Alert detail

Excepted Fertility Benefits

Policy ID: 2026-09479Specialty: Multi-specialtyAdded: 6/2/2026Effective: May 13, 2026federal rule

Low

What changed

Final Rule published 2026-05-13. This document contains proposed rules that would amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act to establish certain fertility benefits as a new category of limited excepted benefits. Excepted benefits are generally exempt from the market requirements that were added to those

Who’s affected: Multi-specialty billing teams · Effective: May 13, 2026

Primary source: View the official CMS/MAC document ↗

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