New York Medicaid Postpones Transition Of Pharmacy Benefit

March 5, 2021

  Last year, New York State approved the transition of the Medicaid pharmacy benefit, from managed care (MMC) back to fee-for-service (FFS). The effective date of that transition has been postponed for one month, to May 1, 2021.  This will be a welcome, though temporary, reprieve from a transition that has caused major concern for …

CMS Requires Health Plans To Pay For Diagnostic COVID-19 Tests

March 3, 2021

  In response to tremendous confusion as to whether patients can be required to pay any amount “out of pocket” for COVID-19 tests, CMS clarified prior guidance as follows: Health plans must provide coverage for diagnostic testing of COVID-19 regardless of whether individuals present with symptoms or have a recent known or suspected exposure. Health …

Connecticut Proposes To Limit Further The Scope Of Non-Compete Provisions In Physician Employment Contracts

February 16, 2021

  In Connecticut, non-compete provisions in physician employment agreements, also known as restrictive covenants, have long been considered reasonable restrictions on competition and enforceable.  In order to pass muster, such provisions must be found reasonable based upon an analysis of several factors:  (1) length of restriction, (2) geographical area covered, (3) fairness of protection provided …

New DOL Rule Codifies Independent Contractor Test

January 20, 2021

  The United States Department of Labor (“DOL”) finalized a rule aimed to clarify the standard for whether a worker is an employee or an independent contractor under the Fair Labor Standards Act (“FLSA”).  The minimum wage, overtime, and other worker protections in the FLSA only apply to employees, not independent contractors.  This regulatory guidance …

Paid Time Off And Tax Relief Updates Under Pandemic Relief Package

On December 27, 2020, a $900 billion dollar pandemic relief package was signed into law.  The relief package, among other things, impacts provisions of the Families First Coronavirus Response Act (“FFCRA”), which was set to expire on December 31, 2020.  Under the FFCRA, employers with fewer than 500 employees were required to provide their employees …