The Department of Health and Human Services (HHS) has issued proposed regulations that would amend the Privacy Rule under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to promote health care coordination and case management. Among other objectives, the proposals would make the transfer of individuals' protected health information (PHI) between HIPAA covered entities more efficient.

The US Court of Appeals for the Ninth Circuit has held that plan participants requiring specialty medications for treatment of HIV/AIDS stated a claim for disability discrimination under Section 1557 of the Affordable Care Act (ACA). The participants alleged that a pharmacy benefit manager's (PBM's) policy required them to obtain specialty medications through its designated specialty pharmacy for those medications to be considered in-network benefits available at a lower price.