Under the Consolidated Appropriations Act, 2021 (CAA), all group health plans must comply with the federal Gag Clause Prohibition—a rule that bans contracts that prevent employers or plans from accessing or sharing important provider cost, quality, and de-identified claims information.
Because of this rule, employers must submit an annual attestation confirming they have no prohibited gag clauses in any agreements with their health plan service partners. The next deadline is December 31, 2025.
Who Must Submit?
Even If a Violation Exists, You Must Still Attest
If you discover a prohibited gag clause in a contract—and your vendor won’t remove it—you still must:
- Submit the attestation
- Disclose the issue in the submission portal
- Document your efforts to correct it
Federal agencies consider good-faith reporting when reviewing potential enforcement.

