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Colorado Compliance Connection - June 2025

June 30, 2025

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Federal Compliance Update

Supreme Court Limits Federal Courts’ Ability to Issue Universal Injunctions  

While the Supreme Court decision discussed below does not directly affect employment law, it may have a profound impact  on the enforcement of employment laws. For example, many recent agency rules have been subject to nationwide injunctions,  such as the Department of Labor’s overtime rule or the Federal Trade Commission’s noncompete ban. Going forward, such  relief will not be applied nationwide in most cases. Further, absent universal injunctions, multistate employers may be subject  to a patchwork of legal requirements across jurisdictions. Finally, employers may also see an increase in class-action lawsuits  by plaintiffs seeking to obtain broader relief. 

On June 27, 2025, the U.S. Supreme Court issued a decision in Trump v. CASA that limited the ability of federal courts to  issue universal injunctions of government policies. Following the decision, in most instances, federal courts may only grant  relief to the plaintiffs who brought the lawsuit.  

Background  

Universal injunctions (sometimes called nationwide injunctions) are frequently used by federal courts to block government  policies, such as presidential executive orders (EOs), from being enforced against anyone across the country, rather than just  the parties to the litigation.  

In CASA (which combines several lawsuits), multiple federal District Courts issued universal injunctions to block the  enforcement of EO 14160, issued by President Donald Trump at the beginning of his second term, which declared that  children born in the United States to parents who are present in the country unlawfully or on temporary visas are not  automatically entitled to citizenship. The injunctions barred executive officials from applying the EO to anyone, not just the  plaintiffs. 

The Trump administration argued that federal judges do not have the power to issue universal injunctions that block the  enforcement of the administration’s EOs across the entire nation. It claimed such relief should instead be limited to the specific  plaintiffs in the lawsuit.  

Supreme Court Ruling  

In CASA, the Supreme Court sided with the Trump administration and partially stayed the injunction. The court held that the  Judiciary Act of 1789, which created the lower federal courts, did not give federal courts the authority to issue universal  injunctions in most circumstances. Instead, federal courts may generally only grant relief to the parties to the litigation.  

However, the Supreme Court clarified that broader relief may be obtained through class-action lawsuits or where a plaintiff  asks a judge to set aside a new agency rule under the Administrative Procedure Act.  

HHS Revises Cost-sharing Limits for 2026 Plan Years  

On June 25, 2025, the U.S. Department of Health and Human Services (HHS) published a final rule to implement new  standards for the Affordable Care Act’s (ACA) Marketplaces. This final rule also updates the methodology used for calculating

the ACA’s maximum annual limitation on cost sharing. Based on this update, the maximum annual limitation on cost sharing is  $10,600for self-only coverage and $21,200 for family coverage for 2026 plan years. This represents an approximately  15.2%increase from the 2025 limits of $9,200 for self-only coverage and $18,400 for family coverage.  

HHS previously released the maximum limits on cost sharing for 2026 based on a now-outdated methodology. Those  limits($10,150 for self-only coverage and $20,300 for family coverage) have been replaced with the revised limits.  

Out-of-Pocket Maximum  

The ACA requires most health plans to comply with annual limits on total enrollee cost sharing for essential health benefits (EHBs). The ACA’s cost-sharing limits apply to all non-grandfathered health plans, including self-insured health plans, level funded health plans and fully insured health plans of any size.  

These cost-sharing limits are commonly referred to as an out-of-pocket maximum. Once the out-of-pocket maximum is  reached for the year, the enrollee cannot be responsible for additional cost sharing for EHBs for the remainder of the year. 

Under the ACA, EHBs must reflect the scope of benefits covered by a typical employer plan and include items and services in 10 general categories, including emergency services, hospitalization, prescription drugs, pediatric services, outpatient care,  and maternity and newborn care.  

Any out-of-pocket expenses required by or on behalf of an enrollee with respect to EHBs must count toward the cost-sharing  limit. This includes deductibles, copayments, coinsurance and similar charges but excludes premiums and spending for  noncovered services. Health plans that use provider networks are not required to count an enrollee’s expenses for out-of network benefits toward the cost-sharing limit.  

Also, the ACA requires health plans to apply an embedded out-of-pocket limit for everyone enrolled in coverage. Each  enrollee must have an individual out-of-pocket limit on EHBs that is not higher than the ACA’s out-of-pocket maximum for self only coverage. 

Annual Limits  

The ACA’s cost-sharing limit is adjusted each year for inflation. For plan years beginning in 2025, the out-of-pocket maximum  is $9,200 for self-only coverage and $18,400 for family coverage. For plan years beginning in 2026, the limits are $10,600 and $21,200, respectively. Employers should review the plan designs each year to ensure they comply with the ACA’s cost sharing limits. 

Employer Takeaways 

Employers offering non-grandfathered health plans—including fully insured, self-funded, and level-funded plans—must ensure  their plan designs comply with the new limits: $10,600 for self-only coverage and $21,200 for family coverage. These figures  represent a 15.2% increase over the 2025 limits of $9,200 and $18,400, respectively, and replace earlier 2026 estimates  issued by HHS under outdated methodology. The ACA requires that all enrollee cost-sharing for essential health benefits  (EHBs)—including deductibles, copayments, and coinsurance, but not premiums or non-covered services—be counted toward  this limit. In addition, plans must include an embedded individual out-of-pocket maximum that does not exceed the self-only  limit, even within family coverage. Employers should review and update plan documents, summary of benefits and coverage  (SBCs), and enrollment materials to reflect these changes, and coordinate with carriers or third-party administrators to ensure  compliance ahead of the 2026 plan year. These updates are necessary not only for regulatory compliance but also to support  effective communication with employees and maintain transparency in benefits administration. 

State Compliance Update

Colorado Expands FAMLI for Parents of NICU Babies and Lowers Premium  

Colorado has amended its Paid Family and Medical Leave Insurance (FAMLI) Act to allow extra paid family and medical leave for parents with a child in a neonatal intensive care unit (NICU).  

The bill containing the amendment—Senate Bill 25-144—also lowered the 2026 FAMLI contribution rate. 

NICU Leave  

Currently, FAMLI limits eligible workers to the following amounts of combined paid family and medical leave:  • Twelve weeks annually; plus 

• Four weeks for pregnancy or childbirth complications.  

The amendment provides parents with a child receiving inpatient care in a NICU unit with 12 more weeks of leave, starting  Jan.1, 2026. Leave is available for the duration of the child’s NICU stay.  

2026 Premium  

The FAMLI program is funded by evenly split contributions from employees and employers with at least 10 employees. The Division of Family and Medical Leave Insurance sets the contribution rate at a percentage of employee wages up to the Social Security wage cap. The rate cannot be more than 1.2% of employee wages.  

Employers collect their employees’ share through payroll deductions and remit the entire premium amount to the state at the end of each quarter through an online system.  

Currently, the FAMLI contribution rate is 0.9% of employee wages; the amendment lowers that rate to 0.88% for the 2026 calendar year. Thereafter, the rate will be set by Sept. 1 for the following calendar year. 

Compliance Calendar

July 

7/31 – Form 5500 Filing Deadline (Calendar year Plans) 

7/31 – Form 941 Filing Deadline (Second Quarter) 

7/31 – PCORI Fee Deadline 

August 

8/1 – Vets-4212 Filing Open (federal contractors) 

September 

9/30 – Summary Annual Report (SAR) Deadline for Calendar Year Plans 

9/30 – Vets-4212 Filing deadline (federal contractors) 

Disclaimer:

Lighthouse HR Support (LHRS) provides practical human resource information and guidance based upon our knowledge and experience in the industry and with our clients. LHRS services are not intended to be a substitute for legal advice. LHRS services are designed to provide general information to human resources and/or business professionals regarding human resource concerns commonly encountered. Given the changing nature of federal, state and local legislation and the changing nature of court decisions, LHRS cannot and will not guarantee that the information is completely current or accurate. LHRS services do not include or constitute legal, business, international, regulatory, insurance, tax or financial advice. Use of our services, whether by phone, email or in person shall indicate your acceptance of this knowledge.

Written By:

Kelly Murphy

Kelly Murphy

Senior HR Business Partner

Kelly brings a wealth of knowledge with nearly 30 years of human resource experience. She provides expertise in various human resource categories, including employee relations, performance management, HR Form creation/review (employee handbooks, job descriptions, etc.), employee/management training, workplace investigations, etc. Her human resource certifications include PHR (Professional Human Resources) and SHRM-PC (Society for Human Resource Management Certified Professional). 

Kelly attended Colorado Mesa University and Waldorf University, where she earned a degree in Human Resource Management and Business Administration with Summa Cum Laude honors. She was named Western Colorado Human Resource Association Professional of the Year, 2013, and currently serves on the Board of Directors. She also is a member of the WCHRA Skills Development Committee, the WCCA Education Committee, and the Members/Events Committee. She serves as an Ambassador for both the Fruita and Palisade Chamber of Commerce.