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PBMs predict the new law will increase costs at fully insured plans by $1,800 per enrollee per year.

The chamber also sent the House a bill that would add two ESOP reps to the ERISA Advisory Council.

The government health program fights in Washington could hit small employers hard, because government programs provide health benefits for 19% of their workers.

The federal government could cut the full retail price of some prescription drugs if it sets up a web-based drug outlet mall, but "TrumpRx.gov" could also create new problems for employers, warns legal experts.

The move, which pauses most taxpayer services, represents a sharp departure from the first week of the shutdown.

The decision comes as the company reported a net loss of $223.6 million and an operating margin of a negative 4.3% last year.