The U.S. Department of Treasury (“Treasury Department”) published the much anticipated final rule implementing the employer shared responsibility (“employer mandate”) provisions under the Affordable Care Act (“ACA”) on February 12, 2014. According to a press release issued by the Treasury Department, the final rule “make[s] a number of commonsense improvements in […]
On Friday, January 3, 2014, the U.S. Solicitor General filed a memorandum in opposition to the emergency application for an injunction temporarily granted by the U.S. Supreme Court on December 31, 2013. The injunction temporarily enjoined the government from enforcing the contraceptive coverage requirements imposed by the Affordable Care Act (ACA) and its related […]
The U.S. Supreme Court (SCOTUS) agreed to review provisions within the Affordable Care Act (ACA) by granting petitions for writs of certiorari yesterday, November 26, 2013. Specifically, SCOTUS will review the provisions that require large employers to offer insurance coverage for birth control and other reproductive health services.
On November 14, 2013, President Obama announced a plan that would enable certain Americans with health coverage to keep their existing coverage for an additional year even if their existing coverage fails to meet the minimum standards established under the Affordable Care Act (“ACA”).
As we reported earlier this week, the U.S. Department of Health & Human Services (“HHS”) recently issued a letter concluding that HHS “does not consider [Qualified Health Plans (QHPs)], other programs related to the Federally-facilitated Marketplace, and other programs under Title I of the Affordable Care Act to be federal […]
HHS: Qualified Health Plans are NOT “Federal Health Care Programs” – Implications for Anti-Kickback, CMP, and Exclusion Analyses
In an October 30, 2013, letter to Representative Jim McDermott (D-WA), U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius, stated that HHS “does not consider [Qualified Health Plans (QHPs)], other programs related to the Federally-facilitated Marketplace, and other programs under Title I of the Affordable Care Act to […]
As President Obama responds to healthcare.gov’s glitches, many states continue to debate whether to expand the Medicaid program in their respective states. The Supreme Court’s decision on the Affordable Care Act (“ACA”) allows states to opt out of the ACA’s Medicaid expansion provisions. Many states have stated their Medicaid expansion plans definitively; however, not all […]
The Secretary of the U.S. Department of Health and Human Services (HHS), Kathleen Sebelius, recently announced partnerships with pharmacies to increase enrollment in the Health Insurance Marketplace, which is scheduled to open for enrollment on October 1, 2013. According to the announcement, these pharmacies will “take an active role in outreach and education to […]