I Can See Clear(er) Now: Prescription Drug Reporting

A new prescription drug reporting mandate, which was adopted as part of the 2021 Consolidated Appropriations Act (CAA) (Pub. L. No. 116-260), requires group health plans and health insurers to report detailed data about prescription drug pricing (including rebates) and healthcare spending. The first reports are due by December 27, 2022, and annually thereafter. 

READ NOW »

Related Content

• Transparency Disclosure Rules for Group Health Plans
  Reference this practice note for more drug reporting rules. It explains recently imposed disclosure requirements for group health plans arising under final regulations, and certain No Surprises Act provisions, enacted as Title I of Division BB of the CAA. 

• Transparency in Coverage, No Surprises Act, and Consolidated Appropriations Act, 2021 Requirements Checklist
  Learn more by reading this checklist, in chart format, which lists new requirements for health plans, health insurance issuers, and providers regarding transparency, balance billing, and other matters imposed under (1) the Transparency in Coverage rules (extending rules of the Patient Protection and Affordable Care Act (ACA)); (2) the No Surprises Act (enacted as Title I of Division BB of the CAA); and (3) additional rules enacted under CAA, Division BB, Title II.

Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.   

• Employee Benefits & Executive Compensation Key Legal Developments Tracker
  Stay informed on new developments.
  • Retirement Plans
    The Congressional Research Service issued Federal Retirement Plans: Frequently Asked Questions. 
    
    IRS and Treasury Department issue proposed regulations prescribing mortality tables to be used for most defined benefit pension plans. 87 Fed. Reg. 25,161 (April 28, 2022).
  • Health and Welfare Plans
    HHS, DOL, and IRS issue guidance in the form of FAQs that clarify disclosure of drug price identified in the transparency rules of the No Surprises Act. FAQs about Affordable Care Act Part 53.

• Document alerts allow you to stay current on legal developments that affect your practice. Find out how to set up your document alerts.
• Check out the new Practical Guidance Author Center! Learn about the 1500+ leading attorney authors contributing to our 21 practice areas, and find out how you can Become a Practical Guidance Author.
• The Practical Guidance Journal Spring 2022 Edition includes market trends on post-employment restrictive covenants. 
• New Practical Guidance Content
  • Defined Contribution Plan Notices (Periodic Notices)
  • Pooled Employer Plans
  • The ACA Preventive Health Services Mandate
  • The State of State-Run Retirement Programs
  • Responding to IRS Letter 226J

Experience results today with practical guidance, legal research, and data-driven insights—all in one place.

Experience Lexis+