Mississippi Considers Alternative Association Health Plan Regulation

February 12, 2026

EGWP marketplace medicaid Medicare

Mississippi legislators introduced a bill that would allow professional or trade associations in the state to offer their members health benefit coverage through self-funded plans regulated by another state’s insurance department or the federal government, rather than solely Mississippi’s insurance regulations.

To qualify for this exemption, plans would be required to demonstrate to the Mississippi Commissioner of Insurance that they meet specific criteria, such as being established for at least three years for purposes other than just obtaining or providing insurance, operating under sound actuarial principles, and that the plan is not offered to the general public.

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June 19, 2026

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legislation

Bicameral Patients before Monopolies Act reintroduced

On May 13, bipartisan lawmakers in the House and Senate reintroduced the Patients Before Monopolies (PBM) Act (S.4509/H.R.8779), legislation that would prohibit common ownership of PBMs, insurers, and pharmacies. Sponsored by Sens. Warren (D-MA) and Josh Hawley (R-MO) alongside Reps. Diana Harshbarger (R-TN) and Jake Auchincloss (D-MA), the bill would require impacted organizations to divest […]
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June 10, 2026

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legislation

CMS announces ePA acceleration initiative, democrats seek to repeal WISeR Model

The Centers for Medicare & Medicaid Services (CMS) is advancing its electronic prior authorization (ePA) efforts through a newly established Electronic Prior Authorization Acceleration initiative to address key challenges and drive solutions ahead of 2027 requirements. To date, 29 health care organizations – including health systems, electronic health record developers, physician practices, networks, and digital health […]
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June 10, 2026

EGWP marketplace medicaid Medicare

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