FTC Settlement With ESI, CAA 2026, and Proposed Rule: What Does It Mean for Plan Sponsors?
An Overview of Regulatory and Legislative Updates for Plan Sponsors Key Points The ESI settlement creates new options for plan sponsors, but few protections apply automatically without proactive action. With the CAA 2026, transparency is expanding meaningfully, but important PBM revenue streams remain partially hidden. The DOL’s Proposed Rule increases fiduciary accountability by tying PBM compensation transparency directly to ERISA oversight. Turning transparency into value will require active governance and independent pharmacy benefit expertise. On February 12, the Federal Trade Commission (FTC) announced a settlement with Express Scripts (ESI) that signals a meaningful, though limited, shift in how regulators …
https://www.epicbrokers.com/insights/plan-sponsor-updates-2026/