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Employee Benefits Security Administration

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Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure

Labor Department/Employee Benefits Security Administration

Federal Register summary The Department is issuing a final regulation that will require providers of pharmacy benefit management services and affiliated providers of brokerage and consulting services to disclose information about their compensation to fiduciaries of large, self-insured group health plans subject to the Employee Retirement Income Security Act (ERISA). Pharmacy spending is a major driver of overall healthcare costs for employers and is growing faster than medical and surgical spending. These disclosure requirements apply for purposes of ERISA's statutory prohibited transaction exemption for service…

Effective Mon, Jan 4, 2027 Ohio in the full text FederalRegister.gov

Excepted Fertility Benefits

Treasury Department/Internal Revenue Service/Labor Department/Employee Benefits Security Administration/Health and Human Services Department

Federal Register summary This document contains proposed rules that would amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act to establish certain fertility benefits as a new category of limited excepted benefits. Excepted benefits are generally exempt from the market requirements that were added to those laws by the Health Insurance Portability and Accountability Act, the Patient Protection and Affordable Care Act, the No Surprises Act, and certain other Federal laws specifically related to group…

Ohio in the full text FederalRegister.gov

Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure

Labor Department/Employee Benefits Security Administration

Federal Register summary The Department is proposing a regulation that would require providers of pharmacy benefit management services and affiliated providers of brokerage and consulting services to disclose information about their compensation to fiduciaries of self-insured group health plans subject to the Employee Retirement Income Security Act (ERISA). These disclosures are needed so that fiduciaries can assess the reasonableness of the contracts or arrangements with these service providers, including the reasonableness of the service providers' compensation. These disclosure requirements would apply for…

Ohio in the full text FederalRegister.gov