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On June 28, 2024, in a 6-3 decision, the Supreme Court overturned Chevron v. Natural Resources Defense Council ('Chevron'),1 the most-cited case in administrative law. Chevron established a framework for [...]

On May 13, 2024, the Eleventh Circuit Court of Appeals held that certain federal non-discrimination protections apply to transgender individuals in the group health plan (insured and self-insured) context. In [...]

On May 9, 2024, the Biden Administration continued its push to update and modernize federal nondiscrimination protections by publishing revised regulations (the 'Final Rule') that amend the Department of Health [...]

On May 6, 2024, the Department of Health and Human Services ('HHS') Office for Civil Rights ('OCR') and the Centers for Medicare and Medicaid Services ('CMS') published the long-awaited Nondiscrimination [...]

CMS published the Calendar Year ('CY') 2024 Medicare Advantage ('MA') Capitation Rates and Part C and Part D Payment Policies ('Rate Announcement') on March 31 and, five days later, issued [...]

More than four years after it was proposed, on February 1, 2023 the Centers for Medicare & Medicaid Services ('CMS') published the long-awaited risk adjustment data validation ('RADV') Final Rule [...]

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In December 2021, the Centers for Medicare [...]

On April 29, 2022, the Centers for Medicare and Medicaid Services ('CMS'), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare [...]

President Biden issued Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (Executive Order) on inauguration day in 2021, signalizing the Administration's intent to [...]

On January 25, the U.S. Department of Labor (DOL), Department of Health and Human Services (HHS), and the Treasury (collectively the Tri-Agencies) published the first annual report on group health [...]

On January 10, 2022, the U.S. Department of Health & Human Services, Department of Labor, and the Treasury ('Tri-Agencies') published guidance about how health plans and health insurance issuers must [...]

On January 6, 2022, the Centers for Medicare and Medicaid Services ('CMS') issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare [...]

Today HHS published the Notice of Benefit and Payment Parameters for 2023 proposed rule in the Federal Register. The annual rulemaking details changes to qualified health plans ('QHPs'), QHP issuers, [...]

Six months ago, we cautioned health plans and plan sponsors that states, the federal government, and private litigants were laser focused on Mental Health Parity and Addiction Equity Act ('MHPAEA') [...]

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, [...]

On May 13, 2021, MITRE Corporation, a non-profit that provides engineering and technical guidance for the federal government, published a long-awaited report proposing a National Strategy for Digital Health (the [...]

The Biden Administration used the annual rulemaking that governs health plans sold on the Affordable Care Act's exchanges to lower health care costs for consumers and improve access to health [...]

State and federal regulators, Congress, and the plaintiffs' bar are increasingly focused on compliance with the Mental Health Parity and Addiction Equity Act (MHPEA), particularly given the opioid epidemic and [...]