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Health care reforms likely to be punted to late this year

Bipartisan health care reforms in Congress, including pharmacy benefit manager reform, price transparency, and telehealth flexibilities, are likely to be delayed until late this year due to the focus on passing 2024-2025 government spending bills. Click here for article.

  • Pharmacy Benefit Manager Reform: Proposed changes include extensive disclosure requirements, a ban on spread pricing, and mandatory pass-through of rebates and fees to plan sponsors.

  • Price Transparency: Reforms aim to codify rules for disclosing out-of-pocket costs and negotiated rates, ensure plan sponsors can access cost and quality data, and mandate government reports on transparency rules.

  • Telehealth Flexibilities: Proposals suggest treating standalone telehealth benefits as excepted benefits and allowing high deductible health plans to offer telehealth services on a pre-deductible basis permanently.

  • HSA Modernization: Proposed changes would allow HSA-eligible individuals to contribute even if their spouse has a health care flexible spending account and enable conversions from FSA or health reimbursement arrangements into HSAs.

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