Insurance Coverage for Speech Therapy Developing Legislative Trend? Pennsylvania became the second state to enact legislation ( HB 2268 ) requiring health insurers to cover speech therapy for children who stutter. The bill’s sponsor, Rep. Brandon Markosek...
MI Addresses Multiple Healthcare Issues Gov. Gretchen Whitmer (D) signed over half a dozen bills dealing with healthcare and family support. The measures include SB 790 and SB 791 , allowing home help caregivers to unionize, and SB 929 , increasing pay for healthcare...
CA Enacts Guardrails for Use of AI in Healthcare California Gov. Gavin Newsom (D) signed a pair of bills making the state one of the first to establish guardrails for the use of artificial intelligence in healthcare. One of the measures ( SB 1120 ) sets requirements...
AI in Healthcare Bills Awaiting Gov’s Action in CA California could soon establish new guardrails for the use of artificial intelligence in healthcare with a pair of bills awaiting action by Gov. Gavin Newsom (D). One of the measures ( SB 1120 ) would set...
CA Nears Restricting Private-Equity Healthcare Acquisitions The California Legislature passed a bill ( AB 3129 ) that, if signed by Gov. Gavin Newsom (D), would require the state attorney general’s approval before a private equity group or hedge fund could...
CA Lawmakers Pass PBM Legislation California joined a nationwide movement to tighten restrictions on pharmacy benefit managers with the approval of SB 966 days before adjourning its legislative session on Aug. 31. If signed by Gov. Gavin Newsom (D) the measure...
MA Expands Access to Maternal Health Care Massachusetts Gov. Maura Healy (D) signed legislation ( HB 4999 ) expanding access to maternal health services in the state. Among other things, the measure provides for the licensing of midwives—reducing the number...
Provide your health system clients with a form policy and procedure document addressing both formal and informal government requests (e.g., from law enforcement). Ensure your clients and their workforce members comply with requests from government entities, including...
Bill Regulating PBMs Nearing Passage in CA California lawmakers are on track to pass a bill ( SB 966 ) in the coming weeks regulating pharmacy benefit managers. The measure would prohibit PBM practices as steering patients to PBM-affiliated pharmacies and “spread...
Provide guidance on the process for handling complaints and grievances filed by individuals who are covered under commercial health insurance policies. Better understand your client's obligations in the context of complaints and grievances, the structure of...
Provide this HIPAA Special Enrollment Rights Notice to your employees who have become eligible to participate in your group health plans subject to the Employee Retirement Income Security Act (ERISA). Comply with ERISA by notifying your employees of their special...
Assist nonprofit hospitals and health systems conduct a community health needs assessment (CHNA), a systematic process used by nonprofit hospitals and other health organizations to identify and analyze the health needs of a specific population within a defined...
Review this LexisNexis Practical Guidance – Healthcare practice note from Winston & Strawn LLP which explains how healthcare mergers and acquisitions are frequently subject to antitrust scrutiny. Get up to speed on the relevant antitrust laws, the government...
MT Follows Trend of States Increasing Oversight of Nonprofit Hospitals The Montana Department of Public Health has proposed rules regarding the collection of data on nonprofit hospitals’ charitable acts, including discounting prices and conducting free...
Help healthcare providers and facilities, as well as health plans and insurers, understand and comply with the notice requirements of the federal No Surprises Act, enacted as Title I of Division BB of the Consolidated Appropriations Act, 2021 (CAA), Pub. L. No...