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- Insurance Regulatory Insights
Telos Actuarial brings you this week’s legislative and regulatory insurance insights from around the nation.
Bill “Status” is defined in the tables below by:
New: proposed law recently introduced for consideration by Legislature
Approved: passed by the Legislature and approved by the Governor
Movement: bill has progressed in legislative process
Fail: bill has died in committee or failed to pass
STLDI
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
IL | Approved | Provides that, on and after January 1, 2025, no company shall issue, deliver, amend, or renew short-term, limited-duration insurance to any natural or legal person that is a resident or domiciled in the State. Defines short-term, limited-duration insurance as having an expiration date fewer than 365 days after the effective date. |
Medicare
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
All | New (CMS accepting comments to 8/26/24) | Proposed rule that would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for CY 2025 | |
All | New (scheduled for publish 7/31/24) | Unpublished, proposed rule that revises the Medicare Physician Fee Schedule (PFS) in CY 2025, strengthens primary care, expands access to behavioral health, oral health, and caregiver training services, maintains telehealth flexibilities, and expands access to screening for colorectal cancer and vaccinations for Hepatitis B | |
All | New (scheduled for publish 7/22/24) | Unpublished, proposed rule would revise the Medicare hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for CY 2025 | |
All | New | Amends title XVIII of the Social Security Act to provide for a cognitive impairment detection benefit under the Medicare program, improving national and local coverage determination processes, and Medicare coverage of external infusion pumps, non-self-administrable home infusion drugs, and prescription digital therapeutics |
Medicare Advantage / Part D
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
All | Value-Based Insurance Design Model Calendar Year 2025 Model Communications and Marketing Guidelines | New | Outlines the requirements for communications (including marketing), activities, and materials used by Medicare Advantage Organizations participating in the Value-Based Insurance Design (VBID) Model |
All | HPMS Memo | New | Announces the addition of new fields to the model Individual Enrollment Request Form (OMB No. 0938-1378) to enroll in an MA or Part D Plan; MA and Part D Plans are expected to use the new form for enrollments received on or after January 1, 2025 |
Telos Actuarial’s team of experienced regulatory compliance professionals are ready to help YOU stay informed of legislative and regulatory changes. Reach out to us for more information!