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Interaction of Health Care Reform With Other Laws

Live Webinar
September 29, 2021
1:00 pm ET (12 pm CT, 11 am MT, 10 am PT)
1 hour 30 minutes
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Federal Health Care Reform and Interaction With Other Federal Statutes
  • Interaction With ERISA
    • Incorporation of ACA Mandates and Enforceability Through ERISA Section 510
    • Associated Health Plans (ACA Definition of Employer)
  • ACA Section 1557 and Direct Reference to Other Federal Discrimination Laws
  • Drug-Pricing Rule Tied to Medicare Reimbursement Pricing
  • ACA Whistle-Blower Provision and Federal Labor Standards Act
  • Federal Labor Law – Section 301 of the Labor Management Relations Act
  • HIPAA and HITECH Final Rules (Group Health Plans and Business Associate Agreements)
  • Tribal Members Can Avail Themselves of Private Health Insurance, Veterans Benefits, Medicare and Medicaid, Tricare and Still Enroll in ACA Marketplace Plans
Federal Health Care Reform and Federal Constitutional Issues
  • Constitutional Sources of Authority for ACA
  • Standing to Challenge ACA Individual Mandate After Zero Penalty
  • Contraceptive Mandate and Exemptions for Religious or Moral Convictions
Federal Health Care Reform and Interaction With Other State or Local Law
  • Medicaid Expansion: Commandeering State Agencies? Work Requirements?
  • Minimum Essential Coverage
    • State Benchmark Plans
    • Federal Floor: ACA Mandates for Non-Grandfathered Plans
  • Claims Procedures Issues – Non-Grandfathered Plans; Simple Cost Regulations Appeal Procedures
  • Interaction With ERISA Preemption Principles
    • State Insurance Laws
    • Equal Benefits Ordinances
    • State PBM Laws
    • Any Willing Provider Laws
    • All Payer Data Laws
    • State and Local Anti-Discrimination Statutes and the Federal Law Savings Clause
Federal Health Care Reform and the Pandemic
  • Extended Enrollment Period for COVID-19: Potential Extended Open Enrollment Period for 2022
  • Telehealth Visits
  • Vaccine Mandates and Employer Costs for Testing for Nonvaccinated Employees
  • Private University Plans Subject to ERISA: Vaccine Mandates
  • Public Sector Employers: Jacobson v. Massachusetts Versus Mandates With Religious and Health Exceptions


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