As states increasingly seek ways to rein in pharmacy benefit managers (PBMs), Alaska has enacted a law that allows the Alaska Division of Insurance to license and regulate PBMs. That law extends the Division’s equivalent licensing and regulatory powers to
Jackson Hospital has sued Blue Cross and Blue Shield of Alabama in an Alabama bankruptcy court for $250 million. The Montgomery-area hospital claims that years of claims underpayment by the insurance giant have directly contributed to its insolvency.
Jackson Hospital,
A California federal district court has approved a preliminary settlement agreement in a class-action lawsuit against Aetna over coverage for fertility treatments for same-sex couples versus heterosexual couples. As part of the settlement, Aetna will cover artificial insemination or in
The ERISA Industry Committee is backing a pharmacy benefit manager (PBM) bill that would establish a fiduciary duty under the Employee Retirement Income Security Act (ERISA) for PBMs to put the interests of employer plan sponsors and participants ahead of
The Internal Revenue Service (IRS), the Employee Benefits Security Administration (EBSA), and the U.S. Department of Health and Human Services (HHS) have proposed rules on price transparency reporting requirements. The proposed rules would amend existing rules under the Public Health
A split three-judge panel of the U.S. Court of Appeals for the Fifth Circuit ruled that a federal district court should decide whether Aramark can proceed with its lawsuit against Aetna or must resolve the dispute through arbitration. According to
States have enacted various employment-related laws that took effect in 2026. These laws cover various topics such as gig worker and whistleblower protections, employment contracts, data privacy, and workplace and pay transparency. This post includes a survey of some of
The Commonwealth of Virginia has filed suit against various pharmacy benefit managers (PBMs) and insulin manufacturers for allegedly violating the Virginia Consumer Protection Act. According to the lawsuit, the defendants, including Express Scripts, CVS Caremark, and OptumRx, as well as
The Wage and Hour Division (WHD) of the U.S. Department of Labor (DOL) issued various opinion letters construing the Fair Labor Standards Act (FLSA) in early January 2026. The letters address various issues under the FLSA, including the loss of
Employers are increasingly facing lawsuits under the Employee Retirement Income Security Act (ERISA) for their voluntary benefit plans, which include products such as accident, critical illness, hospital indemnity, and cancer insurance. Since coverage is voluntary, employees pay most or all
