Recent News and Publications

ACA Pathways: California Expands Definition of Domestic Partner to Include Opposite Sex Partners

On July 30, 2019, Gov. Newsome signed into law SB 30, amending the California Family Code (Family Code) to extend domestic partnership benefits, rights, and privileges, to all registered opposite sex domestic partners. Read more

ACA Pathways: 2020 "Play or Pay" Affordability Percentage Released

On July 24, 2019, the Internal Revenue Service (IRS) has released Revenue Procedure 2019-29, announcing that the affordability percentage for 2020 plan years has decreased slightly to 9.78% from 9.86% in 2019. Read more

ACA Pathways: IRS Expands List of Preventive Care Services Under HSA Qualifying High Deductible Health Plans

On July 17, 2019, the Internal Revenue Service (IRS) issued Notice 2019-43, expanding the list of preventive care to include a range of chronic conditions that are now permitted to be provided by a high deductible health plan (HDHP) under Internal Revenue Code (Code) section 223 without a deductible, or with a deductible below the applicable minimum deductible (self-only or family) for an HDHP. Read more

ACA Pathways: California Gets Set To Institute Individual Mandate

July 02, 2019 – The California state legislature has voted to institute a requirement for individuals to have health insurance, or pay a penalty. The bill has been presented to, and approved by, the Governor. This penalty, which had been a key component to the federal Affordable Care Act (ACA), was reduced to zero effective January 1, 2019 as part of the Tax Cut and Jobs Act of 2017. Read more

ACA Pathways: Attention Self-Insured Plan Sponsors: PCORI Fee Payment Deadline Fast Approaching

June 21, 2019 – The Affordable Care Act (ACA) contains several temporary annual fees and payments that apply to group health plans and insurers. One such fee, the annual Patient-Centered Outcomes Research Institute (PCORI) Fee is due by July 31, 2019. Read more

ACA Pathways: Regulations Establishing Two New HRAS Finalized

June 18, 2019 – New rules released by the Departments of Labor, Health and Human Services, and the Treasury (collectively, the Departments) will permit employers to offer two new types of health reimbursement accounts (HRAs), an "Individual Coverage HRA" and an "Excepted Benefits HRA," beginning January 1, 2020, as long as certain requirements are satisfied. Read more

ACA Pathways: HHS Issues Proposed Rule on ACA Section 1557 Nondiscrimination Rules

June 12, 2019 – The Department of Health and Human Services (HHS) recently issued a proposed rule to revise the Section 1557 nondiscrimination regulations under the Affordable Care Act (ACA) that were issued back in May 2016 (Final Rule). Read more

ACA Pathways: 2020 Out of Pocket Max Cost Sharing Limits Announced

April 23, 2019 – On April 19, 2019, the Department of Health and Human Services (HHS) released its final Notice of Benefit and Payment Parameters for 2020. This rule describes benefit and payment parameters under the Affordable Care Act (ACA) that apply for the 2020 benefit year. Read more

ACA Pathways: DOL Publishes Q&A Regarding Court Decision Striking Down Association Health Plan Rules

April 03, 2019 – The Department of Labor (DOL) published a series of questions and answers (Q&As) intended to address questions that may arise in relation to last week's decision by the District Court to invalidate parts of the Trump administration's 2018 final rule on association health plans. On March 28, 2019, a federal judge ruled that parts of this rule were invalid..... Read more

ACA Pathways: Trump Administration Backs Total ACA Repeal, CMS Releases 2019 Exchange Enrollment Statistics, Grandmothered Plans Extended - Again

March 26, 2019 – On March 25, 2019, the Trump Administration lent its weight in favor a December 2018 Texas District Court ruling currently being appealed that would invalidate the Affordable Care Act (ACA), by filing a brief with the 5th Circuit federal appeals court in New Orleans indicating that it backed full repeal of the ACA, not just portions of the law..... Read more

ACA Pathways: Texas District Court Rules ACA Unconstitutional

November 30, 2018 – The U.S. District Court for the Northern District of Texas issued a ruling that has sent shockwaves across the country when it sided with Republican governors from the State of Texas and 19 other states that sued the federal government challenging the constitutionality of the Affordable Care Act (ACA).... Read more

ACA Pathways: IRS Delays Deadline for Furnishing Forms 1095- B&C to Employees

November 30, 2018 – The IRS has released Notice 2018-94, extending the due date for insurers, self-insured employers, other providers of minimum essential coverage and employers with 50 or more full-time equivalent employees... Read more

ACA Pathways: Rule Proposed to Expand the Use of HRAs

October 31, 2018 – The Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) recently issued a proposed rule that would expand the usability of health reimbursement arrangements (HRAs). Read more

ACA Pathways: Employer Reporting Finalized

October 19, 2018 – The Internal Revenue Service (IRS) has released final 2018 forms for reporting under Internal Revenue Code (Code) Sections 6055 and 6056. Final instructions for 2018 were also released. Read more

ACA Pathways: Attention Plan Sponsors of Fully Insured Health Plans: How To Handle MLR Rebates

September 05, 2018 – The Affordable Care Act (ACA) established medical loss ratio (MLR) rules to help control health care coverage costs and ensure that enrollees receive value for their premium dollars. Read more

ACA Pathways: 2018 ACA Employer Reporting Draft Forms Released

July 26, 2018 – The Internal Revenue Service (IRS) has released draft 2018 forms for reporting under Internal Revenue Code (Code) Sections 6055 and 6056. The draft 2018 forms are substantially similar to the final 2017 versions. Read more


The complete archive of our ACA news and publications. More

Resources

HealthCare.gov
www.healthcare.gov

Department of Labor
ACA Implementation FAQ's

Kaiser Family Foundation
www.kff.org
HCR Interactive Timeline

National Association of Health Underwriters
www.nahu.org

SHRM’s HCR Resource Page
www.SHRM.org
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