The Consolidated Appropriations Act (CAA) gag clause provision prohibits group health plans and health insurance issuers that offer group coverage from entering into agreements that directly or indirectly restrict the plan or issuer from accessing or disclosing certain price and quality information. This prohibition applies to agreements with healthcare providers, provider networks or associations, third-party administrators, and other service providers that offer access to provider networks.
Group health plans and issuers are required to submit an attestation each year to confirm compliance with the prohibition on gag clauses.
We’re filing the Gag Clause Prohibition Compliance Attestation on behalf of FI and ASO health plans by the annual deadline of December 31. For your reference, we are providing you with this confirmation of compliance for the business and information that we administer and maintain via an Employer Hub communication:
- Anthem represents that the administrative services provided under its Administrative Services agreements are consistent with the requirements set forth in Section 201 of the Consolidated Appropriations Act, 2021.
There is no action required of you or the health plan. However, if you receive an inquiry from CMS regarding the Gag Clause Prohibition Compliance Attestation, or have any questions, please contact your Anthem account management team.