On Jan. 1, 2026, several significant changes from the Centers for Medicare & Medicaid Services (CMS) took effect for suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS). A key change is the...more
2/18/2026
/ Accreditation ,
Acquisitions ,
Centers for Medicare & Medicaid Services (CMS) ,
Competitive Bidding ,
Durable Medical Equipment ,
Final Rules ,
Healthcare ,
Medicare ,
Mergers ,
Prior Authorization ,
Regulatory Oversight ,
Regulatory Requirements
On Feb. 3, 2026, President Donald Trump signed into law the FY 2026 appropriations bill, the Consolidated Appropriations Act of 2026, which extends pandemic-era Medicare telehealth flexibilities through Dec. 31, 2027....more
2/11/2026
/ Appropriations Bill ,
Centers for Medicare & Medicaid Services (CMS) ,
Consolidated Appropriations Act (CAA) ,
Department of Health and Human Services (HHS) ,
Donald Trump ,
Federal Funding ,
Government Agencies ,
Health Care Providers ,
Healthcare ,
Medicare ,
New Legislation ,
Public Health ,
Public Health Emergency ,
Reporting Requirements ,
Telehealth ,
Telemedicine
Hospice providers in Georgia and Ohio should take proactive steps now to minimize operational disruption and denial risk from new scrutiny ordered in December 2025 by the Centers for Medicare & Medicaid Services.
CMS...more
1/30/2026
/ Appeals ,
Centers for Medicare & Medicaid Services (CMS) ,
Change of Ownership ,
Compliance ,
Enforcement Actions ,
Government Agencies ,
Health Care Providers ,
Healthcare ,
Hospice ,
Medicare ,
Regulatory Oversight ,
Regulatory Requirements ,
Reimbursements ,
Risk Management
The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) is accepting public proposals for new or modified safe harbor provisions under the Federal Anti-Kickback Statute, as well as...more
12/29/2025
/ Anti-Kickback Statute ,
Comment Period ,
Deadlines ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Fraud Alerts ,
Healthcare ,
Healthcare Fraud ,
OIG ,
Request for Proposals ,
Rulemaking Process ,
Safe Harbors
On Oct. 6 and 11, 2025, California Gov. Gavin Newsom signed into law two pieces of legislation that will impact the healthcare transaction landscape. These laws codify corporate practice of medicine (CPOM) guidance and add...more
On August 25, 2025, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued a report analyzing Medicare billing practices for remote patient monitoring (“RPM”) services during 2024. As RPM...more
On Sept. 10, 2025, the FTC announced the issuance of warning letters to large healthcare employers and staffing firms concerning the use of noncompete clauses in employer-employee contracts. In the warning letters, FTC...more
The Federal Trade Commission signaled a shift in the agency’s enforcement strategy concerning employer-employee noncompete agreements with several announcements on Sept. 4 and 5, 2025. The FTC stated it will no longer defend...more
On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule (PFS Proposed Rule). The PFS Proposed Rule proposes to reduce requirements for several...more
On April 14th, 2025, the U.S. Court of Appeals for the Seventh Circuit reversed the Anti-Kickback Statute (AKS) conviction of Mark Sorensen, the owner and operator of a Medicare-registered durable medical equipment...more
On July 11, 2025, in United States v. Schena, the U.S. Court of Appeals for the Ninth Circuit issued the first appellate decision interpreting the Eliminating Kickbacks in Recovery Act (“EKRA”). The decision marks a...more
On June 26, the Department of Justice announced an $18,500,000 settlement agreement with NUWAY Alliance (NUWAY), a substance use disorder treatment clinic, arising out of medical necessity and kickback allegations. ...more
Remote patient monitoring (“RPM”) continues to see increased growth and evolution. With that industry growth, the government has begun to examine whether certain RPM models may have fraud and abuse concerns when others will...more
On July 2, 2025, the U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services (HHS) announced the reestablishment of the DOJ-HHS False Claims Act Working Group. Originally formed in December 2020 at...more
On June 6, 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a favorable advisory opinion concerning a proposed telehealth staffing and services arrangement involving a management...more
Texas has taken another significant step in limiting non-compete agreements within the healthcare sector. On June 20, 2025, Gov. Greg Abbott signed Senate Bill 1318 (“SB 1318”), which amends and adds new sections to the...more
On June 9, 2025, Oregon Senate Bill 951 (SB 951) was officially signed into law, significantly strengthening the state’s prohibition on the corporate practice of medicine. SB 951 restricts how professional medical practices...more
McGuireWoods held its 21st Annual Healthcare Private Equity and Finance Conference in Chicago, May 13-15, 2025. This premier conference brought together leading healthcare investors, lenders, executives, consultants and...more
On May 6, 2025, the U.S. Department of Health and Human Services (HHS) issued a Dear Colleague Letter on Nondiscrimination Requirements for Medical Schools on the Basis of Race, Color, and National Origin pursuant to Students...more
A first appellate circuit judge has questioned the False Claim Act’s constitutionality. In the Fifth Circuit’s decision last month in United States ex rel Montcrief v. Peripheral Vascular Assocs., P.A., No. 24-50176, — F....more
In recent weeks, the Department of Justice (DOJ) Antitrust Division and Federal Trade Commission (FTC) launched task forces that target potential barriers to competition created by government regulators and private-sector...more
4/4/2025
/ Anti-Competitive ,
Antitrust Division ,
Antitrust Violations ,
Corporate Counsel ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Executive Orders ,
Federal Trade Commission (FTC) ,
Labor Regulations ,
Non-Compete Agreements ,
Regulatory Reform ,
Trump Administration
Recently, the California Legislature introduced two bills that may impact private equity healthcare investments in the state, including formalizing corporate practice restrictions and requiring advance notice for certain...more
On Feb. 18, 2025, the U.S. Court of Appeals for the First Circuit adopted the “but for” causality standard for violations of the federal Anti-Kickback Statute (AKS) that give rise to violations of the federal False Claims Act...more
On Feb. 26, 2025, McGuireWoods successfully assisted a physician-owned hospital in obtaining a favorable advisory opinion from the Centers for Medicare & Medicaid Services (CMS) regarding its proposal to relocate the entire...more
The Centers for Medicare & Medicaid Services (CMS) recently released data on its 2024 settlements of voluntary self-disclosures related to past violations or potential violations of the physician self-referral law (the Stark...more