On May 8, the Superior Court of Arizona in Maricopa County ordered a health care company to pay more than $30 million in restitution to the Arizona Health Care Cost Containment System (AHCCCS) due to the company’s alleged...more
5/28/2025
/ Arizona ,
Criminal Convictions ,
Criminal Prosecution ,
Enforcement Actions ,
False Billing ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Medicaid ,
Regulatory Violations ,
Restitution ,
Sentencing ,
State Attorneys General
On May 9, Connecticut Attorney General (AG) William Tong, in collaboration with the U.S. Attorney’s Office for the District of Connecticut, announced a $495,721 false claims settlement with Advanced Dental Center PC (Advanced...more
5/23/2025
/ Anti-Kickback Statute ,
Connecticut ,
Dentists ,
False Claims Act (FCA) ,
Government Agencies ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Settlement Agreements ,
State Attorneys General ,
Statutory Violations
Illinois Attorney General (AG) Kwame Raoul and Minnesota AG Keith Ellison have joined the Federal Trade Commission (FTC) in a lawsuit to block the acquisition of Surmodics Inc. by GTCR BC Holdings LLC, two major manufacturers...more
5/9/2025
/ Acquisition Agreements ,
Anti-Competitive ,
Antitrust Litigation ,
Antitrust Violations ,
Competition ,
Federal Trade Commission (FTC) ,
FTC Act ,
Healthcare ,
Medical Devices ,
Pharmaceutical Industry ,
Private Equity ,
Section 5 ,
Section 7 ,
State Attorneys General ,
Statutory Violations ,
The Clayton Act
The Office of Massachusetts Attorney General (AG) Andrea Campbell announced the criminal indictment of several Massachusetts-based health care providers and their owners in connection with allegedly false claims they...more
4/4/2025
/ Anti-Kickback Statute ,
Criminal Prosecution ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Insurance Claims ,
Kickbacks ,
Medicaid ,
Medicaid Reimbursements ,
Physicians ,
State Attorneys General
Last month, Arizona Attorney General (AG) Kris Mayes announced a lawsuit alleging that CBR Systems, Inc. (CBR), one of the nation’s largest cord blood banking companies, engaged in deceptive and unfair practices....more
On February 4, a Vermont Superior Court judge entered a $2,733,989.47 judgment against Phoenix Counseling & Wellness, PLC (Phoenix), and the company’s owner for alleged violations of the Vermont False Claims Act (VFCA)....more
The U.S. Department of Justice (DOJ) and 18 state attorneys general (AG) announced a settlement with Boston-based QOL Medical, LLC (QOL) and its CEO, Frederick Cooper, to resolve allegations that the company provided unlawful...more
2/13/2025
/ Anti-Kickback Statute ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Pharmaceutical Industry ,
State Attorneys General ,
Whistleblowers
State attorneys general (AGs) continue to play a pivotal role as innovators, shaping the regulatory environment by leveraging their expertise and resources to influence policy and practice. The public-facing nature of AG...more
1/30/2025
/ Advertising ,
Artificial Intelligence ,
Cybersecurity ,
Data Privacy ,
Enforcement Actions ,
Environmental Policies ,
Federal Contractors ,
Healthcare ,
Marketing ,
Pharmaceutical Industry ,
Regulatory Violations ,
State Attorneys General ,
Technology Sector
Private equity firms and health care companies operating in Massachusetts will now face enhanced liability risks following the recent passage and enactment of legislation regulating private equity investment in Massachusetts...more
On Sept. 18, Texas Attorney General Ken Paxton announced a settlement with healthcare technology company Pieces Technology pursuant to the Texas Deceptive Trade Practices-Consumer Protection Act.
Originally published in...more
This month, two attorneys general (AGs) have settled False Claims Act investigations with two separate companies in the health care industry. Both settlements were notable in their own right....more
On November 12, the Kentucky attorney general (AG) issued a formal opinion, concluding that the Kentucky Board of Pharmacy lacks the authority to regulate nonresident pharmacists beyond what is specified in KRS Chapter 315....more
On October 15, Maryland Attorney General Anthony G. Brown announced that his office reached a $27 million settlement with Precision Toxicology to resolve allegations that it submitted false claims to government health...more
10/25/2024
/ Civil Monetary Penalty ,
Drug Testing ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Kickbacks ,
Medicaid ,
Medicare ,
Physicians ,
Qui Tam ,
Settlement ,
TRICARE
In 2024, the landscape of state attorneys general (AGs) is poised for significant change, with numerous elections and regulatory actions reshaping priorities and enforcement strategies. This dynamic environment reflects the...more
7/23/2024
/ Advertising ,
Algorithms ,
Artificial Intelligence ,
California Consumer Privacy Act (CCPA) ,
Data Privacy ,
Department of Health and Human Services (HHS) ,
Energy Policy ,
Environmental Policies ,
Environmental Protection Agency (EPA) ,
Federal Trade Commission (FTC) ,
Financial Services Industry ,
Healthcare ,
Machine Learning ,
Marketing ,
Personal Data ,
Pharmaceutical Industry ,
Proposed Rules ,
Regulatory Agenda ,
Regulatory Authority ,
Social Media ,
State Attorneys General ,
State Privacy Laws
Massachusetts Attorney General (AG) Andrea Joy Campbell announced a $4 million settlement with Next Step Healthcare, LLC (Next Step), a Massachusetts-based long-term care management company, in a deal that the AG described as...more
6/21/2024
/ Employees ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare ,
Healthcare Workers ,
Long Term Care Facilities ,
Medicaid ,
Nursing Homes ,
Public Health ,
Settlement ,
State Attorneys General
Tennessee and Mississippi attorney generals (AG), joined by 13 other states, filed a multistate lawsuit in the Southern District of Mississippi. The lawsuit challenges the U.S. Department of Health and Human Services’ (HHS)...more
North Carolina Attorney General Josh Stein and the U.S. Attorney’s Office for the Middle District of North Carolina have reached a $500,000 settlement with Sharon Raynes Halliday and RAPHA Healthcare Services LLC, resolving a...more
A recently introduced California Assembly Bill (AB 3129), targeting private equity (PE) physician practice investments, is currently making its way through the legislative process. Introduced by California Attorney General...more
On April 12, New York Attorney General (AG) Letitia James announced that her office has reached a settlement with Northwell Health, New York’s largest health care network, related to allegations of misleading billing...more
Recently, a matter involving the North Carolina Attorney General (AG) Josh Stein made headlines when it was announced that Affiliated Monitors Inc. would take over monitorship of HCA Healthcare. This relates to HCA’s...more
California Attorney General (AG) Rob Bonta and Assembly Speaker Pro Tempore Jim Wood have introduced new legislation addressing private equity health care deals. The bill, A.B. 3129, would grant the AG oversight over private...more
2/28/2024
/ Acquisition Agreements ,
Anticompetitive Behavior ,
Antitrust Provisions ,
California ,
Healthcare ,
Healthcare Facilities ,
Hedge Funds ,
New Legislation ,
Private Equity ,
Regulatory Oversight ,
Regulatory Reform ,
State Attorneys General
On January 23, the U.S. Court of Appeals for the Second Circuit affirmed a district court ruling that Martin Shkreli, CEO of Vyera Pharmaceuticals (Vyera), violated federal and state laws by engaging in illegal and...more
1/31/2024
/ Anti-Competitive ,
Drug Pricing ,
Enforcement Actions ,
Federal Trade Commission (FTC) ,
Healthcare ,
Martin Shkreli ,
Monopolization ,
Pharmaceutical Industry ,
Prescription Drugs ,
Regulatory Oversight ,
State Attorneys General
On August 11, Illinois Governor J.B. Pritzker signed House Bill 2222 (Public Act 103-0526) into law — bolstering Illinois’ antitrust prevention efforts by expanding the oversight purview of its Attorney General’s (AG) office...more
Massachusetts Attorney General (AG) Andrea Joy Campbell announced the creation of a new Elder Justice Unit, which will use existing resources to protect and promote the safety and well-being of elders through enforcement...more
8/24/2023
/ Elder Abuse ,
Elder Care ,
Elder Issues ,
Exploitation ,
Fraud ,
Healthcare ,
Medicaid ,
Neglect ,
New Regulations ,
Regulatory Oversight ,
State Attorneys General ,
Vulnerable Victims