News & Analysis as of

Health Insurance

Read need-to-know updates, commentary, and analysis on Health issues written by leading professionals.
Polsinelli

Budget Reconciliation and Health Policy: Understanding the Legislative Process and Where Congress May Go Next

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Key Takeaways - The FY 2027 budget process is underway, with the president submitting his proposal April 3 and committees beginning hearings the week of April 13. Senate leadership is expected to move a budget resolution the...more

Baker Donelson

Express Delegation Still Means What It Says: Sixth Circuit Upholds DOL Home Care Rule After Loper Bright

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In the wake of Loper Bright, many employers have questioned whether long-standing federal regulations remain on solid footing. On April 1, 2026, in DOL v. Americare Healthcare Services, the U.S. Court of Appeals for the Sixth...more

Alston & Bird

Out with the Old? FDA Pushes to Modernize Dietary Supplement Regulation

Alston & Bird on

The Food and Drug Administration (FDA) has signaled a reassessment of its dietary supplement regulatory framework, recently framing a public meeting around key questions on ingredient scope, identity, manufacturing changes,...more

Weber Gallagher Simpson Stapleton Fires &...

Court Rejects Plaintiff Attempts to Preemptively Limit Defense Cross Claims and Expert Testimony

A recent defense victory reinforces key procedural protections for defendants and pushes back against a growing plaintiff‑side litigation tactic....more

Sheppard, Mullin, Richter & Hampton LLP

Ready for 2027? CMS Issues Contract Year 2027 Final Rule and Announcement of Rates and Payment Policies for Medicare Advantage and...

In anticipation of the CY2027 bid deadline, CMS released both the CY2027 final rule for Medicare Advantage (“MA”) and Medicare Part D (the “Final Rule”) as well as the CY2027 MA Capitation Rates and Part C and Part D Payment...more

Vorys, Sater, Seymour and Pease LLP

Vorys Benefits Brief: Responding to a Breach of HIPAA-Protected Information - Guidance for Employers

On January 13, 2025, Conduent Business Services LLC (Conduent) discovered it was the subject of a cybersecurity incident involving unauthorized access to its systems between October 21, 2024, and January 13, 2025....more

Robins Kaplan LLP

BioDelivery Sciences Int’l, Inc. v. Alvogen PB Research & Development LLC

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This case was filed in 2018 when Alvogen submitted to the FDA an ANDA for approval to market generic Belbuca, a buprenorphine buccal film used to administer the drug transmucosally....more

Husch Blackwell LLP

Hospice Insights Podcast - High Risk Hospices Are in the Hot Seat Across Six States

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Since September 2024, CMS’s Medicare Administrative Contractors have been conducting expanded prepayment reviews (also known as “EPRs” or targeted high-risk reviews) of existing hospice providers in Arizona, California,...more

McDermott+

CMS releases FY 2027 IPPS proposed update

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On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule....more

Health Care Compliance Association (HCCA)

‘We’re Open for Business’: OCR Assumes Part 2 Records Enforcement; Is Your NPP Updated?

Time’s up! Covered entities (CEs) and substance use disorder (SUD) providers who accept federal assistance have had two years to comply with a rule updating privacy policies, as well as implement breach notification...more

Spilman Thomas & Battle, PLLC

The Health Record - Healthcare Law Insights, V 3, Issue 4, 2026

Welcome to our fourth issue of 2026 of The Health Record -- our healthcare law insights e-newsletter. In this edition, we look at the record setting False Claims Act recovery results from 2025, proposed cuts at HHS,...more

McDermott Will & Schulte

This Week in 340B: April 7 – April 13, 2026

Find the week’s updates on 340B litigation to help you stay in the know on how 340B cases are developing across the country. Each week we comb through the dockets of more than 50 340B cases to provide you with a quick summary...more

Morrison & Foerster LLP

Congressional Investigations Quarterly April 2026

In an Election Year, Affordability Takes Center Stage - As the midterm elections draw near, “kitchen table” issues, like affordability, will dominate the congressional investigations landscape for both parties. The...more

Goodwin

FDA Approves Extended Dosing Interval for Regeneron’s EYLEA HD (aflibercept)

Goodwin on

On April 2, 2026, Regeneron Pharmaceuticals announced that the U.S. Food and Drug Administration has approved an extension to the dosing intervals for EYLEA HD (aflibercept) patients with wet age-related macular degeneration...more

Benesch

CMS Bets On The Long Game With 10‑Year LEAD ACO Model

Benesch on

New 10-Year ACO Demo (2027–2036): Starting January 1, 2027, providers will have the opportunity to participate in a decade-long, voluntary ACO program with no benchmark rebasing throughout the 10-year span. The Long-term...more

Hinshaw & Culbertson LLP

[Webinar] California Senior Living–2026 Legal, Regulatory, and Insurance Update - April 29th, 12:00 pm PT

Join legal and industry professionals on April 29, 2026, at 12:00 pm PT, for the California Senior Living–2026 Legal, Regulatory, and Insurance Update, a timely webinar designed to help administrators, owners, and operators...more

Bergeson & Campbell, P.C.

FDA’s Human Foods Program Research Needs Include Assessing Nanoparticles

The U.S. Food and Drug Administration’s (FDA) Human Food Program (HFP) has prepared a list of priority research, data, and method needs that, if fulfilled, will help FDA better understand the underlying factors that may cause...more

Fox Rothschild LLP

What Pending Medical Cannabis and Hemp Legislation Means for Georgia

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Key Points: • Senate Bill 220, the bipartisan "Putting Georgia's Patients First Act," would eliminate Georgia's 5% THC cap in favor of a 12,000-milligram possession limit and otherwise transform what has been the nation's...more

A&O Shearman

Life Sciences And Healthcare Insights (UPDATED)

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Welcome to our Life sciences and healthcare insights report, where our global team share their insights on the most important commercial, legal, and regulatory issues facing life sciences and healthcare companies around the...more

Epstein Becker & Green

FDA Launches Home Innovation Challenge for Medical Device Technologies

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The Food and Drug Administration (FDA) is urging innovators, providers, and patients to “reimagine the home as an integral part of the health care system.”...more

Shumaker, Loop & Kendrick, LLP

Client Alert: The Government May Actually Be Here to Help – Health Insurance Portability and Accountability Act of 1996 (HIPAA)...

The United States Department of Health and Human Services (HHS) provides a helpful set of questions and answers on its website regarding the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Health care...more

Ankura

The Consolidated Appropriations Act, 2026 | A Primer for Medicare Part D Plans and Pharmacy Benefit Managers

Ankura on

On Feb. 3, 2025, H.R.7148 the Consolidated Appropriations Act, 2026[1] ( CAA) became law. Included in the Act, there were many new provisions surrounding the pharmacy industry emphasizing pharmacy contracting, pharmacy...more

ArentFox Schiff

Federal Court Vacates HRSA’s 2013 340B ‘GPO Prohibition’ Policy for Replenishment Models

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Last month, the US District Court for the District of Columbia struck down a 2013 policy issued by the US Department of Health and Human Services Health Resources and Services Administration (HRSA) regarding the Section 340B...more

Foley & Lardner LLP

FDA Clarifies Policies for Pharmacy Compounders of GLP-1 Products

Foley & Lardner LLP on

On April 1, 2026,the U.S. Food & Drug Administration (FDA) issued a statement clarifying its compliance policy on the  conditions that must be met for compounded drugs to qualify for the exemptions under Sections 503A and...more

Polsinelli

2026 340B Program Update – 340B Rebate Model RFI Comments Due and Manufacturers Continue Restricting 340B Pricing

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Key Takeaways - HRSA has extended the deadline for comments on its proposed 340B rebate model pilot program to April 20, 2026. Covered entities have a limited window to submit detailed feedback on how the model would affect...more

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