The ongoing ICE enforcement actions and resulting protests in Minnesota may be contributing to serious public health problems.

"In today's fast-paced work environment, a surge of last-minute time-off requests and reactive approvals from overwhelmed managers with decision fatigue can lead to accidental understaffing," said Jason Bodin, executive vice president of marketing and communications at Paycom.

The settlement is expected to drive down patients' out-of-pocket costs for drugs such as insulin by up to $7 billion over 10 years.

One part requires PBMs to send employer health plans detailed prescription benefits tracking information and for the plan fiduciaries to use the data to keep tabs on the benefits and on PBM compensation.