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Where Do We Stand with Health Care?

Jackson Lewis P.C.·

The American Heath Care Act was designed to provide health care reform and to replace former President Obama’s Affordable Care Act (the “ACA”). However, the House of Representatives, under President Trump’s direction, cancelled its vote in late March because of lack of overall support from Republica

WPI Insider Briefing: Spotlight on Health Care and Regulatory Reform Under the Trump Administration

Littler·

On February 28, 2017, President Trump delivered his first address to a joint session of Congress, outlining a broad vision of his agenda. The Trump administration is widely expected to chart a dramatically different course on workplace policy from that of the prior administration. Coming less than s

Introducing the American Health Care Act! Wait! ... Not so fast!

Jackson Lewis P.C.·

The House Ways and Means Committee and the Energy and Commerce Committee (the two congressional committees having primary responsibility for health care legislation) released draft legislation for repealing and replacing aspects of the Obama administration’s 2010 health care reform law on March 6, 2

IRS to Process Tax Returns That Lack Certification of ACA-Required Coverage

Jackson Lewis P.C.·

In the wake of the President’s January 20, 2017 Executive Order directing a reduction in regulatory burdens imposed by the Affordable Care Act (ACA), the IRS has quietly announced that it will continue to process income tax returns lacking confirmation that the taxpayer has maintained ACA-required h

HHS Expresses Interest in Pre-Existing Condition Exclusions

Littler·

In proposed regulations published on February 17, 2017, the U.S. Department of Health and Human Services (HHS) has suggested several adjustments designed to help stabilize the individual health insurance market – particularly for coverage offered through the health insurance exchanges, often referre

ACA Replacement Bills Encounter Beltway Traffic

Jackson Lewis P.C.·

Since its enactment in 2010, Republicans in Congress have made numerous attempts to repeal the Affordable Care Act ("ACA"), with little success beyond modest tweaks that garnered bipartisan support (such as delaying the "Cadillac Tax"). With Republicans in control of both houses of Congress and the

President Trump Signs Executive Order on Affordable Care Act

FordHarrison·

Executive Summary: On Friday January 20, 2017, President Trump signed an executive order titled “Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal.” The Order directs the Secretary of Health and Human Services (HHS) and the heads of all other executive d

Affordable Care Act is Target of Trump Executive Order on Inauguration Day

Jackson Lewis P.C.·

In one of his first actions in office, President Donald Trump signed an Executive Order to “Minimize the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal.” In a few short paragraphs, President Trump has given a very broad directive to federal agency heads, including t

New Administration Orders Freeze of Pending Regulations, Takes Aim at the Affordable Care Act

Littler·

One of the first acts of the new Administration on Inauguration Day was to issue a memorandum putting the brakes—at least temporarily—on federal regulations that have not yet taken effect, and to release an executive order authorizing agencies and departments to "minimize the unwarranted economic an

Federal Court Enjoins Health and Human Services Department from Enforcing ACA Protections for Transgender Individuals

Jackson Lewis P.C.·

The Obama Administration was dealt a blow in its efforts to expand legal protections for transgender individuals relating to the receipt of health care services and health insurance under the Patient Protection and Affordable Care Act (“ACA”). Judge Reed O’Connor of the Northern District of Texas ha

January 1st is Quickly Approaching – Have you Reviewed your Health Plan for Section 1557 Compliance?

Jackson Lewis P.C.·

Earlier this year the U.S. Department of Health and Human Services (“HHS”) finalized regulations that implement Section 1557 of the Affordable Care Act (“Section 1557”). You can read our prior discussions of these regulations in our blog post and newsletter article.

Are You Down With O.O.P.s?: Opt-Out Payments Under the Affordable Care Act

Jackson Lewis P.C.·

In Notice 2015-87, the IRS addressed the impact of employer opt-out payments — payments made to employees who decline enrollment in an employer’s group health plan — on affordability for ACA purposes. Employers who do not offer group health coverage that is affordable as defined under the ACA risk s

Affordable Care Act Mid-Year Checkup: Count Your Contingent Workers

Jackson Lewis P.C.·

The ACA requires “applicable large employers” (those with 50 or more employees) to offer health coverage meeting affordability and other standards to their full-time employees. Failing to offer minimum essential coverage to at least 95% of full-time employees, or offering coverage that is not “affor

Final Rule Issued on ACA’s Non-Discrimination Provision for Federally Funded Programs

Jackson Lewis P.C.·

Section 1557 of the Affordable Care Act (“ACA”), in effect since 2010, prohibits discrimination in any federally funded health program on the basis of race, national origin, sex, age, or disability. The Department of Health and Human Services (“HHS”), through the Office of Civil Rights, has been enf

HHS Final Rule Finds Categorical Exclusions for Health Services Related to Gender Transition Are Generally Unlawful

Littler·

The U.S. Department of Health and Human Services (HHS) recently published its Final Rule1 implementing Section 1557 of the Affordable Care Act (ACA), which prohibits discrimination on the basis of, among other grounds, sex in certain health programs and activities. According to HHS’s press release,

Healthcare Subsidies for Grad Students: An ACA Conundrum

Jackson Lewis P.C.·

Colleges and universities historically have provided graduate student employees (e.g., teaching assistants) with a stipend or reimbursement to help defray (or even fully cover) the cost of their medical coverage under the student health plan. Competing guidance from the Departments of Health and Hum

Supreme Court Returns Affordable Care Act Contraceptive-Coverage Cases to Lower Courts

Jackson Lewis P.C.·

The U.S. Supreme Court has unanimously remanded a consolidated appeal of seven cases addressing the contraceptive-coverage “accommodation” for religious organizations under the Affordable Care Act (ACA) to the Courts of Appeals. Zubik v. Burwell, No. 14-1418 (May 16, 2016).

Supreme Court Decides Not to Decide on Latest Challenge to ACA Contraceptive Coverage

Jackson Lewis P.C.·

The Supreme Court in a unanimous opinion remanded Zubick v. Burwell — and the six cases consolidated with Zubick — back to the Courts of Appeals to rule on the contraceptive opt-out notice provisions. The Court directed the lower courts to consider the new information presented in the parties’ post-

A District Court Just Dealt a Blow to the ACA. Employers, Don’t Get Excited!

Jackson Lewis P.C.·

On May 12, 2016, the United States District Court for the District of Columbia issued an opinion in U.S. House of Representatives v. Burwell et al., No. 14-1967 (D.D.C. May 12, 2016), enjoining the federal government’s use of unappropriated monies to fund reimbursements to health insurers under Sect

So You’ve Filed Your 1095-C…Now What?

Jackson Lewis P.C.·

As companies complete their Section 6055 and 6056 reporting under the Affordable Care Act (ACA), now it’s time to be on the lookout for notices regarding ACA penalties.