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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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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Caucasian Woman About To Use Lancet To Check Blood Sugar Level

GLP-1 Announcement May Affect Prices for Group Health Plans

A new federal agreement could reshape costs for Medicare, Medicaid and direct-to-consumer channels. See what health plan sponsors should watch for.

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

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Update on Coverage of the COVID-19 Vaccine

Understand how ACIP and CDC recommendations shape COVID-19 vaccine coverage, shared clinical decision-making, cost sharing and plan year compliance.

Health, Compliance, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, COVID-19, Corporate

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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.