PBM Reform Part 1 - CAA 2026/DOL proposed rules

Part D Creditable Coverage Changes

CMS has issued new guidance that simplifies Medicare Part D creditable coverage disclosures for account based plans. In this episode of Comply on the Fly, Karen Breitnauer breaks down what the 2027 changes mean for FSAs, HRAs, and ICHRAs and what plan sponsors need to do now to stay compliant as the simplified determination method also changes. If you oversee benefits or support plan administration, this episode will help you understand what no longer applies, what still does, and where to focus now to avoid missed disclosures and compliance gaps heading into the next plan year.   ____________________ PLEASE NOTE: THIS PODCAST AND THE CONTENTS HEREIN DO NOT CONSTITUTE LEGAL ADVICE. SEEK THE ADVICE OF COUNSEL FOR ANY BENEFIT COMPLIANCE RELATED IMPLEMENTATION GUIDANCE OR STRATEGY.

Gail's Law: 2025 WI Act 103

A new Wisconsin mandate is coming, and it will require plan sponsors to take a closer look at breast cancer screening coverage starting in 2027. In this episode of Comply on the Fly, host Karen Breitnauer walks through 2025 Wisconsin Act 103, also known as Gail’s Law. Karen explains who the law applies to, when the requirements take effect, and what types of screenings must be covered. Understand the important statutory definitions, outlines how plan designs will need to evolve, and offers a clear bottom line for employers and plan administrators preparing for 2027. If you sponsor a Wisconsin plan, this episode provides a practical overview of what is changing, why it matters, and where to focus now to stay compliant.   ____________________ PLEASE NOTE: THIS PODCAST AND THE CONTENTS HEREIN DO NOT CONSTITUTE LEGAL ADVICE. SEEK THE ADVICE OF COUNSEL FOR ANY BENEFIT COMPLIANCE RELATED IMPLEMENTATION GUIDANCE OR STRATEGY.

CHIPRA: Children's Health Insurance Program Reauthorization Act

In this episode of Comply on the Fly, Karen Breitnauer breaks down CHIPRA, Children's Health Insurance Program Reauthorization Act, and why it is often misunderstood. The conversation sets the foundation for understanding special enrollment rights tied to Medicaid and CHIP and what employers are responsible for communicating. If CHIPRA feels like a routine compliance task, this episode explains why it deserves more attention.

PBM Reform Part 2 - FTC Settlement Agreement

In this follow‑up episode of Comply on the Fly, host Karen Breitnauer continues the ongoing discussion around pharmacy benefit manager reform by breaking down the newly proposed settlement between Express Scripts and the Federal Trade Commission. After a month of rapid developments, this episode explains how alleged insulin price inflation led to federal action, what the FTC claims occurred within PBM rebate structures, and the significant changes Express Scripts has agreed to make. Understand key elements of the agreement, and what is still under discussion. Hear what employers should watch as public comment continues, as the PBM landscape continues to shift, and as more changes could be coming next.

PBM Reform Part 1 - CAA 2026/DOL proposed rules

What if the entire PBM landscape shifted before your next renewal, and you didn’t see it coming? In this episode of Comply on the Fly, Karen B. breaks down a whirlwind month of PBM activity and what employers should be watching now. From new transparency proposals to fresh statutory requirements, this episode gives listeners the essential signals without the noise—perfect for busy HR and benefits professionals who need to stay sharp in a fast-changing space. Tune in and stay ahead of the next wave of PBM changes.     ____________________ Please note: This podcast and the contents herein do not constitute legal advice. Seek the advice of counsel for any benefit compliance related implementation guidance or strategy.