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Eastern District of Texas Invalidates Parts of Implementing the No Surprises Act

On July 26, 2022, Judge Jeremy Kernodle of the Eastern District of Texas affirmed that certain parts of the Interim Final Rule Part II implementing the No Surprises Act (the Act) were invalid. This ruling is nearly identical...more

CMS Imposes First Price Transparency Rule Penalties

The Price Transparency Rule (the Rule) became effective on January 1, 2021. By October 2021, the Centers for Medicare & Medicaid Services (CMS) had issued warnings to over 300 hospitals deemed not in compliance with the...more

Texas District Court Vacates Portions of No Surprises Act Rule Related to Arbitration

On February 23, 2022, Judge Jeremy Kernodle of the Eastern District of Texas ruled that certain parts of the Interim Final Rule Part II (the Rule) implementing the No Surprises Act (the Act) are invalid. Specifically, the...more

Texas Governor Mandates "No Mandates" for the COVID-19 Vaccination

Governor Abbott’s Executive Order- On October 11, 2021, Texas Governor Greg Abbott issued Executive Order GA-40 (the Texas Order) banning COVID-19 vaccine mandates by any entity, including private employers, in Texas....more

Update: Texas HHSC Issues Provider Relief Fund Reporting Requirements – October 1, 2021 Deadline

As reported in a previous blog post, the Texas 87th Legislature passed S.B. 809, an Act adding Chapter 81A entitled “Coronavirus Disease Public Health Emergency Reporting” to the Texas Health and Safety Code...more

Texas Legislature Passes S.B. 809 – Federal Provider Relief Fund Reporting Requirement

This Spring, the Texas 87th Legislature passed S.B. 809, an Act adding Chapter 81A entitled “Coronavirus Disease Public Health Emergency Reporting” to the Texas Health and Safety Code. This Act requires “health care...more

Provider Relief Fund Update: HHS Changes Reporting And Use Of Funds Deadlines

On June 11, 2021, the U.S. Department of Health and Human Services (HHS) issued new guidance on Provider Relief Fund (PRF) reporting and the deadline for providers to use their funds. Provider recipients can now begin...more

Multi-Agency FAQ Issued Regarding COVID-19 Testing And Vaccine Coverage By Health Plans

On Friday February 26, 2021, several agencies including The Departments of Labor, health, and Humans Services (HHS) published FAQs regarding health insurance issuers’ obligations under the FFCRA and CARES Act for governing...more

CMS Announces A Temporary Policy For Premium Reductions

In light of the public health emergency and the urgent need to help individuals and small employers experiencing economic hardship, CMS announced on August 4, 2020 that it has adopted a temporary policy to allow health plan...more

CMS Adds Additional Blanket Waivers For Health Care Providers

On May 12, 2020 the Centers for Medicare & Medicaid Services (CMS) issued additional 1135 blanket waivers which are applicable to a wide variety of health care providers. These COVID-19 Emergency Declaration Blanket Waivers...more

HHS Updates Guidance On Provider Relief Payments

On Friday April 10, 2020, the US Department of Health & Human Services (HHS) began distributing $30 billion in grants to healthcare providers as part of the $100 billion in relief included in the CARES Act. As discussed in...more

Best Practices Related To Public Health And Social Services Emergency Fund Payments

If you received an unexpected payment on or about Friday, April 10, 2020, via Optum Bank with "HHSPAYMENT" as the payment description, that payment was from the Public Health and Social Services Emergency (Relief) Fund...more

Texas Attorney General Opinion KP-0297 Has Big Implications For Ophthalmologist/Optometrist Relationships

Within the vision space there has been some question regarding the authority of Texas Optometry Board (“TOB”) over retailers of ophthalmic goods and optometrists that are in business with or employed by a physician licensed...more

CMS Issues Blanket Waivers Of Section 1877(g) Of The Social Security Act

Due to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) has issued blanket waivers of sanctions under the federal Physician Self-Referral Law (also known as the Stark Law) with respect to specific...more

Proposed Federal Legislation Mirrors State’s Attempts To End Surprise Billing

This is the third and final blog in our Surprise Billing series. Our first two blogs addressed legislation in Texas and California limiting “surprise” or “balance” billing. This article will briefly touch on surprise billing...more

California Law Serves As A Case Study For Surprise Billing Legislation

This is the second blog of our Surprise Billing Series. This article will look at California’s Assembly Bill No. 72 which added sections to the California Health and Safety Code and to the California Insurance Code. This bill...more

Surprise Billing: New Texas Law Poses Limitations On Surprise Billing.

This is the first of three blogs in a series discussing the shift many states are beginning to make towards limiting “Surprise” or “Balance Billing.” This first blog will focus on Texas Senate Bill 1264, which looks to end...more

The “Pathways To Success” Final Rule Is Here: ACO’s Face Big Decisions

This is the third article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) issued its anticipated final rule revising the Medicare Shared...more

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