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Trump Administration Issues Final Rule Impacting the ACA’s Marketplace

  • On July 1, 2025
On June 25, 2025, the U.S. Department of Health and Human Services (HHS) published a final rule to implement new standards for the Affordable Care Act’s (ACA) Marketplaces (or Exchanges). According to HHS, improper Exchange enrollments, enabled by weakened verification processes and expanded premium subsidies, have triggered “widespread fraud.” The final rule’s changes are intended to address […]
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Judge Overturns Biden-Era HIPAA Rule

  • On June 25, 2025
A federal judge in the Northern District of Texas invalidated an April 2024 regulation from the Department of Health and Human Services (HHS) that aimed to expand HIPAA’s privacy protections for reproductive health care. The rule, which took effect on December 23, 2024, prohibited health plans, providers, and their business associates from using or disclosing […]
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HHS Issues Proposed Rule Aimed at Strengthening HIPAA Security Compliance

  • On January 6, 2025
On Dec. 27, 2024, the U.S. Department of Health and Human Services (HHS) released a proposed rule that would modify the HIPAA Security Rule to strengthen cybersecurity protections for electronic protected health information (ePHI). Although the changes are substantial, they are only in proposed form at this point. Employers with self-insured health plans and those […]
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Updated Federal Penalties for Health Plan Violations

  • On September 3, 2024
The federal Department of Health and Human Services released updated penalty amounts for certain health plan violations that may occur on or after January 15, 2025. These penalty increases are separate from any penalty increases the federal Department of Labor may announce later this year for ERISA violations. The new penalty amounts by infraction are […]
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HHS RELEASES NEW FINE STRUCTURES

  • On October 30, 2023
The federal Department of Health and Human Services recently released new inflation-adjusted penalty amounts for various federal requirements that impact employers who offer group health insurance coverage and health insurance issuers. The new fine levels relate to compliance with the Health Insurance Portability and Accountability Act’s (HIPAA) privacy and data security requirements, various Affordable Care […]
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