health and Human Services have jointly released regulations that address several requirements established by the recent health care reform legislation. Most of the changes addressed by the regulations apply to plan years beginning on and after September 23, 2010. For calendar year plans, the rules take effect January … Continue Reading »
06/14/2010

IRS, HHS, and DOL Release Grandfathered Health Plan Regulations

The wait is over for the estimated 2.2 million health plans hoping to qualify for grandfathered health plan status under the recently enacted health care reform legislation. Today, the three primary agencies charged with regulating and enforcing the federal government’s health care reform effort (Department of Treasury, Department of Health and Human Services, and Department … Continue Reading »
04/12/2010

Health Care Reform Briefing: Cutting Through the Confusion

The newly enacted health care reform bill has fueled numerous questions by employers seeking direction on arguably the most important workplace decisions they will make in the next few years. Employers need to understand the issues and recognize the decision points and their ramifications. Jean C. Hemphill and Brian M. Pinheiro have identified frequently asked … Continue Reading »
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