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States that use the model would offer the credit to employers with two to 50 employees.

Democratic Gov. Abigail Spanberger signed a bill this week that sets new rules for how insurance carriers must handle prior authorizations for both drugs and certain health care services.

"The first quarter's $14.5 billion in transacted revenue was the highest Q1 figure we have seen in recent years," the report said.

Affordability challenges are leading to reduced security for millions of workers, Dayforce research finds.

The Center for American Progress also wants to limit what TPAs can earn from running employers' self-insured plans.

This is only the latest disagreement involving the independent dispute resolution process since it took effect more than three years ago.