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June 26, 2026Health & Welfare

The Daily Brief for Benefits Professionals

BenefitsWire

Health & Welfare Plans

June 26, 2026

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6 items · ~2 min read

In this issue

Expert Analysis (5)  ·  Health & Welfare Plans (1)

Expert Analysis

5 items
AI-Generated SPDs: Convenience Meets Compliance Risk

“Third-party administrators (“TPAs”), brokers, and benefits technology vendors are increasingly offering artificial intelligence (“AI”) tools that can generate Summary Plan Descriptions (“SPDs”), plan summaries, FAQs, and participant communications almost instantaneously....” MORE >>

Source: JD Supra

US health spending spikes to $5.7T in 2025, though growth should moderate, CMS finds

“U.S. healthcare spending spiked 7.3% last year to reach $5.7 trillion, driven by soaring spending on hospital services and pricey prescription drugs like GLP-1s, according to new government data. The sharp spending growth isn't primarily caused by increasing prices. Cost growth has been moderate. Instead, Americans are consuming more healthcare after a lag during the coronavirus pandemic, Centers for Medicare & Medicaid Services actuaries said. ... Retail prescription drug spending is forecast to grow at the fastest clip over the next decade but especially in 2025 and 2026 due to more Americans utilizing expensive drugs for conditions like cancer — and rabid demand for GLP-1s.” MORE >>

Source: HR Dive

Summer in the City: New York City Moves to Protect Workers From Extreme Heat

“Quick Hits The order is grounded in findings that roughly 1.4 million New Yorkers—about a third of the city’s workforce—work outdoors for prolonged periods, and that the city could experience more than four times as many heat waves each year by the 2050s.” MORE >>

Source: Ogletree Deakins

Mid-Year Paid Family Medical Leave Update – June 2026

“ASAP By Stephanie Mills-Gallan and Ellen Donovan McCann It is that time of year again when many state paid family and medical leave (PFML) programs roll out mid-year updates to benefit levels and related metrics.” MORE >>

Source: Littler

Developing Survey: What People Know & Need About Mental Health Benefits | Segal

“Only 52 percent of adults with mental illness receive treatment. ... Normalized use of mental health benefits differs by industry, from a high of 50 percent of workers at professional services firms to a low of 23 percent of workers in construction. First responders are more likely than office-based workers to say using benefits feels risky or uncomfortable (39 percent vs. 9 percent). ... The largest number identified time constraints as a barrier to seeking care.” MORE >>

Source: Segal

Health & Welfare Plans

1 item

[Expert Analysis]

Florida launches probe into CVS for alleged anticompetitive pharmacy practices

“Florida joins a growing list of states looking to curb PBMs, middlemen in the drug supply chain that negotiate rebates, reimburse pharmacies and set medication formularies, over concerns the companies are contributing to the sky-high cost of drugs in the U.S. ... The attorney general issued a civil investigative demand, a type of administrative subpoena used by government agencies to gather information and evidence. The demand requires thousands of documents and sworn testimony on reimbursement rates, pharmacy contracts, rebates and audits, Uthmeier said. CVS has to respond by July 28.” MORE >>

Source: Healthcare Dive

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