Health Reform + Related Health Policy News Update - April 2013

In this Issue:

- Top News

..Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations

..Catholics’ Challenge to Contraceptive Coverage Mandate Dismissed As Not Ripe

- States News

..Tennessee Rejects Traditional Medicaid Expansion

..Maryland Passes Medicaid Expansion Bill

..Minnesota Receives Grant to Focus on Overused Medical Tests

..Physician Supervision of Kentucky PA’s Relaxes

- Regulatory News

..U.S. District Court Finds Hospitals Qualify as Federal Subcontractors

..House Releases Second Draft of Plan to Fix Sustainable Growth Rate (SGR) Formula

..Despite Federal Delay, States Moving Forward with Employee-Choice Exchanges

..Sixth Circuit Overturns False Claims Act Ruling Regarding Physician Supervision of Imaging Procedures

..CMS Reverses Course on Medicare Advantage Rates

..MedPAC Discusses Concerns with Accountable Care Organizations

..Physician Payment Sunshine Act Final Rule Released

- Additional Reading

..Medical Device Tax Repeal Proposal Stalls in the House

..DOJ Announces Multiple Settlements with Health Care Providers for ADA Violations

- Federal Register

..IRS Releases Additional Guidance Regarding Community Health Needs Assessments

..CMS Issues Proposed Rule to Strengthen Oversight of Accreditation Organizations

..HHS Releases Proposed Rule for Exchange Navigators

..CMS Finalizes Rule to Cover Costs of Newly Eligible Medicaid Beneficiaries

..Two National Data Banks Combine Under New HRSA Final Rule

- For More Information

- Excerpt from Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations:

On April 3, 2013, the United States Department of Justice (“DOJ”) announced it had entered into a settlement agreement with Utah-based Intermountain Health Care, Inc. (“IHC”) for $25.5 million based on IHC’s alleged violations of the False Claims Act, Civil Monetary Penalties Law and the Stark Law.

Please see full Update below for more information.

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