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...
Compounded Weight-Loss Drugs Creating Headaches for State Regulators With popular weight-loss drugs like Mounjaro, Ozempic and Wegovy in short supply, many doctors, pharmacies and other providers have begun offering compounded versions of the drugs tailored to...
PA Lawmakers Pass Bill Regulating PBMs The Pennsylvania legislature passed a bill ( HB 1993 ) aimed at increasing oversight of pharmacy benefit managers. If signed by Gov. Josh Shapiro (D), the measure would prohibit PBMs from requiring patients to use a PBM...
Guide your healthcare provider clients through key legal and operational considerations to avoid exclusion from participation in Medicare, Medicaid, and other government-funded healthcare reimbursement programs. Use this checklist to advise healthcare providers...
Understand how healthcare facilities may be found liable for the acts of their non-employed attending physicians under a theory of apparent or ostensible agency. Learn how courts have found that a physician, although technically an independent practitioner, has...