Compliance News Update – Week Ending May 30, 2025
Stay informed with the latest developments in health benefits compliance. This week’s highlights include updates on transparency regulations, preventive care coverage, and the impending expiration of telehealth relief for Health Savings Account (HSA) eligibility.
Transparency Regulations: New Guidance Issued
Federal agencies have released updated guidance on transparency requirements, focusing on the Consolidated Appropriations Act (CAA) provisions. The guidance emphasizes the importance of accurate reporting and the elimination of gag clauses in provider contracts. Employers and plan sponsors should review their agreements to ensure compliance with these transparency mandates.
Preventive Care Coverage: Congressional Research Service Report
The Congressional Research Service (CRS) has published a report analyzing preventive care coverage under the Affordable Care Act (ACA). The report discusses the implications of recent court decisions on the ACA’s preventive services mandate and provides insights into potential legislative responses. Employers should stay abreast of these developments to understand how they may affect health plan offerings.
Telehealth and HSA Eligibility: Relief Set to Expire
The temporary relief allowing telehealth services to be covered without impacting HSA eligibility is set to expire for plan years beginning in 2025. Originally enacted to promote remote care during the COVID-19 pandemic, this provision enabled high-deductible health plans (HDHPs) to offer telehealth benefits without jeopardizing participants’ HSA eligibility. Unless Congress extends this relief, employers offering HDHPs with telehealth benefits should prepare for the reinstatement of standard HSA eligibility rules.