Archived Insight | November 8, 2018

New Laws Prohibit Restrictions on Pharmacists Discussing Drug Costs with Patients

On October 10, 2018, President Trump signed into law two bills that ban pharmacist “gag clauses,” sometimes included in contracts between pharmacies and pharmacy benefit managers (PBMs), which prohibit pharmacists from telling patients the price of drugs purchased without health insurance. Plan sponsors will need to take steps to ensure that their PBMs are in compliance with these new laws.

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A Senior Asian Woman Having Fun Playing Pickleball At The Park

Retiree Health Plan Sponsors: 2026 Medicare Part B Premiums Increase

See key premium, deductible and coinsurance changes for 2026, plus practical steps for managing reimbursement, IRMAA changes and plan communications.

Health, Compliance, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Corporate

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Doctor Holding A Digital Tablet Discussing Fertility Benefits With Couple

New Opportunities for Fertility Benefit Coverage

See how new guidance helps group health plan sponsors expand fertility benefits — including excepted benefits, HRAs and cost-saving strategies.

Health, Compliance, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Corporate

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Female Doctor Pushing Senior Woman On Wheelchair

ACA Dollar Amounts and Percentages

We added the 2026 employer shared responsibility penalty, the 2026 affordability percentage and the FPL safe harbor for plan years beginning 1/1/26.

Health, Compliance

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This page is for informational purposes only and does not constitute legal, tax or investment advice. You are encouraged to discuss the issues raised here with your legal, tax and other advisors before determining how the issues apply to your specific situations.