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Jones Day

Commissioner's National Priority Voucher Program and Coverage Considerations

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On June 17, 2025, FDA Commissioner Marty Makary launched a new priority review pilot program intended to accelerate FDA review for drug and biologic companies supporting U.S. national interests. Specifically, the...more

ArentFox Schiff

Investigations Newsletter: DOJ Once Again to Corporate Community: White Collar Criminal Enforcement Not Slowing Down

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DOJ Once Again to Corporate Community: White Collar Criminal Enforcement Not Slowing Down - On December 9, at the Practising Law Institute White Collar Crime symposium in New York City, New York, Acting Chief Counselor of...more

Troutman Pepper Locke

Colorado Law Adopting Uniform Utilization Review Standards for Behavioral Health Treatment Goes into Effect January 1, 2026

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Colorado House Bill 25-1002, effective January 1, 2026, amends Colorado Revised Statutes § 10-16-104(5.5) to require health benefit plans to use nationally recognized, not-for-profit clinical criteria when making coverage and...more

Troutman Pepper Locke

December 2025 Developments in the Insurance Industry

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Please take note of the following December 2025 developments in the insurance industry. •NAIC Elections: On December 11, 2025, the National Association of Insurance Commissioners (NAIC) elected the following chief state...more

Troutman Pepper Locke

Demystifying Surplus Lines Group Insurance

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In this episode, John and Zachary unpack one of the hottest regulatory topics in surplus lines: group insurance. Learn how affiliated and unaffiliated groups are treated under the NRRA, why “home state” determination drives...more

Epstein Becker & Green

The Next Chapter of Medicare Advantage and Part D: Key Takeaways from the 2027 Proposed Rule

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On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS or the “Agency”) released the 2027 Medicare Advantage and Part D Proposed Rule (the “Proposed Rule”)....more

Haynes Boone

Insuring Equality: Three Tips for Preserving Coverage for DEI Enforcement Actions

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At the beginning of this year, the Trump administration issued a series of executive orders rewriting federal policy on employment programs addressing diversity, equity and inclusion (DEI). Executive orders 14151 and...more

Morgan Lewis - ML Benefits

Clearing the Smoke: Insights from the Williams v. Bally’s Tobacco Use Surcharge Dismissal

In Williams v. Bally Management Group, LLC, the US District Court for the District of Rhode Island became the first court to grant a motion to dismiss in a class action challenging Bally Management Group’s (Bally) tobacco...more

Bricker Graydon LLP

Year-end Tax Challenges for Benefits While on Leave

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We get questions on administering benefits for employees on approved leaves year-round. But with the new year approaching, it is important to understand the tax issues affected by your administration of group health plan...more

Zelle  LLP

I Missed the Northern Lights Again, But the Insurance Industry Should Be Watching Carefully

Zelle LLP on

On November 11 at 9:18 p.m., my phone erupted with the dings of incoming text messages advising me to go outside and “look north.” Those texts were soon followed by photos of the brilliant night sky above my small...more

Nelson Mullins Riley & Scarborough LLP

New Bipartisan Bill Seeks to Expand Medicare ACO Assignment Rules

U.S. Senators Sheldon Whitehouse (D-RI) and John Barrasso (R-WY) have introduced bipartisan legislation to expand access to high-quality, coordinated health care. The ACO Assignment Improvement Act aims to increase...more

McDermott+

Healthcare Preview for the Week of: December 15, 2025

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Republican leaders in the House released the text of their latest healthcare legislation, which would not extend the advanced premium tax credits (APTCs) that are set to expire on December 31, 2025....more

Fishman Haygood LLP

California Court Certifies Narrow Class for Damages Under ERISA and RICO Related to Inflated Balance-Billing Practices

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The U.S. District Court for the Northern District of California recently certified a narrow damages class under ERISA and RICO in L.D. v. United Behavioral Health, a case involving allegations of inflated balance-billing...more

Wiley Rein LLP

Court Upholds 100% Allocation Based on Insured’s “Best Efforts” and Insurer’s Failure to Meet “Relative Exposure” Burden

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The United States District Court for the Southern District of New York, applying New York law, upheld an arbitration award allocating 100% of amounts incurred jointly by insured individuals and non-insured entities to covered...more

Robinson+Cole Data Privacy + Security Insider

Cyber Insurer Offers Product for Deepfakes

Deepfakes continue to be problematic for organizations and individuals. They are hard to detect and hard to respond to when used in an attack against a company....more

Herbert Smith Freehills Kramer

NAIC Addresses Risk Transfer Criteria For Combination Life Reinsurance Contracts

In a closely followed development, the National Association of Insurance Commissioners (NAIC) has adopted rules governing when a life reinsurance contract combining both yearly renewable term (YRT) and coinsurance components...more

Wiley Rein LLP

Insurer Liable for Pollution Settlement After Denial of Defense Based on Extrinsic Evidence in Clean Water Act Suit

Wiley Rein LLP on

The United States District Court for the Western District of Washington, applying Washington state law, has held that an environmental liability insurer breached its duty to defend in bad faith by relying on extrinsic...more

Wiley Rein LLP

Payroll Overpayments Were Not “Necessarily Incurred” and Thus Not Extra Expense Under Cyber Policy

Wiley Rein LLP on

An Illinois Appellate Court, applying Illinois law, has held that an insured’s payroll overpayment following a ransomware attack on the insured’s payroll service provider was not “necessarily incurred,” such that coverage was...more

Shumaker, Loop & Kendrick, LLP

"Florida Targets AI Risks: Consumer Rights and Infrastructure Accountability"

Florida Governor Ron DeSantis has unveiled an ambitious proposal to establish an Artificial Intelligence Bill of Rights and to curb public subsidization of hyperscale AI data centers. Against the backdrop of a national debate...more

DLA Piper

How the insurance arbitrator is affecting product documentation – news from IVASS

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On 3 December 2025, the Italian Insurance Regulatory Authority (IVASS) published Order no. 163/2025. It introduces new information obligations for insurance companies and intermediaries regarding their precontractual...more

Conyers

Conyers Coverage Issue 14 – Winter Edition 2025

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Welcome to the Winter edition of our Conyers Coverage newsletter. As always, we are pleased to bring you a jam-packed edition with timely legal and regulatory insights and details on industry developments from the Cayman...more

Bass, Berry & Sims PLC

CMS Announces Model for Technology-Assisted Chronic Condition Management

Bass, Berry & Sims PLC on

On December 1, the Centers for Medicare & Medicaid Services (CMS) announced the Advancing Chronic Care with Effective, Scalable Solutions Model (ACCESS), a 10-year voluntary alternative payment model (APM) that will pay...more

Goodell, DeVries, Leech & Dann, LLP

A Primer on the Tripartite Relationship

The tripartite relationship is a term of art which describes the complex relationship between (1) an insurance company, (2) it’s insured, and (3) defense counsel retained to represent the insured. Originally Published in...more

Jackson Lewis P.C.

2025 ERISA Litigation: Forfeitures, Investments, and Health Plans Take Center Stage

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ERISA class action litigation did not let up in 2025. Retirement plan fee litigation – which has dominated for several years – remained steady, with new, or in some cases refined, theories targeting 401(k) forfeitures and...more

Ogletree, Deakins, Nash, Smoak & Stewart,...

Year-End Roundup: What Employers Need to Know About Legal Changes in Florida

In Florida, two recent court rulings and a number of laws enacted in 2025 will directly impact employers. This article summarizes the two cases and the new laws, which address open carry of guns, medical marijuana use by...more

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