October

• Fertility Services as Excepted Benefits
• Gag Clause Attestation Due December 31, 2025
• Immunization Schedule Updated by the CDC
• 2026 Cost of Living Adjustments

State & Local

• California Enacts PBM Reform Law
• California Redefines Approach to Preventive Care Standards
• Illinois PBM Law Takes Effect January 1, 2026
• Illinois Mandates Fertility Benefits and Dependent Coverage for Parents
• Massachusetts HIRD Reporting Due December 15, 2025
• Massachusetts Paid Family Leave 2026 Contributions and Benefits
• New York Paid Family Leave 2026 Contributions and Benefits
• Texas’ Woman and Child Protection Act

November

• New PCOR Fee Announced
  Final 2025 ACA Reporting Instructions and Forms Issued

State & Local

• No state or local updates

December

• Initial Guidance on Employer Contributions to Trump Accounts
• Guidance on HSA Provisions in OBBBA

State & Local

• Delaware Amends Paid Family and Medical Leave Law Again
• Disability and Family Leave Amounts

July

• IRS Announces 2026 ACA Affordability Indexed Amount
• One Big Beautiful Bill Act Signed into Law
• HHS Revises Out-of-Pocket Maximum Limits for 2026
• Deal Reached to Simplify Prior Authorizations

State & Local

• California Delays Implementing Mandated Fertility Benefits
• North Carolina Enacts PBM Law
• Texas Legislature Extends Period for Newborn Enrollment
• New Texas Mandated Benefits for 2026

August

• Departments Extend Enforcement Relief for the No Surprises Act

State & Local

• San Francisco HCSO Expenditures and Reporting Update for 2026
• Connecticut Expands Leave to Certain School Employees
• Delaware Amends Paid Family and Medical Leave Law
• Washington Expands PFML Protections

September

• 2025 MLR Rebate Checks to Be Issued Soon to Fully Insured Plans

State & Local

• Washington State Expands EHBs Starting January 1, 2026

April

• New Executive Order Addresses Lowering Drug Prices
• Medicare Part D Creditable Coverage Determination Update

State & Local

• Another Delay for Maryland’s Paid Family and Medical Leave
• Massachusetts Enacts Enhanced PBM Law
• Virginia Implements Guidance for Excepted Benefits Policies
  
  

May

• House Passes Reconciliation Package
• Enforcement Relief Coming for MHPAEA Final Rule (Updated)
• 2025 Updates to Women's Preventive Services Guidelines
• Executive Order Targets Prescription Drug Pricing 
• 2026 Inflation Adjusted Amounts for HSAs, HDHPs, and EBHRAs
• 2024 RxDC Reporting Reminder

State & Local

• WA Cares Fund Update
• Reminder — Seattle Ancillary Hotel Business Health Expenditures

June

• Privacy Rule Addressing Reproductive Health Vacated
• Updated article – House Passes Reconciliation Package
• Proposed Changes to Machine-Readable File Requirement
• 2025 PCOR Fee Filing Reminder for Self-Insured Plans

State & Local

• Update on the End of Indiana’s 2025 Legislative Session
• New York City Issues Guidance for Prenatal Leave
• Texas Potentially Eases Premium Liability

January

• New NSA and Gag Clause Guidance Issued
• Update on the Johnson & Johnson ERISA Fiduciary Lawsuit
• DOL Penalties Increase for 2025
• IRS Issues Guidance on State PFML Tax Treatment
• 2025 Federal Poverty Guidelines Announced
• Medicare Part D CMS Notification Reminder
• Fixed Indemnity Notice Invalidated by District Court
• State Health Coverage Reporting Requirements for CY 2024

State & Local

• No state or local updates
  
  

February

• New Guidance Provides Additional Details on Reporting Relief
• Tobacco Surcharges Face Growing Scrutiny in Recent Lawsuits

State & Local

• Michigan Amends the Earned Sick Time Act and Minimum Wage
• Updated article: Minnesota Passes Paid Family and Medical Leave Law

March

• Key Considerations for Plan Sponsors in Proposed HHS Rule
• New Executive Order Addresses Price Transparency Rules

State & Local

• Alaska's New Paid Sick Leave Law
• Reminder: San Francisco HCSO Reporting Due May 2, 2025
• Massachusetts Releases 2026 MCC Limits
• Ohio Legislature Passes Madeline's Law Covering Hearing Instruments