Law360 (February 28, 2025, 8:32 PM EST) -- The Ninth Circuit will mull Express Scripts and OptumRx's bid to force a public nuisance suit brought by the state of California into federal court, and the Second Circuit will hear from pensioners who say that IBM's use of outdated mortality tables shrank their benefits payouts. Here are five appellate arguments happening in March that should be on benefits lawyers' Read More
Bipartisan Bill Targeting Joint Ownership of PBMs, Health Insurers, and Pharmacies Dies in Congress
In December 2024, the unlikely pairing of Sen. Elizabeth Warren, D-Mass. and Sen. Josh Hawley, R-Mo. introduced a bipartisan bill entitled the Patients Before Monopolies Act. Reps. Diana Harshbarger, R-Tenn, and Jake Auchincloss, D-Mass., introduced the same bill in the House. However, the bill died at the close of the final session for Congress on January 3, 2025. With the change in administration, it is unclear Read More
FTC Finds PBM-Owned Pharmacies Marked Up Generic Specialty Drugs by $7.3 Billion
The Federal Trade Commission (FTC) recently issued a second interim report concerning the mark-ups on high-cost generic specialty drugs sold at pharmacies owned by the three largest pharmacy benefit managers (PBMs). This report follows a July 2024 report in which the FTC found that the biggest PBMs paid higher drug prices to their pharmacies than other pharmacies. The PBMs at issue include Cigna’s Express Scripts Read More
U.S. Supreme Court Declines to Address Circuit Split over Arbitration Provisions in ERISA-Covered Plans
The U.S. Supreme Court has rejected the petition for certiorari filed by Tenneco, an auto parts manufacturer, and its subsidiary, Driv Automotive, Inc., seeking to enforce an arbitration provision in its ERISA-governed retirement plan. Tenneco sought a resolution of the ongoing split in the circuit courts of appeal about the enforceability of arbitration provisions in ERISA-covered plans. The continuing split has Read More
401(k) Excessive Fee Class Action Lawsuits Proliferate in 2024
Excessive fee class action litigation under the Employee Retirement Income Security Act (ERISA) has dramatically increased by 35% in 2024, along with other ERISA class action cases. This surge has been particularly heavy in the last half of the year, likely relying on record-high settlements favoring plaintiffs in the past three consecutive years. While major legacy cases have reached settlement, plaintiff law firms Read More
BlackRock Joins Other Corporations in Quitting Climate Coalition Due to Political Pushback Against ESG Investing
Investment monolith BlackRock has officially withdrawn from the Net Zero Asset Managers Initiative, a coalition of corporations pledging to reach zero-carbon emissions by 2050. BlackRock joins Morgan Stanley, Bank of America, JP Morgan Chase, and others in abandoning the climate coalition, which was once a concerted effort by corporations to adopt energy conservation efforts and sustainable investing. The Read More
Cigna and Union Healthcare Plan Group Sue Minnesota Over New State Law Regulating PBMs
The ERISA Industry Committee, Cigna, and the National Labor Alliance of Health Care Coalitions recently sued the state of Minnesota over its new PBM regulation law. In their suit, the plaintiffs allege that the state law violates the Employee Retirement Income Security Act (ERISA), which preempts state regulation of employee benefit plans. They also claim the law violates the U.S. Constitution. The Minnesota PBM Read More
Massachusetts Passes Law Requiring State PBM Licensing
Massachusetts has passed a new state law that requires pharmacy benefit managers (PBMs) to get a license from the Massachusetts Division of Insurance no later than January 1, 2026. Initial PBM licenses are good for three years and are renewable in subsequent three-year increments. Both initial and renewal licenses come with a $25,000 fee. The new state law also establishes significant penalties for PBMs in certain Read More
OSHA Terminates COVID-19 Healthcare Rulemaking
Just before the presidential inauguration, the Occupational Health and Safety Administration (OSHA) of the U.S. Department of Labor (DOL) announced the termination of its COVID-19 healthcare rulemaking. OSHA originally issued an Emergency Temporary Standard on June 21, 2021. The purpose of the standard was to protect workers in healthcare settings from COVID-19. The agency published the Emergency Temporary Read More
Drug Costs, State Laws Fuel Push For Fed. Action On PBMs
Law360 (February 14, 2025, 7:11 PM EST) -- Skyrocketing prescription drug costs and a proliferation of state laws are driving renewed calls from employers and benefit plan administrators for Congress to enact federal legislation changing how pharmacy benefit managers do business, experts say.Employee benefits and healthcare industry groups are redoubling efforts to have Congress pass a set of new reporting and rebate Read More