--- title: Bukaty Bulletins | Health Care Reform description: Health Care Reform | Current, accurate information regarding legislation changes and other important news impacting employers and business operations. --- [![Bukaty Companies logo](https://insights.bukaty.com/hubfs/BukatyCompanies_April2016/layout/bukaty-logo-2015.png)](https://bukaty.com/) - [About Us](https://www.bukaty.com/about-us) - [Contact Us](https://www.bukaty.com/contact-us) - [Employee Benefits](https://www.bukaty.com/employee-benefits) - [Strategic Planning](https://www.bukaty.com/employee-benefits/strategic-planning) - [Data Analytics](https://www.bukaty.com/employee-benefits/data-analytics) - [Pharmacy Cost Control](https://www.bukaty.com/employee-benefits/pharmacy-cost-control) - [Disease Management & Wellness](https://www.bukaty.com/employee-benefits/disease-management-wellness) - [Technology Integration](https://www.bukaty.com/employee-benefits/technology-integration) - [Employee Engagement](https://www.bukaty.com/employee-benefits/employee-engagement) - 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[Strategic Planning](https://www.bukaty.com/employee-benefits/strategic-planning) - [Data Analytics](https://www.bukaty.com/employee-benefits/data-analytics) - [Pharmacy Cost Control](https://www.bukaty.com/employee-benefits/pharmacy-cost-control) - [Disease Management & Wellness](https://www.bukaty.com/employee-benefits/disease-management-wellness) - [Technology Integration](https://www.bukaty.com/employee-benefits/technology-integration) - [Employee Engagement](https://www.bukaty.com/employee-benefits/employee-engagement) - [Worksite & International Benefits](https://www.bukaty.com/employee-benefits/worksite-and-international) - [Business & Personal](https://www.bukaty.com/business-and-personal-insurance) - [Business Insurance](https://www.bukaty.com/business-and-personal-insurance/business-insurance) - [Personal Insurance](https://www.bukaty.com/business-and-personal-insurance/personal-insurance) - [HR Consulting](https://www.bukaty.com/hr-consulting) - [Project Work](https://www.bukaty.com/hr-consulting-pages/project-work) - [Training](https://www.bukaty.com/hr-consulting-pages/training) - [Recruiting](https://www.bukaty.com/hr-consulting-pages/recruiting) - [HR Placement](https://www.bukaty.com/hr-consulting-pages/hr-placement) - [HR Concierge](https://www.bukaty.com/hr-consulting-pages/hr-concierge-service) - [Compliance](https://www.bukaty.com/compliance) - [Compliance ✔](https://www.bukaty.com/compliance-pages/compliance-check-audit) - [Affordable Care Act (ACA)](https://www.bukaty.com/compliance-pages/affordable-care-act) - [Benefit Admin](https://www.bukaty.com/benefit-administration) - [HSA](https://www.bukaty.com/benefit-administration-2/health-savings-account-hsa) - [HRA](https://www.bukaty.com/benefit-administration-2/health-reimbursement-arrangement) - [FSA](https://www.bukaty.com/benefit-administration-2/flexible-spending-account) - [COBRA](https://www.bukaty.com/benefit-administration-2/cobra-administration) - [Combined Billing](https://www.bukaty.com/benefit-administration-2/combined-billing) - [Payroll/Accounting](https://www.bukaty.com/payroll-accounting) - [Payroll Administration](https://www.bukaty.com/payroll-accounting-2/payroll-administration) - [Time and Attendance](https://www.bukaty.com/payroll-accounting-2/time-and-attendance) - [Human Resource Capabilities](https://www.bukaty.com/payroll-accounting-2/human-resource-capabilities) - [Accounting Services](https://www.bukaty.com/payroll-accounting-2/accounting-services) # Bulletins [![](https://insights.bukaty.com/hubfs/AdobeStock_271535719_PCORI2025.jpg)](https://insights.bukaty.com/bulletins/annual-pcori-fee-due-july-31-2025) June 3, 2025 ## [Annual PCORI fee due July 31](https://insights.bukaty.com/bulletins/annual-pcori-fee-due-july-31-2025) Each year self-funded (including level-funded) plan sponsors must file the Patient-Centered Outcomes Research Institute (PCORI) fee. Applicable employers should use one of [four methods](https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Femail.bukaty.com%2Fe3t%2FCtc%2FDI%2B113%2Fcf9bY04%2FVWgRXQ8g7mt7W4JZ9Kl7-JFHtW3trWRD5xmkXYN5SJSnb3qgyTW95jsWP6lZ3mcVTwH2K5F7ZLLW42TqzV6d530WW4GvW_K5VTnySW352ymh2GK84jMLWqGvDrlM0W39mP1r7Jp69QW4rtJlT1YtgPgW1z5ZKr1tLyYFW5Xd2RV4TFK40W7yC9x75yYCsSW8vcZlm7zP-GdW6gBB5S41crJJW48tgJY1m8DspW3bng8M1hbQGVVCnk-s99j5xfW82K9XZ2fQT7xW6c2cGB7N2hZrW8SVB3Q2v9l67W13m5vD90BM9qW1l518j17RQM_W2QWyVB96JBzDW3kJrn27KmlrWW9cT8Rh2nJ4PRW642H_q8MfrFDW8Mv7Nx1fyr-KW6Sddkh1_qp2cW7l9GjV4Gr9_5W8GMz036yk_PSW7JHN-y7rryZpN7w7_Qz1cd6Hf3mr2wg04&data=05%7C02%7Cebalint%40bukaty.com%7C5fa633fd40c84b538b9f08dda2c5c34f%7Cd4d7215470154847a517f1229e68e85a%7C0%7C0%7C638845692772071244%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=KXAyFVDkeTESvXhzm00mJAG6wBRZqNYZGCxxqPbSkXU%3D&reserved=0) to calculate how much is owed and submit the information to the IRS using [Form 720](https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Femail.bukaty.com%2Fe3t%2FCtc%2FDI%2B113%2Fcf9bY04%2FVWgRXQ8g7mt7W4JZ9Kl7-JFHtW3trWRD5xmkXYN5SJSm03qgyTW6N1vHY6lZ3lVW12zPZT9h8-3BW7sVd8t6DZDBQW52_zW082xDTfW4jCqh76cHgzQW7RX92s2292vJW1GFg1d6dvV4TVFYhwX5pT0PHW99BWGH7cg83BW154Kl34TGDj8W2Mkv5M2JY2ZFW5Ppt3c8KM2gQW95cnNf5GwysYV67TS-7D71N9VkbMKm8SdNXmW5zsL4X3dSyjDVyVL1f1zyc2HW7QjQPg3fv8ndW1-Y5Vz6-dN4QW4NhBWV8tbr5VW33JwQf4LP9d3W9fsZhC4Hf7L_W3p99kT6P3SqNf7KFXkq04&data=05%7C02%7Cebalint%40bukaty.com%7C5fa633fd40c84b538b9f08dda2c5c34f%7Cd4d7215470154847a517f1229e68e85a%7C0%7C0%7C638845692772086739%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=VB5Eh0EHC27VPc1X4OU70hLDo77%2BVE%2B7nS8WEcNieWA%3D&reserved=0) by July 31. Detailed guidance... [Read More](https://insights.bukaty.com/bulletins/annual-pcori-fee-due-july-31-2025) 0 [![](https://insights.bukaty.com/hubfs/AdobeStock_503836266_small.jpg)](https://insights.bukaty.com/bulletins/aca-reporting-requirements-modified) January 9, 2025 ## [ACA reporting requirements modified](https://insights.bukaty.com/bulletins/aca-reporting-requirements-modified) Changes to the reporting requirements (1094 /1095 series) imposed by the Affordable Care Act (ACA) were signed into law late last year. The [Employer Reporting Improvement Act](https://www.congress.gov/bill/118th-congress/house-bill/3801/text?s=3&r=1&q=%7B%22search%22%3A%22employer+reporting+improvement%22%7D) and the [Paperwork Burden Reduction Act](https://www.congress.gov/bill/118th-congress/house-bill/3797?s=3&r=1&q=%7B%22search%22%3A%22Paperwork+Burden+Reduction+Act%22%7D) at face value provide some administrative relief to employers required to provide the... [Read More](https://insights.bukaty.com/bulletins/aca-reporting-requirements-modified) 0 [![](https://insights.bukaty.com/hubfs/AdobeStock_605723244.jpg)](https://insights.bukaty.com/bulletins/irs_increases_aca_affordability_rate_for_2025_plan_year) September 23, 2024 ## [IRS increases ACA affordability rate for 2025 plan year](https://insights.bukaty.com/bulletins/irs_increases_aca_affordability_rate_for_2025_plan_year) The IRS recently issued [Revenue Procedure 2024-53](https://www.irs.gov/pub/irs-drop/rp-24-35.pdf), establishing the 2025 affordability threshold at 9.02% of annual household income. This is a 0.63% increase from the 2024 threshold of 8.39%. The rate is used to determine the affordability of employer-sponsored health coverage and eligibility for... [Read More](https://insights.bukaty.com/bulletins/irs_increases_aca_affordability_rate_for_2025_plan_year) 0 [![](https://insights.bukaty.com/hubfs/AdobeStock_567452717.jpg)](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-on-the-horizon) June 12, 2024 ## [PCORI fee July 31 deadline on the horizon](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-on-the-horizon) Each year self-funded plan sponsors must file the Patient-Centered Outcomes Research Institute (PCORI) fee. Applicable employers should use one of [four methods](https://insights.bukaty.com/hubfs/2024/PCORI%20fee%20bulletin%202024/2024%20PCORI%20FEE%20CALCULATOR.xlsx) to calculate how much is owed and submit the information to the IRS using [Form 720](https://www.irs.gov/pub/irs-pdf/f720.pdf) by July 31. Detailed guidance on filling out Form 720... [Read More](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-on-the-horizon) 0 [![](https://insights.bukaty.com/hubfs/AdobeStock_613760840-3.jpeg)](https://insights.bukaty.com/bulletins/carriers-begin-to-issue-2022-mlr-rebates) September 26, 2023 ## [Employers must follow guidelines when issuing 2022 MLR rebates](https://insights.bukaty.com/bulletins/carriers-begin-to-issue-2022-mlr-rebates) Area insurers (carriers) are beginning to issue 2022 plan year medical loss ratio (MLR) rebates. The Affordable Care Act requires insurers to meet MLR requirements each year. If an insurer doesn’t meet the minimum MLR (spend 80 to 85 percent of its premium dollars on health care or activities that... [Read More](https://insights.bukaty.com/bulletins/carriers-begin-to-issue-2022-mlr-rebates) 0 [![](https://insights.bukaty.com/hubfs/iStock-636650478%20(1)-1.jpg)](https://insights.bukaty.com/bulletins/irs-releases-updated-form-720) June 28, 2023 ## [IRS releases updated Form 720](https://insights.bukaty.com/bulletins/irs-releases-updated-form-720) Last week, Bukaty Companies [issued information](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-approaching) concerning the July 31 Patient-Centered Outcomes Research Institute (PCORI) fee deadline, acknowledging the IRS hadn’t updated Form 720 to reflect the $3 fee applicable to some plan years. Yesterday, the updated [Form 720](https://www.irs.gov/pub/irs-pdf/f720.pdf) was released. [Read More](https://insights.bukaty.com/bulletins/irs-releases-updated-form-720) 0 [![](https://insights.bukaty.com/hubfs/iStock-584227302.2.jpg)](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-approaching) June 20, 2023 ## [PCORI fee July 31 deadline approaching](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-approaching) Each year self-funded plan sponsors must pay the Patient-Centered Outcomes Research Institute (PCORI) fee. Applicable employers should use one of [four methods](https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2F2073866.fs1.hubspotusercontent-na1.net%2Fhubfs%2F2073866%2F2023%2F2023%2520Benefit%2520Bulletins%2F2023%2520PCORI%2520Fee%2520Calculator.xlsx&wdOrigin=BROWSELINK) to calculate the amount owed and submit the required fee to the IRS using Form 720 by July 31. Detailed guidance on completing Form 720 can... [Read More](https://insights.bukaty.com/bulletins/pcori-fee-july-31-deadline-approaching) 0 [![](https://insights.bukaty.com/hubfs/iStock-463785991.jpg)](https://insights.bukaty.com/bulletins/irs-increases-employer-mandate-penalties-for-2024) May 2, 2023 ## [IRS increases employer mandate penalties for 2024](https://insights.bukaty.com/bulletins/irs-increases-employer-mandate-penalties-for-2024) The IRS recently released Revenue Procedure 2023-17, increasing the annual penalty for employers responsible for providing health insurance coverage to full-time employees as required by the Affordable Care Act (ACA). The coverage requirement is referred to as the employer mandate and applies to... [Read More](https://insights.bukaty.com/bulletins/irs-increases-employer-mandate-penalties-for-2024) 0 [![](https://insights.bukaty.com/hubfs/iStock-1154438278-1.jpg)](https://insights.bukaty.com/bulletins/covid-19-public-health-emergency-and-national-emergency-end-soon) February 13, 2023 ## [COVID-19 public health emergency and national emergency end soon](https://insights.bukaty.com/bulletins/covid-19-public-health-emergency-and-national-emergency-end-soon) The [Biden Administration announced](https://www.whitehouse.gov/wp-content/uploads/2023/01/SAP-H.R.-382-H.J.-Res.-7.pdf) on January 30 its intent to end the public health emergency and national emergency on May 11, 2023. In March of 2020, [President Trump issued](https://trumpwhitehouse.archives.gov/presidential-actions/proclamation-declaring-national-emergency-concerning-novel-coronavirus-disease-covid-19-outbreak/) the emergency declaration in response to the nation’s COVID-19 crisis. President Biden extended the national emergency... [Read More](https://insights.bukaty.com/bulletins/covid-19-public-health-emergency-and-national-emergency-end-soon) 0 [![](https://insights.bukaty.com/hubfs/iStock-872877534-1.jpg)](https://insights.bukaty.com/bulletins/new-protections-for-pregnant-nursing-employees) January 9, 2023 ## [New protections for pregnant, nursing employees](https://insights.bukaty.com/bulletins/new-protections-for-pregnant-nursing-employees) President Biden signed into law recently two new protections for pregnant employees that take effect this year. [Read More](https://insights.bukaty.com/bulletins/new-protections-for-pregnant-nursing-employees) 0 [All posts](https://insights.bukaty.com/bulletins/all) [Next](https://insights.bukaty.com/bulletins/topic/health-care-reform/page/2) [View All](https://insights.bukaty.com/bulletins/topic/health-care-reform) ### View posts by category - [Affordable Care Act (14)](https://insights.bukaty.com/bulletins/topic/affordable-care-act) - [Benefits (23)](https://insights.bukaty.com/bulletins/topic/benefits) - [Carrier Notice (41)](https://insights.bukaty.com/bulletins/topic/carrier-notice) - [Compliance (78)](https://insights.bukaty.com/bulletins/topic/compliance) - [Health Care Reform (17)](https://insights.bukaty.com/bulletins/topic/health-care-reform) - [HSA (3)](https://insights.bukaty.com/bulletins/topic/hsa) - [Insurance (1)](https://insights.bukaty.com/bulletins/topic/insurance) - [Workplace Insights (4)](https://insights.bukaty.com/bulletins/topic/workplace-insights) ![blue line, red square orange square blue square green square light blue square blue line](https://insights.bukaty.com/hubfs/BukatyCompanies_April2016/images/breaker-1.png) - [EMPLOYEE BENEFITS](https://www.bukaty.com/employee-benefits) - [Strategic Planning](https://www.bukaty.com/employee-benefits/strategic-planning) - [Data Analytics](https://www.bukaty.com/employee-benefits/data-analytics) - [Pharmacy Cost Control](https://www.bukaty.com/employee-benefits/pharmacy-cost-control) - [Disease Management & Wellness](https://www.bukaty.com/employee-benefits/disease-management-wellness) - [Technology Integration](https://www.bukaty.com/employee-benefits/technology-integration) - [Employee Engagement](https://www.bukaty.com/employee-benefits/employee-engagement) - [Worksite & International Benefits](https://www.bukaty.com/employee-benefits/worksite-and-international) - [M&A Services](https://www.bukaty.com/employee-benefits/m-and-a-services) - [BENEFIT ADMINISTRATION](https://www.bukaty.com/benefit-administration) - [HSA](https://www.bukaty.com/benefit-administration-2/health-savings-account-hsa) - [HRA](https://www.bukaty.com/benefit-administration-2/health-reimbursement-arrangement) - [FSA](https://www.bukaty.com/benefit-administration-2/flexible-spending-account) - [COBRA](https://www.bukaty.com/benefit-administration-2/cobra-administration) - [Combined Billing](https://www.bukaty.com/benefit-administration-2/combined-billing) CORPORATE HEADQUARTERS - 4601 College Blvd., Suite 100, 200 - Leawood, KS 66211 - Benefits phone: 913.345.0440 - P&C phone: 913.951.2400 - [HR CONSULTING & TRAINING](https://www.bukaty.com/hr-consulting) - [Project Work](https://www.bukaty.com/hr-consulting-pages/project-work) - [Training](https://www.bukaty.com/hr-consulting-pages/training) - [Recruiting](https://www.bukaty.com/hr-consulting-pages/recruiting) - [HR Placement](https://www.bukaty.com/hr-consulting-pages/hr-placement) - [HR Concierge](https://www.bukaty.com/hr-consulting-pages/hr-concierge-service) - [PAYROLL & ACCOUNTING](https://www.bukaty.com/payroll-accounting-3) - [Payroll Administration](https://www.bukaty.com/payroll-accounting-2/payroll-administration) - [Time & Attendance](https://www.bukaty.com/payroll-accounting-2/time-and-attendance) - [Human Resource Capabilities](https://www.bukaty.com/payroll-accounting-2/human-resource-capabilities) - [Accounting Services](https://www.bukaty.com/payroll-accounting-2/accounting-services) ### KANSAS CITY, MISSOURI - 9200 NE Barry Road, Suite 200 - Kansas City, MO 64157 - Phone: 816.781.4922 - [COMPLIANCE](https://www.bukaty.com/compliance) - [Compliance √](https://www.bukaty.com/compliance-pages/compliance-check-audit) - [Affordable Care Act](https://www.bukaty.com/compliance-pages/affordable-care-act) - [BUSINESS & PERSONAL INSURANCE](https://www.bukaty.com/business-and-personal-insurance) - [Business Insurance](https://www.bukaty.com/business-and-personal-insurance/business-insurance) - [Personal Insurance](https://www.bukaty.com/business-and-personal-insurance/personal-insurance) - [ABOUT US](https://www.bukaty.com/about-us) - [WHY BUKATY COMPANIES](https://www.bukaty.com/why-chose-bukaty) - [CAREERS](https://www.bukaty.com/careers) - [CONTACT US](https://www.bukaty.com/contact-us) ### LAWRENCE, KANSAS - 1811 Wakarusa Dr, Suite 101 - Lawrence, KS 66047 - Phone: 913.345.0440 ### ROSSVILLE, KANSAS - P.O. 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