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  1. Services
  2. Federal & State Health Policy

Insights on Federal & State Health Policy

57 total results. Page 2 of 3.

Health Care Counsel Blog
Conducting a Post-Dobbs Risk Assessment: A Guide for Hospitals and AMCs
December 9, 2022
Anne M. Murphy, Jill A. Steinberg, Gayland O. Hethcoat II

Since the US Supreme Court ruled in Dobbs v. Jackson Women’s Health Organization (Dobbs) in June 2022, the impact of the Court’s decision continues to ripple across the health care delivery system. In this multi-part series, we will examine key components of a risk assessment framework,

Health Care Counsel Blog
New Challenge to Abortion Access Takes on FDA Drug Approvals
November 30, 2022
Jill A. Steinberg, Emily Cowley Leongini, Hillary M. Stemple, Shoshana Golden

On November 18, 2022, a collection of organizations and providers that oppose abortion filed suit against the US Food and Drug Administration (FDA) and the US Department of Health and Human Services (HHS), seeking — among other things — a permanent injunction.

Health Care Counsel Blog
CMS Issues First Guidance Regarding the Inflation Reduction Act
October 10, 2022
Stephanie Trunk

The Centers for Medicare & Medicaid Services (CMS) has released the first in what undoubtedly will be a series of guidance documents regarding the recently enacted Inflation Reduction Act (IRA). 

Events
Informa Medicaid Drug Rebate Program Summit
October 6, 2022
Stephanie Trunk

Health Care Partner Stephanie Trunk will present twice at the Informa Medicaid Drug Rebate Program Summit on October 12-14.

Health Care Counsel Blog
Court of Appeal Publishes Peer Review Decision Expanding Anti-SLAPP Protections for Medical Staffs and Hospitals
September 23, 2022
Debra Albin-Riley, Lowell C. Brown

In response to multiple requests from California hospital industry members, the California Court of Appeal ordered publication of its decision in Bonni v. St. Joseph Health System et al. This important decision is a victory for peer reviewers because it establishes significant protections.

Health Care Counsel Blog
OIG Reports Indicate the Government's Interest in Balancing Ongoing Telehealth Access With Increased Oversight
September 21, 2022
Jill A. Steinberg, Hillary M. Stemple, Fernanda Sanchez Jara

A pair of reports recently issued by the US Department of Health and Human Services (HHS) Office of the Inspector General (OIG) highlight the important role telehealth services have played in ensuring access to medical services and care for Medicare beneficiaries during the COVID-19 pandemic.

Health Care Counsel Blog
No More Surprise Medical Bills: Third ‘No Surprises Act’ Rule Issued; Focus On QPA Rolled Back, but Claims Backlog Persists
September 16, 2022
Caroline Turner English, Alison Lima Andersen

On August 19, 2022, the US Departments of Health and Human Services, Labor, and Treasury, as well as the Office of Personnel Management, released a highly-anticipated final rule clarifying the procedures and considerations for resolving disputes related to surprise medical bills.

Health Care Counsel Blog
NYDOH Establishes New Office of Aging & Long Term Care
August 29, 2022
Michele L. Gipp, Jo-Ann Marchica

In an effort to reorganize, the New York Department of Health (NYDOH) has formed a new Office of Aging & Long Term Care (OALTC), which would oversee long term care and senior living facilities in New York.

Health Care Counsel Blog
Drug Pricing Reform Finally Becomes Law: What the Inflation Reduction Act Means for Pharma
August 22, 2022
Stephanie Trunk

After many years of policy debate and attempts at proposed legislation, some of the most meaningful changes to the ways in which Medicare pays for prescription drugs – and the obligations of manufacturers selling drugs to Medicare beneficiaries - have finally come to pass.

Health Care Counsel Blog
Which Law Should Emergency Departments Follow? DOJ Sues Idaho Over Conflict Between EMTALA and State Abortion Restrictions
August 8, 2022
Lowell C. Brown, Gayland O. Hethcoat II, Jill A. Steinberg

In a newly filed lawsuit against the State of Idaho, the federal government argues that Idaho’s “near-total ban on abortion,” scheduled to take effect on August 25, 2022, overreaches by prohibiting abortion even where federal law may require physicians to perform an emergency abortion.

Health Care Counsel Blog
CY 2023 Proposed HOPPS Rule– What Drug Manufacturers Need To Know
August 3, 2022
Stephanie Trunk

The Centers for Medicare & Medicaid Services (CMS) issued its annual proposed rule related to the Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems for 2023 (the HOPPS Proposed Rule) on July 26, 2022.

Health Care Counsel Blog
Medical Residents Have Employee Rights Under Recent California Court of Appeal Decision
July 19, 2022
Debra Albin-Riley, Gayland O. Hethcoat II, M.H. Joshua Chiu

In Khoiny v. Dignity Health, the California Court of Appeal held that hospital residency programs are primarily employment programs and medical residents are primarily employees. Therefore, courts should not give special deference to residency programs’ termination decisions.

Health Care Counsel Blog
HHS COVID-19 Public Health Emergency Persists as California COVID-19 Policies Are Set To Expire
June 22, 2022
Gayland O. Hethcoat II, Fernanda Sanchez Jara

The US Department of Health and Human Services’ (HHS) declaration that COVID-19 remains a public health emergency (PHE) will continue through July 15, 2022, and is expected to be renewed again through October 13, 2022.

Events
Medicaid & Government Pricing Congress
May 23, 2022
Stephanie Trunk

Health Care Partner Stephanie Trunk will give a presentation and participate in a Fireside Chat about policy updates surrounding transparency and reporting requirements at the 2022 Informa Connect Medicaid & Government Pricing Congress.

Events
20th Annual Drug Pricing Boot Camp
May 11, 2022
Stephanie Trunk

Health Care Partner Stephanie Trunk will co-chair the American Conference Institute’s 20th Annual Rx Drug Pricing Boot Camp, providing intensive training in the essentials and complexities of pricing calculations, rebates, and reporting under Medicaid, Medicare, and PHS 340B Programs.

Health Care Counsel Blog
Is the Medical Staff Independent in California? Not Exactly
April 26, 2022
Lowell C. Brown, M.H. Joshua Chiu

Some commentators have misinterpreted the Bichai decision to mean that a medical staff and its affiliated hospital are entirely independent of each other. In reality, the two entities are practically and legally interdependent. 

Health Care Counsel Blog
California Allows Health Care Workers To Defer Mandated Booster Shot Based on Recent Infection
March 15, 2022
M.H. Joshua Chiu

On February 22, 2022, the California Department of Public Health (CDPH) announced that vaccinated health care workers with documented recent infection will be allowed to defer booster shot by up to 90 days from infection.

Events
HDA 2022 Distribution Management Conference
March 8, 2022
Stephanie Trunk

Health Care Partner Stephanie Trunk is presenting at the Healthcare Distribution Alliance’s 2022 Distribution Management Conference on March 8.

Health Care Counsel Blog
Texas Court Vacates Arbitration Provisions of Biden Administration Surprise Billing Rule
March 2, 2022
Caroline Turner English, Alison Lima Andersen

On February 23, 2022, in what is being heralded as a significant victory for health care providers, a federal court in Texas vacated portions of the Biden Administration’s rules governing the arbitration procedures to resolve surprise billing disputes under the federal No Surprises Act (the Act).

Events
CTeL Digital Health Summit
June 9, 2021
Douglas A. Grimm, Oliver Spurgeon III*

Health Care Practice Leader Douglas Grimm and Senior Government Relations Director Oliver Spurgeon will present at CTeL’s Digital Health Summit on June 9, 2021.

Alerts
CMS Streamlines CLIA’s Clinical Lab Certification Process for COVID-19 Testing
September 29, 2020
Douglas A. Grimm, Michele L. Gipp

On September 25, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that it streamlined the federal Clinical Laboratory Improvement Amendments (CLIA) certification process for laboratories applying to perform COVID-19 testing.

Health Care Counsel Blog
New CMS Final Rule Gives States Increased Flexibility to Define Essential Health Benefits Despite Disapproval from Patient Advocacy Groups
April 19, 2018
Caroline Turner English, David S. Greenberg

In a new final rule released on April 9, 2018, CMS is allowing states substantially more flexibility in selecting Essential Health Benefits (EHB)-benchmark plans for the 2020 plan year.

Health Care Counsel Blog
Drug Manufacturers Participating in 340B Program Must Execute New Pricing Agreement Addendum
November 7, 2016
Stephanie Trunk

Recently, the Health Resources and Services Administration released a new addendum to amend the existing Pharmaceutical Pricing Agreements that drug manufacturers participating in the 340B Drug Pricing Program must have in place with the Secretary of Health and Human Services.

Health Care Counsel Blog
New Dispute Resolution Process Finally Proposed for 340B Program
August 22, 2016
Stephanie Trunk

On August 12, 2016, the Health Resources and Services Administration published a proposed rule setting forth the requirements and procedures of the administrative dispute resolution process applicable to all covered entities and drug manufacturers participating in the 340B Drug Pricing Program.

Health Care Counsel Blog
Ensuring Compliance with CMS 60-Day Overpayment Rule
August 16, 2016

Everyone working in the health care industry today knows how often overpayments can occur; nevertheless, it is clear under the Affordable Care Act that any provider who receives an identified overpayment is under a direct legal mandate to return it.

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