IRS RELEASES DRAFT INSTRUCTIONS FOR REPORTING ON MANDATES

August 30, 2014

On August 28, 2014, the Internal Revenue Service (IRS) released draft instructions for the reporting forms that will be used to report on individual and employer mandates.  The draft forms were released on July 24, 2014.  The instructions and forms will be used by applicable large employers, insurers and employers with self-funded plans.  Read the rest of this entry »


ADMINISTRATION RELEASES NEW RULES ON CONTRACEPTION COVERAGE

August 24, 2014

The Internal Revenue Service, the Employee Benefits Security Administration and the Centers for Medicare & Medicaid Services have released a set of interim final regulations and a set of proposed regulations related to coverage for recommended contraceptive services.  Under the Affordable Care Act, these services should be provided at no cost, with certain exceptions related to religious organizations. Read the rest of this entry »


EEOC CHALLENGES WELLNESS PROGRAM UNDER ADA

August 21, 2014

The U.S. Equal Employment Opportunity Commission (EEOC) has charged in a lawsuit that Manitowoc, Wisconsin-based Orion Energy Systems violated federal law by requiring an employee to submit to medical exams and inquiries that were not job-related and consistent with business necessity as part of a wellness program, which was not voluntary, and then by firing the employee when she objected to the program. Read the rest of this entry »


CALIFORNIA ALIGNS WAITING PERIODS WITH FEDERAL LAW

August 19, 2014

California Governor Jerry Brown has signed into law legislation to align the state’s health coverage waiting period requirements with federal law.  Earlier legislation, effective January 1, 2014, limited waiting periods to 60 days.
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AFFORDABLE CARE ACT WITHSTANDS A CONSTITUTIONAL CHALLENGE

August 12, 2014

The United States Court of Appeals for the District of Columbia Circuit has decided that the Affordable Care Act’s mandate to purchase health insurance or pay a penalty is not primarily about raising revenue and therefore the legislation did not have to originate in the House of Representatives.  The circuit court ruled that the Affordable Care Act (ACA) does not violate the Origination Clause of the Constitution based on Supreme Court precedents. Read the rest of this entry »


IRS RELEASES DRAFT VERSIONS OF FORMS FOR EMPLOYER REPORTING

August 3, 2014

The Internal Revenue Service (IRS) has released draft forms that employers must use to comply with the Affordable Care Act’s requirement to report health coverage offered to employees.  The IRS says it provided the draft forms to help employers, tax professionals and software providers prepare for these new reporting provisions and to invite comments from them. Read the rest of this entry »


$800,000 HIPAA SETTLEMENT IN MEDICAL RECORDS DUMPING CASE

July 25, 2014

Parkview Health System, Inc. has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule with the U.S. Department of Health and Human Services Office for Civil Rights (OCR).  Parkview will pay $800,000 and adopt a corrective action plan to address deficiencies in its HIPAA compliance program.  Parkview is a nonprofit health care system that provides community-based health care services to individuals in northeast Indiana and northwest Ohio. Read the rest of this entry »