In This Issue:

- Top News

..Judge Orders $237.4 Million Penalty Against Tuomey for Stark Law and False Claims Act Violations

..Glitches and Demand Lead to Marketplace Frustration

..HHS Delays Small Business Marketplaces Enrollment by One Month

..Consumers Have Option to Choose From Average of 53 Health Plans, with Lower-Than-Projected Premiums

- State News

..CMS Approves Arkansas Private-Option Medicaid Expansion Plan; Several States Still Grappling With Expansion Decision

..California Expands Pharmacist Scope of Practice

..Maryland Waiver Plan Would Overhaul Existing All-Payer Hospital Reimbursement System

- Regulatory News

..CMS Issues Guidance on Implementation of Hospital Two-Midnight Rule; Implements 90-Day ‘Education’ Period

..Congress Moves Closer to Bill To Give FDA More Regulatory Oversight of Compounding Pharmacies

- Additional Reading

- Federal Register

- For More Information

- Excerpt from Judge Orders $237.4 Million Penalty Against Tuomey for Stark Law and False Claims Act Violations:

On October 1, 2013, federal United States District Court Judge Margaret Seymour reduced her prior order against Tuomey Healthcare System (“Tuomey”) by nearly $40 million. Federal prosecutors filed a motion to reduce a previous judgment of $277 million because of a clerical error.