FAQs regarding the Skrmetti decision for healthcare entities and payors

On June 18, 2025, the Supreme Court of the United States ruled in United States v. Skrmetti, upholding Tennessee’s SB1 law that limits access to gender-affirming care for minors. The court’s 6-3 decision, written by Chief Justice John Roberts, deemed the law constitutional under a rational basis review, determining it classifies based on age and medical use rather than sex or transgender status.

These FAQs highlight key implications for healthcare providers, hospitals, health systems, health plans, and employer plan sponsors navigating the ruling’s consequences.

Download the FAQs.




Managing ESOP distribution and diversification obligations

On June 3, 2025, Allison Wilkerson and Myriem Bennani participated in a webinar hosted by the National Center for Employee Ownership (NCEO). They discussed proactive strategies for managing ESOP distribution and diversification obligations, including legal requirements, planning opportunities with “administrative loans,” and methods to meet benefit level goals, offering valuable insights for companies navigating ESOP administration.

Access the webinar recording.




Vermont Enacts New Telehealth Legislation Impacting Health Insurers

Vermont’s governor recently signed S 30 into law. The legislation, which goes into effect on September 1, 2025, requires that health insurance plans provide coverage for healthcare and dental services delivered through telemedicine to the same extent as if the services were provided through in-person consultations. Health insurance plans must also provide the same reimbursement rate for services billed using equivalent procedure codes and modifiers, subject to the terms of the health insurance plan and provider contract, regardless of whether the service was provided in person or through telemedicine.

For more updates on state legislative and regulatory developments related to telehealth, check out the latest Trending in Telehealth published by the Health & Life Sciences Group.




Health Plan Provisions in the House Reconciliation Package

On May 22, 2025, the US House of Representatives passed its reconciliation package, now known as H.R.1, One Big Beautiful Bill Act, by a 215 – 214 – 1 vote, advancing an agenda that extends and builds on tax cuts enacted in President Trump’s first term. The bill contains several policies impacting group health insurance plans, health savings accounts, and employer tax credits for paid family and medical leave.

Read more about these proposed policy changes and others in this comprehensive report, which highlights the health-related provisions in the House reconciliation package.




Risk Management in the Modern Era of Workplace Generative AI

As human resources (HR) leaders plan to expand the use of generative artificial intelligence (GenAI) in the workplace, nearly a dozen states have enacted or are considering legislation to regulate its use in employment practices. Additionally, courts are seeing class actions involving alleged disparate impact discrimination and wage and hour violations related to GenAI. Implementing GenAI technologies without understanding their algorithms or data usage can expose employers to legal risks such as potential class actions based on privacy, AI regulations, and employment claims.

Read more here.




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