Jean C. Hemphill

Jean C. Hemphill

Ballard Spahr LLP

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ACA Repeal and Replace Plan is Released

The House Ways and Means and Energy and Commerce Committees have released, in two parts, budget reconciliation legislation, the first steps of Congress' proposal to "repeal and replace" the Affordable Care Act. Reconciliation...more

3/8/2017 - Abortion Affordable Care Act Cadillac Tax Cost-Sharing Employer Mandates Health Insurance Health Savings Accounts Healthcare Reform Individual Mandate Medicaid Proposed Legislation Repeal Tax Credits Trump Administration Ways and Means Committee

CMS, IRS Address Affordable Care Act Issues in Transition

The Centers for Medicare and Medicaid Services (CMS) and the IRS have each published guidance on matters arising under the Affordable Care Act (ACA). It is too early to tell whether these measures—some of the first guidance...more

2/20/2017 - Affordable Care Act CMS Compensation & Benefits Employee Benefits Filing Requirements Health Insurance Health Insurance Exchanges IRS Public Health Insurance Marketplace Tax Returns

Data Breach Class Action Reinstated Against Horizon Healthcare Services Inc.

The U.S. Court of Appeals for the Third Circuit has vacated a district court's dismissal of a data breach class action filed against Horizon Healthcare Services Inc., in the wake of the 2013 theft of two computer laptops...more

1/24/2017 - Appeals Article III Class Action Data Breach Electronic Medical Records FCRA Health Care Providers Healthcare HIPAA HIPAA Breach Injury-in-Fact Laptop Computers Personally Identifiable Information PHI Standing

Ballard Opinion Letter Program to Replace IRS Determination Letter Program

The Internal Revenue Service has largely ended its determination letter program by which sponsors of individually designed retirement plans can obtain confirmation that their plan documents are tax-qualified. The IRS has...more

12/7/2016 - Determination Letter Employee Benefits IRS Qualified Retirement Plans Retirement Plan

Federal Court Enjoins U.S. Agency’s Nursing Home Arbitration Agreement Ban

The Centers for Medicare and Medicaid Services (CMS), an agency within the U.S. Health and Human Services Department, recently issued a final rule prohibiting nursing homes and other long-term care facilities from utilizing...more

11/9/2016 - Arbitration Arbitration Agreements Binding Arbitration CMS Contract Terms Federal Arbitration Act Health Care Providers Healthcare HHS Long Term Care Facilities Long-Term Care Medicaid Medicare Nursing Homes Skilled Nursing Facility

FTC Scores Another Victory in FTC v. Advocate Health Care Network

The Federal Trade Commission (FTC) won another decisive victory in its effort to fight health care provider consolidation when the U.S. Court of Appeals for the Seventh Circuit reversed a district court’s decision denying the...more

11/2/2016 - Antitrust Litigation Antitrust Provisions Appeals FTC Health Care Providers Healthcare Hospital Mergers Hospitals Merger Agreements

U.S. Agency Prohibits Nursing Home Arbitration Agreements

The Centers for Medicare and Medicaid Services (CMS), an agency within the U.S. Health and Human Services Department, has issued a final rule that includes prohibiting nursing homes and other long-term care facilities from...more

10/3/2016 - Arbitration Arbitration Agreements Binding Arbitration CMS Contract Terms Federal Arbitration Act Health Care Providers Healthcare HHS Long Term Care Facilities Long-Term Care Medicaid Medicare Nursing Homes Preemption Skilled Nursing Facility

FTC Wins Key Appellate Victory in FTC v. Penn State Hershey Medical Center

The Federal Trade Commission (FTC) won a decisive victory today in its efforts to slow the record pace of health care provider consolidation, when the U.S. Court of Appeals for the Third Circuit reversed a District Court's...more

9/28/2016 - Antitrust Provisions FTC Health Care Providers Healthcare Hospital Mergers Hospitals Monopolization Rural Health Care Providers

FTC Finally Loses a Hospital Merger Challenge … Now What?

Handing the Federal Trade Commission (FTC) its first defeat in a federal court hospital merger challenge in more than a decade, a federal district court judge yesterday denied the joint request of the FTC and the Attorney...more

5/12/2016 - Antitrust Provisions FTC Health Care Providers Hospitals Merger Agreements

HIPAA Audits Coming Your Way – Are You Ready?

The Office of Civil Rights (OCR) of the Department of Health and Human Services has begun Phase 2 of its audit program under the Health Insurance Portability and Accountability Act (HIPAA). In this phase, OCR will: -...more

4/13/2016 - Breach Notification Rule Business Associates Covered Entities Health Care Providers HIPAA HIPAA Audits HIPAA Breach OCR PHI

Creating a Social Network of Tax Savings: The Use of LLCs in Structuring Philanthropic and Public Good Activities

The use of a limited liability company (LLC) by Mark Zuckerberg and his wife Priscilla Chan as the vehicle for advancing of “philanthropic, public advocacy, and other activities for the public good” has recently received a...more

12/14/2015 - Charitable Donations Charitable Organizations Limited Liability Company (LLC) Mark Zuckerberg Tax Deductions Tax Liability

Final Rules for Preventive Services

The U.S. Departments of Treasury, Labor (DOL) and Health and Human Services (HHS) have issued interim final regulations and Frequently Asked Questions and Answers on the cost-free coverage of preventive services under the...more

8/3/2015 - Affordable Care Act Burwell v Hobby Lobby Closely Held Businesses Contraceptive Coverage Mandate Corporate Governance DOL Health Insurance Healthcare HHS Hobby Lobby Preventive Health Care Privately Held Corporations Religious Institutions U.S. Treasury

Supreme Court Upholds Affordable Care Act Subsidies in King v. Burwell

In a much-anticipated decision, the U.S. Supreme Court ruled today that individuals who enroll for coverage in a health insurance exchange may qualify for a subsidy to make that coverage more affordable, regardless of whether...more

6/26/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges Individual Mandate King v Burwell SCOTUS State Health Insurance Exchanges Subsidies Tax Credits

New Guidance on Cost-Sharing Limits and Provider Nondiscrimination Rules

The U.S. Departments of Labor, Health and Human Services, and the Treasury have jointly issued a new set of FAQs that clarifies the application of the rules establishing cost-sharing limits. For 2016, non-grandfathered group...more

5/29/2015 - Affordable Care Act Cost-Sharing DOL Health Insurance Healthcare HHS U.S. Treasury

Guidance Clarifies Preventive Care Requirements

Recent guidance issued jointly by the U.S. Departments of Labor, Health and Human Services, and the Treasury clarifies how the Affordable Care Act's requirement to provide cost-free coverage for preventive care applies to...more

5/14/2015 - Affordable Care Act DOL Health Care Providers Health Insurance Healthcare HHS New Guidance Preventive Health Care U.S. Treasury

Anthem's Breach: How Employers Should Respond

With the news of the breach of security at Anthem health plans, many employers have been wondering whether their employees are affected and how they should respond. The breach extends to members in Anthem-affiliated plans and...more

2/11/2015 - Anthem Blue Cross Cyber Attacks Cybersecurity Data Breach Health Insurance Insurance Industry Personally Identifiable Information Popular

Internet of Things: Federal Agencies Offer Privacy and Data Security Best Practices

The recently released Federal Trade Commission staff report, Internet of Things: Privacy & Security in a Connected World, provides companies with insight into the FTC's consumer privacy and data security expectations for the...more

1/30/2015 - Best Practices Cybersecurity Data Protection FTC Internet Internet of Things Popular

Expatriate Plans Exempted from Many Affordable Care Act Provisions

In the Consolidated and Further Continuing Appropriations Act (the recently enacted federal budget bill often known as the “CRomnibus” legislation), Congress has exempted health plans designed to cover expatriates from most...more

1/12/2015 - Affordable Care Act Appropriations Bill Employer Group Health Plans Employer Mandates Expatriates Foreign Nationals

IRS Seeks to Curb Popularity of ‘Skinny’ Health Plans

The Internal Revenue Service, in Notice 2014-69, has concluded that certain unconventional group health plan designs that offer limited or no coverage for in-patient hospitalization services and/or physician services will not...more

11/6/2014 - Affordable Care Act Employee Benefits Employer Mandates Healthcare IRS Pay or Play Popular

Health Plan ID Program Suspended

Late on October 31, the Centers for Medicare and Medicaid Services (CMS) Office of E-Health Standards and Services announced that it was suspending the program that required all health plans to register for a health plan ID...more

11/4/2014 - CMS Covered Entities Deadlines Employer Group Health Plans HPID

Health Plan ID Requirements and Other End-of-Year Considerations

Employers and other health plan sponsors may be focused on preparing for the commencement of the employer mandate under the Affordable Care Act on January 1, 2015, but a number of other deadlines and developments are emerging...more

10/13/2014 - Affordable Care Act Benefit Plan Sponsors Cafeteria Plans Employer Mandates HPID IRS Look-Back Measurement Period Popular Reporting Requirements

Government Agencies Release Further Accommodations to Organizations Opposing Mandated Contraceptive Coverage

In response to the recent U.S. Supreme Court decision in Burwell v. Hobby Lobby, Inc., the U.S. Departments of Health and Human Services (HHS) and Labor (DOL) published proposed rules on August 22, 2014, expanding the...more

8/26/2014 - Affordable Care Act Burwell v Hobby Lobby Contraceptive Coverage Mandate DOL Employer Liability Issues Final Rules HHS Reasonable Accommodation Religious Freedom Restoration Act SCOTUS

IRS Issues Draft ACA Reporting Forms

The Internal Revenue Service recently released draft versions of the forms that will be used to meet the shared responsibility reporting requirements under the Affordable Care Act (ACA). These draft forms have been released...more

7/30/2014 - Affordable Care Act Employer Mandates Filing Requirements Forms Individual Mandate IRS Public Comment Reporting Requirements

Federal Courts Make Conflicting Rulings on Premium Assistance for Federal Exchange Plan Participants

Does the Affordable Care Act (ACA) authorize the payment of premium and copayment subsidies, or “premium assistance subsidies,” to individuals enrolled in a federally established Exchange? On July 22, 2014, two federal courts...more

7/25/2014 - Affordable Care Act Halbig v Burwell Healthcare IRS King v Burwell Subsidies Tax Credits

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