Gag Clause (GCPCA)

The Consolidated Appropriations Act of 2021 (CAA) prohibits self-funded group health plans and insurance carriers from entering into agreements with providers, TPAs, or other service providers whose agreements include language that would constitute a “gag clause.” Gag clauses may be found in service agreements or contracts between a plan or carrier and a health care provider; network of providers or a third-party administrator.

A Gag Clause Prohibition Compliance Attestation (GCPCA) is an attestation of compliance.

General Requirements

  • Deadline: Entities must attest annually by December 31. GCPCAs are accepted throughout the calendar year.

  • The requirement to make the attestation applies to insurers and group health plans, including ERISA plans, non-federal governmental plans, and church plans subject to The Code, regardless of grandfathered status.

  • Plans providing solely excepted benefits, health reimbursement arrangements (HRAs), and other account-based plans need not submit attestations.

Additional Resources