Alert

Recommended Alerts

Sign Up For Alerts

Rutledge vs. PCMA: SCOTUS Greenlights State Regulation of Pharmacy Benefit Manager Drug Reimbursement

On December 10, 2020, the Supreme Court, in a unanimous opinion, held that the Employee Retirement Income Security Act (“ERISA”) does not preempt an Arkansas law regulating pharmacy benefit manager (“PBM”) reimbursement to pharmacies. The Court’s decision provides a potential avenue for states to increase regulation of PBMs and other service providers that help administer ERISA-regulated group health plans, and therefore holds potential significance for, among others, PBMs, pharmacies, pharmaceutical manufacturers, and employers that sponsor ERISA-regulated group health plans.

Read More

Massachusetts Proposes New Regulations on Employer Health Care Mandates


Time to Read: 1 minutes Practices: Employment, Health Care

Printer-Friendly Version

New regulations proposed by the Massachusetts Division of Health Care Finance and Policy provide awaited guidance on certain employer obligations under the recently enacted Massachusetts health care reform legislation. The proposed regulations, which would become effective in October 2006, define a “fair and reasonable premium contribution,” address the surcharge to be levied on certain employers to reimburse the state for the cost of state-funded health care services received by their employees and their employees' dependents, and set forth employer and employee disclosure requirements related to access to and coverage under health insurance. For a more detailed analysis of the proposed regulations, including information about upcoming public hearings, click "Download PDF."

Printer-Friendly Version

Cookie Settings