October

• 2025 Cost of Living Adjustments
• IRS Guidance Provides Helpful Clarification for HDHPs
• Annual Out-of-Pocket Maximum Announced for 2026
• Cybersecurity Guidance Applies to Health and Welfare Benefits
• Final 2024 ACA Reporting Instructions and Forms Issued

State & Local

• San Francisco HCSO Expenditures and Reporting Update for 2025
• Idaho PBM Law Takes Effect January 1, 2025
• Maine Releases Updated Proposed PFML Regulations
• Pennsylvania is the Most Recent State to Regulate PBMs

November

• Gag Clauses Attestation Due December 31, 2024
• FAQ 68 Addresses Preventive Care and Mastectomy Coverage

State & Local

• New Jersey Releases 2025 Disability and Family Leave Amounts

December

• Legislation Reduces Burden of Employer Reporting
• Certain ERISA Deadlines Extended Due to Hurricanes in Southeast
• New PCOR Fee Announced

State & Local

• California Bans Certain Restrictions for Insured Dental Plans
• Maine Issues Final PFML Regulations
• New York Issues Guidance on Paid Prenatal Leave
• New Texas Prescription Drug Information Requirement

July

• Updated: HHS Finalizes Expanded Section 1557 Nondiscrimination Rules
• Change Healthcare Data Breach HIPAA Considerations
• Supreme Court Overturns Chevron
• Frequently Asked Questions About Educational Assistance Programs

State & Local

• Rhode Island Expands Temporary Caregiver Insurance Benefits
  Washington
• 2025 Seattle Hotel Employees Ordinance Expenditure Rates

August

• 2025 Part D Changes and Employer Sponsored Group Health Plans
• HHS Penalties Increase for 2024
• Model Attestation for Reproductive PHI Released

State & Local

• Michigan 2025 Changes to Paid Leave

September

• Departments Issue Final MHPAEA Regulations
• 2024 MLR Rebate Checks to Be Issued Soon to Fully Insured Plans
• IRS Announces 2025 ACA Affordability Indexed Amount
• Telehealth Relief for HSAs Expiring

State & Local

• San Francisco HCSO Expenditures and Reporting Update for 2025
• Idaho PBM Law Takes Effect January 1, 2025
• Maine Releases Updated Proposed PFML Regulations
• Pennsylvania is the Most Recent State to Regulate PBMs

April

• Changes to Medicare Part D Creditable Coverage Determination
• Change on the Horizon for Prescription Drugs and EHBs
• Fixed Indemnity and STLDI Final Rule Leaves Key Issues Unanswered

May

• HHS Finalizes Expanded Section 1557 Nondiscrimination Rules
• 2025 Inflation Adjusted Amounts for HSAs, HDHPs, and EBHRAs
• Annual Out-of-Pocket Maximum Adjustments Announced for 2025
• Final HIPAA Rule to Strengthen Reproductive Health Care Privacy
• IRS Addresses Tax Treatment of Work-Life Referral Services

• Maryland's Paid Family and Medical Leave Delayed Again
• Maine Publishes Proposed PFML Regulations
• New York Provides Paid Prenatal Leave and Sunsets COVID-19 Sick Leave

June

• DOL Continues Pursuit of Carriers Over Denied Life Insurance Claims
• 2024 PCOR Fee Filing Reminder for Self-Insured Plans
• Updated Instructions for Gag Clause Attestations

State & Local

• Connecticut Significantly Expands Paid Sick Leave Law
• Kentucky Legislation Regulates PBM Pricing and Provider Networks
• Updated Guidance on Minnesota’s Paid Leave LawNew Mexico to Continue COVID-19 Coverage After Emergency Ends

• Guidance Issued on Contraception Coverage Mandate
• 2024 Federal Poverty Guidelines Announced
• DOL Penalties Increase for 2024
• Medicare Part D CMS Notification Reminder
• FDA Clears Way for Florida's State Programs to Import Drugs
• State Health Coverage Reporting Requirements for CY 2023

No State or Local Updates this month.

Back to Top

• Pharmacy Costs Under Scrutiny in Recent Litigation
• Reminder — Deadline for 2023 Forms 1095-C is March 1, 2024
• 2023 RxDC Reporting Instructions Released

• Oregon - Paid Leave Oregon Updates

• IRS Addresses Nutrition, Wellness, and General Health Expenses
• New Attention on IVF Benefits
• What Does the Johnson & Johnson Lawsuit Mean for USI Clients

• Reminder: San Francisco HCSO Reporting Due May 3, 2024
• Massachusetts Releases 2025 MCC Amounts
• Pennsylvania Aligns Dependent Care Benefits with Federal Tax Rules