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“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
“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
“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
“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
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
“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
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
“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
“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
“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
“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“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