Cammayo's Compliance Talk

Episode 46: San Francisco HCSO Annual Reporting Deadline, CMS 2025 Marketplace Integrity and Affordability Proposed Rule, and More


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In the latest episode of Ask Michelle, Michelle provided crucial updates, including the upcoming April Supreme Court ruling regarding the U.S. Preventive Services Task Force's (USPTF) authority on preventative care recommendations, the San Francisco Health Care Security Ordinance (HCSO) annual reporting deadline of May 2, 2025, and the CMS 2025 Marketplace Integrity and Affordability Proposed Rule.

 

Michelle also addressed listener questions, such as the legality of adding an international prescription drug sourcing program to a self-funded medical plan, the necessity of issuing a Summary of Material Modifications (SMM) after a plan and carrier change on January 1, 2025, and whether a fully insured group health plan needs to conduct a Non-Quantitative Treatment Limitation (NQTL) analysis for MHPAEA compliance.

 

Are you curious about a compliance issue? Please submit your questions to [email protected], and Michelle will answer them in the next episode.

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Cammayo's Compliance TalkBy IMA

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