Kate Bongiovanni

Guidance issued on fees for research

In April, the Internal Revenue Service issued proposed regulations on collecting fees from health insurance issuers and self-insured group health plan sponsors for establishing the Patient-Centered Outcomes Research Trust Fund, as required under the Patient Protection and Affordable Care Act. The fund provides funding for a new Patient-Centered Outcomes Research Institute. PPACA requires the Institute to conduct research to evaluate and compare health outcomes and the clinical effectiveness, risks, and benefits of medical treatments, services, procedures, drugs and other strategies or items that treat, manage, diagnose or prevent illness or injury.

No delay for SBC requirement

On March 19, the Departments of Labor, Treasury, and Health and Human Services jointly issued FAQs addressing the new summary of benefits and coverage requirement under the Patient Protection and Affordable Care Act. Although the agencies released final regulations only a few weeks prior, the FAQs provide additional guidance and clarification.

Feds issue regs on SBC requirement

In February, the Departments of Labor, Treasury, and Health and Human Services issued final regulations implementing the new summary of benefits and coverage requirement under the Patient Protection and Affordable Care Act. The agencies also released a separate document providing additional guidance on the SBC requirement, which includes a template for the summary, instructions, sample language, a guide for coverage example calculations and the uniform glossary.

IRS issues W-2 reporting guidance

On January 3, 2012, the Internal Revenue Service issued Notice 2012-9 which provides clarifying and additional guidance on the requirement that employers report the cost of employer-provided health coverage on employees' Forms W-2, as required under the Patient Protection and Affordable Care Act.

HHS proposes new HIPAA regs

Earlier this year, the Department of Health and Human Services issued proposed regulations under the privacy rule of the Health Insurance Portability and Accountability Act of 1996. The proposed regulations address the changes to the accounting requirement under the HIPAA privacy rule, pursuant to the Health Information Technology for Economic and Clinical Health Act. The regulations also create a new requirement that covered entities – health plans, health care clearinghouses and health care providers – provide an access report to individuals upon request.

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