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New informal guidance issued on various health reform mandates

Proskauer Rose LLP
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USA
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September 24 2010

On September 20, 2010, new important guidance relating to the Patient Protection and Affordable Care Act ("PPACA") was issued by the U.S. Department of Labor (“DOL”) and the Internal Revenue Service (“IRS”

HHS releases guidance regarding the annual limit waiver program

Proskauer Rose LLP
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USA
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September 13 2010

On September 3, 2010, the U.S. Department of Health and Human Services (HHS) issued a bulletin regarding the program under which a health plan or insurer may obtain a waiver from the minimum annual limit requirements contained in the Affordable Care Act (the Act

Interim final regulations for internal claims and appeals; external review processes for group health plans and health insurance coverage

Proskauer Rose LLP
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USA
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July 30 2010

Group health plans and health insurance issuers (other than "grandfathered health plans") must begin complying with new internal claims and appeals and external review procedures for plan years commencing on or after September 23, 2010

Health care reform: preventive services interim final rules released

Proskauer Rose LLP
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USA
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July 22 2010

On July 14, 2010, the Departments of Labor, Health and Human Services and Treasury released final interim rules implementing the preventive health services provisions under the Affordable Care Act (the "Act"

Provider payment for emergency services under new plan rules

Proskauer Rose LLP
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USA
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July 9 2010

Section 10101(h) of the Affordable Care Act health reform legislation requires that health plans and insurers provide coverage for all emergency services without regard to whether the provider is in- or out-of-network, without requiring preauthorization, without imposing administrative requirements more burdensome than those applicable to emergency care provided in-network, and without imposing higher cost-sharing burdens on patients

HHS releases final application, instructions and application submission dos and don’ts on early retiree reinsurance program

Proskauer Rose LLP
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USA
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June 30 2010

In earlier client alerts, we reported that the Secretary of the Department of Health and Human Services (HHS) released an interim final rule that implements the Early Retiree Reinsurance Program established by the Affordable Care Act (the "Act"

Health care reform: interim final regulations released for preexisting condition exclusions, lifetime and annual limits, rescissions, and patient protections

Proskauer Rose LLP
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USA
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June 28 2010

On June 23, 2010, the Departments of Labor, Health and Human Services, and Treasury released final interim regulations (the "Regulations") relating to preexisting condition exclusions, lifetime and annual limits, rescissions, and other patient protections under the Affordable Care Act (the "Act"

Grandfathered health plan interim final regulations released

Proskauer Rose LLP
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USA
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June 21 2010

On June 14, 2010, the Departments of Labor, Health and Human Services, and Treasury released final interim regulations relating to the status of grandfathered health plans under the Affordable Care Act (the "Act"

Details on therapeutic discovery tax credit for small employers released

Proskauer Rose LLP
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USA
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June 9 2010

The Affordable Care Act (the "Act") enacted a "qualified therapeutic discovery tax credit" for small employers

Health Reform Act includes additional tax exemption requirements: what tax-exempt hospitals need to do now

Proskauer Rose LLP
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USA
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June 7 2010

The Affordable Care Act (the "Act") establishes, for the first time, specific statutory requirements that hospitals must meet to qualify as organizations described in Section 501(c)(3) of the Internal Revenue Code and exempt from federal income tax

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