Health Care Counsel Blog

887 total results. Page 5 of 36.

Caroline Turner English, Pascal Naples

In a recent opinion, E.W. v. Health Net Life Insurance Co., the US Court of Appeals for the Tenth Circuit clarified the elements that plaintiffs must plead to state claims under the Mental Health Parity and Addiction Equity Act (MHPAEA).

David S. Greenberg, Douglas A. Grimm, Stephanie Trunk, Jill A. Steinberg, Hillary M. Stemple, Gayland O. Hethcoat II, D. Jacques Smith, Dan H. Renberg, Alison Lima Andersen, Jessica Sprovtsoff, Moyosore O. Koya, Shoshana Golden, Rebekkah R.N. Stoeckler, Oliver Spurgeon III*

With 2024 underway, ArentFox Schiff highlights 10 of the most pressing legal issues facing the health care industry this year.

Jo-Ann Marchica, Mindy Pittell Hurwitz

Could 2024 bring renewed growth for the skilled nursing and senior housing market or will proposed regulatory changes and the lingering effects of COVID-19 stymie hopes for a potential rebound?

Caroline Turner English, Alison Lima Andersen, David S. Greenberg, Jack R. Bierig, Aphrodite Kokolis

On December 18, 2023, the US Departments of Treasury, Labor, and Health and Human Services (the Departments) issued a rule finalizing the 2024 non-refundable administrative fee parties must pay to access the arbitration process established under the No Surprises Act (the Act).

D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Berin S. Romagnolo, Nancy A. Noonan

Most foreign nationals living in the United States in temporary status (not green card holders) can only reenter the United States after international travel if they have a current visa in their passport.

Gayland O. Hethcoat II, Moyosore O. Koya, D. Reed Freeman Jr.

The US Department of Health and Human Services (HHS) and Federal Trade Commission (FTC) have distinct yet intersecting roles in regulating business practices involving individuals’ health information.

Stephanie Trunk

The Centers for Medicare and Medicaid Services (CMS) continues to take steps implementing the Inflation Reduction Act of 2022 (IRA). Newly revised guidance issued on December 14, 2023, makes notable changes and clarifications to CMS’ previous guidance released earlier this year.

D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Elizabeth Satarov, Heather M. Zimmer

Headlines that Matter for Companies and Executives in Regulated Industries

David S. Greenberg

With the surge of interest in artificial intelligence (AI), it should be no surprise that health insurers have come under scrutiny concerning their use of AI predictive tools to deny medical insurance claims.

D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Mattie Bowden

Headlines that Matter for Companies and Executives in Regulated Industries

Gayland O. Hethcoat II, Moyosore O. Koya

With the recent passage of Assembly Bill (AB) 254 and AB 1697, California’s Confidentiality of Medical Information Act (CMIA) will extend privacy protections to reproductive and sexual health information on mobile applications and internet websites.

Jeffrey E. Rummel

The event will be held on November 17, 2023, to explore the intersection of broadband connectivity and maternal health.

Stephanie Trunk, Wayne H. Matelski, Kevin R. Pinkney, Brian P. Waldman

Here we are in fourth quarter of 2023 already! As companies start wrapping up 2023 and preparing and modeling for 2024, we thought it was a good time to highlight five regulatory developments, changes, or challenges on the horizon for pharmaceutical manufacturers operating in the US market:

D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Mattie Bowden

Headlines that Matter for Companies and Executives in Regulated Industries

Jeffrey E. Rummel

The Federal Communications Commission (FCC) has launched a comprehensive inquiry designed to explore ways the Commission’s Mapping Broadband Health in America platform could be expanded and enhanced to help better leverage digital health tools to improve maternal care.

Jack R. Bierig, Shoshana Golden, Wayne H. Matelski

On October 3, the US Food and Drug Administration (FDA) issued a proposed rule regarding the regulation of in vitro diagnostic products (IVDs).

Caroline Turner English, Alison Lima Andersen, David S. Greenberg, Jack R. Bierig, Aphrodite Kokolis

On September 21, 2023, the US Departments of Treasury (DOT), Labor (DOL), and Health and Human Services (HHS) (the Departments) issued new rulemaking governing the administrative fee required to access the arbitration process established under the No Surprises Act (the Act). Under the proposed rule, the new fee would be set at $150.

Douglas A. Grimm, Moyosore O. Koya

On September 12, 2023, the Senate Judiciary Subcommittee on Privacy, Technology, and the Law convened a hearing to discuss potential legislation focused on AI models, the third in a series of hearings by the subcommittee analyzing issues in AI oversight. A key discussion topic was the Bipartisan Framework for US AI Act introduced by Senators Richard Blumenthal and Josh Hawley.

D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Mattie Bowden, Heather M. Zimmer

Headlines that Matter for Companies and Executives in Regulated Industries

Caroline Turner English, Alison Lima Andersen, Jack R. Bierig, David S. Greenberg, Aphrodite Kokolis

On August 24, 2023, health care providers in Texas scored yet another victory when a federal court vacated additional portions of the Biden Administration’s rulemaking under the federal No Surprises Act (the Act).

D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Shoshana Golden, Rebecca W. Foreman

Headlines that Matter for Companies and Executives in Regulated Industries

Caroline Turner English, Alison Lima Andersen, Jack R. Bierig, Pascal Naples

Last week, the US Court of Appeals for the Ninth Circuit, in its third opinion in the case, reversed a lower court’s decision allowing patients challenging United Behavioral Health’s (UBH) internal mental health coverage guidelines to seek reprocessing of their benefits claims.

Debra Albin-Riley, Fernanda Sanchez Jara

California health care employers that apply mandatory vaccination policies objectively can take great comfort in a recent California Court of Appeal decision.

Caroline Turner English, Pascal Naples

On July 25, 2023, the US Departments of Labor (DOL), Treasury (USDT), and Health and Human Services (HHS) (the Departments) released a much-anticipated interim final rule to ensure that group health plans comply with the Mental Health Parity and Addiction Equity Act (MHPAEA).