News & Analysis as of

Healthcare Proposed Amendments

Sheppard Mullin Richter & Hampton LLP

OHCA Proposes Amendments to its Cost and Market Impact Review Program

Only two months after California’s cost and market impact review (CMIR) regime began to require notice of certain healthcare-related transactions, the Office of Health Care Affordability (OHCA) has already proposed several...more

Bass, Berry & Sims PLC

Georgia Bill Proposed to Restrict Use of AI in Healthcare

Bass, Berry & Sims PLC on

On January 9, State of Georgia Representative Mandisha Thomas introduced HB 887 (the Bill), which amends certain provisions of the Official Code of Georgia Annotated to regulate the use of artificial intelligence (AI) and...more

Sheppard Mullin Richter & Hampton LLP

FTC Looks to Update Health Breach Notification Rule, Targeting Digital Health Industry

The FTC recently proposed amendments to the Health Breach Notification Rule (HBNR). This is on trend with its aggressive interest over the last couple of years in health data not covered by HIPAA....more

ArentFox Schiff

Investigations Newsletter: Top Reasons for 2022’s Downward Trend in False Claims Act Recoveries

ArentFox Schiff on

Top Reasons for 2022’s Downward Trend in False Claims Act Recoveries - Following the US Department of Justice’s (DOJ) release of statistics regarding FCA settlements and judgments for the 2022 fiscal year, Law360 spoke...more

Quarles & Brady LLP

Revised Amendments to Texas Central Fill Rule Address Concerns for Misinterpretation

Quarles & Brady LLP on

On May 3, 2022, the Texas Board of Pharmacy reviewed proposed amendments to its Central Fill Rule, 22 Tex. Admin. Code § 291.125, and voted to send the revised language for final adoption in the next Board meeting tentatively...more

Shumaker, Loop & Kendrick, LLP

Client Alert: Filed S.C. Senate Bill Proposes to Eliminate “Supervising Physician” Requirements for CRNAs

Last week, Senator Tom Davis (R-Beaufort) introduced Bill S. 563 on behalf of the South Carolina Association of Nurse Anesthetists. S. 563 would remove all supervision language for certified registered nurse anesthetists...more

Manatt, Phelps & Phillips, LLP

Manatt on Health Reform: Weekly Highlights - November 2015

Montana receives approval to expand Medicaid beginning 2016; California’s $6.2 billion Medicaid waiver receives pre-approval; and HHS proposes broadening circumstances under which states receive enhanced federal matching...more

Benesch

CMS Proposed Stark Law Revisions

Benesch on

On July 15, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published proposed revisions to the regulations implementing the physician self-referral law, or Stark Law. The Stark Law is a key regulatory...more

Davis Wright Tremaine LLP

Changes to the “Two-Midnight Rule” on the Horizon

On July 1, CMS published proposed changes to the so-called “Two-Midnight Rule,” which currently governs when inpatient hospital admissions are entitled to Medicare Part A payment. The proposed changes were announced in a...more

Sheppard Mullin Richter & Hampton LLP

Thirteen Years of the Same Rules and Now Big Proposed Changes to the Regulation of Medicaid Managed Care Plans

On May 25, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published a newly proposed rule that would change the way the agency regulates Medicaid managed care plans, the first regulation of its kind since 2002. ...more

Epstein Becker & Green

Legislation to Curb Medicare and Medicaid Fraud Would Increase Cost and Compliance Burdens on Health Care Providers

On March 25, 2015, a bipartisan group of U.S. Senators reintroduced the Preventing and Reducing Improper Medicare and Medicaid Expenditures Act (“PRIME Act” or “Act”) following the lead of the U.S. House of Representatives,...more

Bradley Arant Boult Cummings LLP

Stage 3–The Final Frontier of Meaningful Use: CMS Issues Its Stage 3 Proposed Rule

On March 20, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule (Proposed Rule) for implementing Stage 3 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Programs). ...more

Foley & Lardner LLP

CMS Intends to Modify EHR "Meaningful Use" Program Requirements

Foley & Lardner LLP on

The Centers for Medicare & Medicaid Services (CMS) recently announced its intent to engage in rulemaking to update the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (commonly referred to as the...more

Manatt, Phelps & Phillips, LLP

Manatt on Medicaid: Tennessee Releases Draft Waiver Amendment for Approval to Implement ACA Medicaid Expansion

On January 8, 2015, Tennessee released a proposal to expand its Medicaid program through an amendment to its current TennCare II waiver under Section 1115 of the Social Security Act. Tennessee’s two-year proposal, called...more

Baker Donelson

CMS Proposes Changes to the Medicare Shared Savings Program MSSP

Baker Donelson on

On December 1, 2014, CMS published its proposed changes and updates to the Medicare Shared Savings Program (MSSP) for Accountable Care Organizations (ACOs). Comments are due by February 6, 2015. Below is a summary of the...more

McDermott Will & Emery

CMS Proposes Major Update of Home Health Agency Conditions of Participation Focusing on Care and Quality Standards

McDermott Will & Emery on

Proposed Revisions to HHA Conditions of Participation - The Centers for Medicare & Medicaid Services (CMS) published its proposed update to the home health agency (HHA) Conditions of Participation (CoPs) in the October...more

Cozen O'Connor

Health Care Reform Implementation Update

Cozen O'Connor on

Affordable Care Act (ACA) action on Capitol Hill this past week centered on investigations into improper ACA subsidy payments, a potential constitutional amendment proposal, and support for an appeal of the ACA in favor of a...more

King & Spalding

Legislation Introduced in the House Would Amend the False Claims Act

King & Spalding on

On August 1, 2013, Reps. Howard Coble (R-N.C.) and David Scott (D-Ga.) introduced bipartisan legislation in the House that would amend the federal False Claims Act (FCA) by adding several procedural hurdles that make it more...more

Bradley Arant Boult Cummings LLP

Mississippi CON Report - June 2013

In This Report: - I. May 2013 - Mississippi Certificate of Need Meeting - II. Report of the Ad Hoc Certificate of Need Committee – Proposals for Freestanding Emergency Department Pilot Program and Revisions to...more

Mintz - Health Care Viewpoints

Health Care Reform Update -- March 25, 2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

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