Section 1557 of the Affordable Care Act (“ACA”) provides individuals shall not be subject to discrimination on the basis of sex under a health program or activity that receives federal financial assistance or is administered by an Executive Agency.  (42 USC 18116(a)).  As discussed in our blog post regarding United States v. Skrmetti, the contours of Section 1557’s prohibition of discrimination on the basis of sex remain a hotly litigated issue.

The One Big Beautiful Bill Act (“Bill”) did not extend the enhanced premium tax credits (“PTCs”) which help make health insurance purchased through the marketplace (e.g., Covered California) more affordable for millions of Americans. The Affordable Care Act’s employer shared responsibility penalties are only imposed in situations where a full-time employee receives a PTC or cost-sharing reduction.

The IRS recently issued Notice 2025-15, providing guidance on how applicable large employers (“ALEs”) can meet the requirements...

On July 7, 2023, the Departments of Health and Human Services, Labor, and Treasury (the “Agencies”) published proposed regulations to, in...

The "No Surprises Act" requires price transparency for certain medical and pharmacy costs and health plans and health insurance policy...

The IRS issues a final rule this week fixing this family glitch, starting in 2023.

Applicable large employers (i.e., employers with at least 50 full-time employees or full-time equivalent employees) that are subject to...

On September 7, a federal judge in Texas ruled that a provision of the Affordable Care Act (“ACA”) is unconstitutional. According to the...

The Department of Health and Human Services (“HHS”) recently issued proposed implementation regulations under Section 1557 of the...