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October 16, 2026Weekly

The Weekly Highlights for Benefits Professionals

BenefitsWire

Health & Welfare Plans

Week of October 16, 2026

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12 items · ~4 min read

In this issue

Regulatory Action and Guidance (11)  ·  Health & Welfare Plans (1)

Regulatory Action and Guidance

11 items
Treasury and IRS Move to Protect Health Care Benefits for Eligible Americans

“The proposed rules put the Working Families Tax Cuts’ Premium Tax Credit reforms into effect which strengthen eligibility checks, close gaps in the verification process, and help ensure taxpayer-funded subsidies go only to eligible American taxpayers. The Trump Administration’s Task Force to Eliminate Fraud exposed the need for stronger safeguards to protect the integrity of the Federal Marketplace.” MORE >>

Source: IRS

New Regulations Make It Easier to Find, Compare, and Report Healthcare Pricing and Coverage Information

“Updates to the Transparency in Coverage (TiC) rules, finalized today by the Centers for Medicare & Medicaid Services (CMS), in partnership with the Departments of Labor and the Treasury (the Departments), build on the historic health care price transparency rules established during President Trump’s first term. The final rules improve the underlying healthcare pricing data by reducing duplicative and unnecessary information, providing more context about in-network prices, increasing available out-of-network pricing information, and strengthening accountability for the completeness and accuracy of published data. Reporting frequency for pricing information will change from monthly to quarterl” MORE >>

Source: CMS

3rd Hunan Trade and Investment Promotion Global Strategic Partnership Conference

“23, 2026 Hunan Province, China Ziwen Zhu Ziwen Zhu is speaking on the panel “How to Register Under Three Business Paths — Sales and Warehousing, Restaurant or Retail Operations, and Manufacturing Facilities: Entity Type, State of Formation, and Implications for L-1, Other Work Visas, and Business Visas,” during the 3rd Hunan Trade and Investment Promotion Global Strategic Partnership Conference on October 21, 2026.” MORE >>

Source: U.S. Department of Labor

Know Before You Owe: New Rules Expand Health Plan Price Transparency Requirements | Seyfarth Shaw LLP

“Seyfarth Synopsis: The Departments of Labor, Treasury, and Health and Human Services (the “Departments”) have finalized significant revisions to the Transparency in Coverage regulations (the “Amendments”).” MORE >>

Source: CMS

Agency Information Collection Activities; Proposals, Submissions, and Approvals: Guidance under Section 529A: Qualified Achieving a Better Life Experience Act Programs

The IRS is seeking public comment on an information collection request related to the Qualifying Advanced Energy Project Credit, as required by the Paperwork Reduction Act. This affects how companies document eligibility for this tax credit. MORE >>

Source: IRS

The Price is Right? Final Transparency Rules Require More Accurate and Reliable Data

“On October 6, 2026, the Departments of Labor, HHS, and the Treasury (collectively, the Departments) published another Transparency in Coverage Final Rule (“final rule”). The final rule implements Executive Order 14221 and largely follows the December 2025 proposal, with notable changes intended to reduce burden. It revises the Transparency in Coverage 2020 Final Rule (“2020 final rule”), including requirements related to the machine-readable files (“MRFs”) that group health plans and issuers have posted since 2022.” MORE >>

Source: Groom Law Group

Authorization of Emergency Use for Four Animal Drugs for the Prevention and Treatment of New World Screwworm; Availability

The FDA has issued Emergency Use Authorizations for four animal drugs to prevent or treat New World screwworm infestations in various animal species. MORE >>

Source: Federal Register

Week in review: EEOC sues employment agency for alleged H-1B worker preference

“The U.S. Equal Employment Opportunity Commission filed a lawsuit at the end of last month claiming technology sector employment agency Sibitalent Corp. openly preferred to hire only H-1B visa holders. One California job seeker allegedly received an email regarding a data analyst role with the phrase “ONLY H1B” attached to it.” MORE >>

Source: HR Dive

Developing Mental Health Parity 2026: FAB 2026-03, Denials and Appeals

“Mental health parity in 2026: what DOL's FAB 2026-03 changes, what is enforceable today, and how BH and SUD providers can use parity in denial appeals. ... On September 8, 2026, the Department of Labor's Employee Benefits Security Administration (EBSA) issued Field Assistance Bulletin (FAB) 2026-03, which focuses its NQTL enforcement on three areas: blanket exclusions of mental health and substance use disorder (MH/SUD) treatment, medical necessity review, and network adequacy.” MORE >>

Source: Adentris

Back on the To-Do List: What Plan Sponsors Need to Know About the New Transparency Rules

“On October 6, 2026, the Departments of Labor, Health and Human Services, and the Treasury issued a final rule that makes significant changes to the Transparency in Coverage requirements. The final rule is effective December 7, 2026, with many of the consumer disclosure changes applying for plan years beginning on or after January 1, 2027. Although many plan sponsors have largely left Transparency in Coverage compliance to their Third Party Administrators (TPAs) or carriers, the final rule may require them to become more involved. For plan sponsors, one of the most significant changes under the new rule is an attestation requirement. Plan sponsors must attest, for each applicable machine-read” MORE >>

Source: Bricker Graydon

Updating Your First Aid Kit: What Employers Need to Know About Opioid Antagonist Requirements in New York

“Effective December 13, 2026, New York State will require most private employers to stock their workplaces with opioid antagonists (antidotes), such as naloxone or Narcan. On September 23, 2026, the New York State Department of Labor (NYSDOL) published its proposed rules (the “Proposed Rules”), which clarify employer compliance obligations. Governor Kathy Hochul signed the workplace opioid antagonist requirement into law on December 12, 2025, adding § 27-f (the “Law”) to the New York Labor Law.” MORE >>

Source: Epstein Becker Green

Health & Welfare Plans

1 item
MFPs beyond Part D: What Maximum Fair Prices mean for Part B stakeholders

“The Inflation Reduction Act of 2022 (IRA) implemented extensive changes to the Medicare program intended to reduce beneficiary costs, including the Medicare Drug Price Negotiation Program (MDPNP).” MORE >>

Source: Milliman

BenefitsWire · A digest for ERISA attorneys, third-party administrators, actuaries, recordkeepers, and benefits consultants.
An informational digest, not legal advice.
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