The U.S. Supreme Court's recent holding that Arkansas can regulate the middlemen that control employee health plans' prescriptions without treading on ERISA's territory opens the door for states to take more aggressive action to reduce health care costs, experts say. "What the Rutledge decision is going to mean is that because those state statutes regulate costs — they don't regulate … whether something is covered or not — states can apply their [surprise medical billing] statutes to ERISA plans. That is massive," said Matthew Lavin, a health care attorney and partner at Napoli Shkolnik PLLC. Télécharger