June 25, 2021
The Department of Labor has published a request for information seeking input on how it should implement the substantial pharmacy and drug reporting requirements employers are required to file by the December 27, 2021 statutory deadline.
The Consolidated Appropriations Act requires employer health plans to annually report:
The Association will be reaching out to members to get feedback to inform our comments for submission. Please email Mark Wilson at email@example.com if you are interested in discussing your concerns with this reporting requirement.
Data will be used to create an annual DOL report on prescription drug reimbursements under group health plans, prescription drug pricing trends, and the role of prescription drug costs in contributing to premium increases or decreases under such plans.
Outlook: The statute is very prescriptive regarding what needs to be reported, giving little leeway to DOL’s reg-writers. The RFI will be followed by a proposed rule and then a final rule. However, given the difficulty employers will have in obtaining this information from their third-party administrators and PBM’s, the Association intends to ask for at least a one-year delay in the reporting requirement's effective date.