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Goodwin

Antitrust and Competition Life Sciences Year in Review 2025

Goodwin on

After four years of unpredictably aggressive—and often controversial—merger review, the expectations were that under the new leadership, the Federal Trade Commission (FTC)’s review of life sciences transactions would return...more

Groom Law Group, Chartered

Drug Pricing and Plan Contracting Practices Under Scrutiny: PBM and TPA Reforms in the Consolidated Appropriations Act, 2026

On February 3, 2026, Congress passed and the President signed the Consolidated Appropriations Act, 2026 (“CAA 26”), a legislative package that funds several federal agencies, including the Departments of Labor and Health and...more

Husch Blackwell LLP

DOJ’s Brenna Jenny Comments on Priorities for FCA Enforcement

Husch Blackwell LLP on

On January 28, 2026, Brenna Jenny, Deputy Assistant Attorney General for the Commercial Litigation Branch of the Department of Justice’s Civil Division, delivered comments to False Claims Act (“FCA”) practitioners about DOJ’s...more

Troutman Pepper Locke

Ninth Circuit Upholds Administrator’s Denial of Residential Mental Health Benefits Under ERISA

Troutman Pepper Locke on

In an unpublished memorandum decision, the Ninth Circuit in R.R. v. California Physicians’ Service d/b/a Blue Shield of California, affirmed the insurer and administrator’s denial of benefits for a dependent’s residential...more

McDermott Will & Schulte

Trending in Telehealth: January 2026

Trending in Telehealth highlights monthly state legislative and regulatory developments that impact healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and...more

Health Care Compliance Association (HCCA)

Provider’s $82.57 Fee for Records = $112K Penalty, Six Years of Legal Bills

At some point, maybe it’s just simple math. What does it cost to not get in trouble with the HHS Office for Civil Rights (OCR)? This is not about dropping thousands of dollars to do a security risk analysis—and don’t forget...more

Alston & Bird

Sameness: No Longer Just Yes or No for ANDA Applicants

Alston & Bird on

On February 3, 2026, President Trump signed H.R.7148, the Consolidated Appropriations Act, 2026, into law. Section 6703 of the Act, “Increasing Transparency in Generic Drug Applications,” amends the Federal Food, Drug, and...more

Bradley Arant Boult Cummings LLP

I Can See Clearly Now the Rain Is Gone: As Major Legislative Deadline Passes, New Laws Governing Mississippi Cannabis and...

As the frozen precipitation is continuing to thaw across the upper part of Mississippi, the Mississippi legislature continues to forge ahead in this year’s legislative session....more

McDermott+

Key takeaways: Health-related provisions in the FY 2026 minibus

McDermott+ on

On February 3, 2026, a comprehensive fiscal year (FY) 2026 appropriations package advanced through the US House of Representatives, finishing the legislative process for five of the six remaining appropriations bills....more

Katten Muchin Rosenman LLP

Pharmaceutical Direct to Consumer Programs: OIG's Low-Risk Roadmap for Drug Discounts & Congressional Concerns on TrumpRx...

On January 27, 2026, the Department of Health and Human Services, Office of Inspector General (“OIG”) published a Special Advisory Bulletin (the “SAB”) addressing key considerations for pharmaceutical manufacturers' offering...more

Pullman & Comley - Connecticut Health Law

Medicare Telehealth Flexibilities Extended Through December 2027

As a follow-up to our post earlier this week, President Trump has signed into law the Consolidated Appropriations Act, 2026 (CAA). The law extends key COVID-19 era Medicare telehealth flexibilities through December 31, 2027...more

McGuireWoods LLP

HHS OIG Issues Guidance on Anti-Kickback Statute Implications for Direct-to-Consumer Drug Sales Ahead of TrumpRx Launch

McGuireWoods LLP on

In advance of the anticipated rollout of the “TrumpRx” website, a platform promising lower-priced drugs sold directly to consumers, the Office of Inspector General of the Department of Health and Human Services (OIG) released...more

Cozen O'Connor

AG Coalition Reaches $17.85M Settlement in Generic Drug Pricing Antitrust Litigation

Cozen O'Connor on

A coalition of 48 AGs led by Connecticut AG William Tong reached separate settlements with Lannett Company, Inc. (“Lannett”) and Bausch Health US, LLC/Bausch Health Americas, Inc. (“Bausch”) in generic-drug antitrust...more

Venable LLP

Building on Recent Hemp Reforms, Congress Considers Further Federal Oversight of Cannabinoid Products

Venable LLP on

Recent congressional activity reflects a dual-track approach to hemp regulation: lawmakers are simultaneously seeking to delay the implementation of certain existing hemp provisions while advancing legislation that would...more

Mintz - Health Care Viewpoints

DOJ Criminal Fraud Section 2025 Year in Review – Health Care Fraud Is Front and Center

On January 22, 2026, the Department of Justice (DOJ or the Department) Criminal Fraud Section issued its 2025 Year in Review summary (YIR Summary). Our more detailed analysis of the full YIR Summary can be found here. DOJ’s...more

Shumaker, Loop & Kendrick, LLP

Client Alert: Centers for Medicare & Medicaid Services Proposes Sweeping Restrictions on "Sex-Rejecting Procedures" (aka...

The Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), has issued two landmark proposed rules that would significantly restrict the delivery and funding of...more

Troutman Pepper Locke

CMS’s 2027 Medicare Advantage Proposal: “Flat” Rates with Tighter Risk Adjustment

Troutman Pepper Locke on

On January 26, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) capitation rates and Medicare Part D payment policies. CMS...more

Cozen O'Connor

AG Bird Sues PBMs and Insulin Manufacturers over Alleged Pricing Scheme

Cozen O'Connor on

Iowa AG Brenna Bird filed a lawsuit against multiple pharmacy benefit managers (PBMs) and insulin manufacturers, alleging the companies violated Iowa’s Consumer Fraud Act by artificially inflating diabetes drug prices for...more

Stevens & Lee

Hospitals Beware – Mandatory Provider-Based Attestations Are Back

Stevens & Lee on

On Feb. 3, 2026, President Trump signed into law the Consolidated Budget Act of 2026. One small but mighty provision included in the Act will create a compliance burden on hospitals that provide outpatient off-campus...more

Health Care Compliance Association (HCCA)

[Event] 30th Annual Compliance Institute - April 27th - 30th, Orlando, FL

Don’t miss game-changing compliance education, connections, and program solutions in Orlando - For three decades, the Compliance Institute® (CI) has been the ultimate go-to event for healthcare compliance professionals...more

Brownstein Hyatt Farber Schreck

Labor-HHS Fiscal Year 2026 Appropriations Bill and Health Care Extenders Overview

Congress enacted the fiscal year 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, providing roughly $221 billion in total funding across the subcommittee’s jurisdiction,...more

Mintz - Health Care Viewpoints

Telehealth Update: Partial Government Shutdown Ends With Extension of Medicare Telehealth Provisions

As the telehealth industry is acutely aware, Medicare’s telehealth flexibilities and the Acute Hospital Care at Home Program, both of which have been in place since 2020, expired on January 31, 2026. While on that day the...more

Davis Wright Tremaine LLP

Time for Hospitals to Get Their Provider-Based Compliance in Order

Medicare reimbursement for off-campus hospital outpatient departments is once again under attack....more

ArentFox Schiff

The Eyes Have It: FDA Approves Phase 1 Clinical Trial of Life Biosciences’ Reprogramming Therapy for Vision Loss

ArentFox Schiff on

The US Food and Drug Administration (FDA) has approved a Phase 1 clinical trial from Life Biosciences that aims to help certain eye cells act younger and improve vision in glaucoma and related conditions....more

King & Spalding

GAO Recommends Reforms to Organ Transplantation Oversight

King & Spalding on

On Thursday, January 22, 2026, the U.S. Government Accountability Office (GAO) released a report containing three main recommendations for improving the oversight and operations of the Organ Procurement Transplant Network...more

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