News & Analysis as of

State and Local Government Medicare

Sheppard Mullin Richter & Hampton LLP

Attention Maryland Providers: Are You Availing Yourselves of Regulatory Flexibilities under the TCOC Model?

An April 2024 independent report (“Report”) analyzed the results of the first four years following implementation of the Maryland Total Cost of Care Model (the “TCOC Model”), finding that between 2019 and 2022 (the “TCOC...more

Manatt, Phelps & Phillips, LLP

Manatt Telehealth Policy Tracker: Tracking Ongoing Federal and State Telehealth Policy Changes

2024: New Federal Developments - There were no relevant federal developments during Q2 of 2024. 2024: New State-Level Developments...more

McDermott Will & Emery

Trending in Telehealth: May 28 – June 3, 2024

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

Nelson Mullins Riley & Scarborough LLP

Gold Dome Report - Legislative Day 38 - March 2024

Legislative Day 38 provided more healthcare drama than an episode of Grey’s Anatomy. Just hours before the Senate’s committee action deadline on Thursday, a bipartisan group of Senators made a last-minute run at advancing...more

Bradley Arant Boult Cummings LLP

Spotlight on Minimum Staffing Standards in Long Term Care Facilities

The long term care industry is currently in the midst of a labor crisis, with nursing homes in particular experiencing chronic and severe staffing shortages. Even before the COVID-19 pandemic, a rapidly aging population,...more

Manatt, Phelps & Phillips, LLP

A First Look: Highlights From North Carolina’s Healthy Opportunities Pilots

Introduction - Over the past year, the North Carolina Department of Health and Human Services (NCDHHS) has tested the health impacts of providing services to address certain social drivers of health—the conditions in which...more

McDermott Will & Emery

McDermott Health 2023 Annual Report - Digital Health: 2022 Year in Review

McDermott Will & Emery on

Digital health is one of the fast-growing segments of the healthcare market, with patients, clinicians and regulators increasingly aligned behind the opportunities that digitization presents. Over the last three years,...more

Foley Hoag LLP - Medicaid and the Law

CMS Rings in the New Year with Updated Guidance on ‘In Lieu of Services and Settings’ (ILOS) in Medicaid Managed Care

Welcome back! We hope everyone had a great start to 2023. A new year provides an opportunity to look back on previous successes and identify areas for growth (this said, we certainly don’t expect everyone to make—let alone...more

Verrill

Maine, New Hampshire, & Vermont Remain DOJ Health Care Enforcement Priorities: Targeted Federal Enforcement Presents Serious Risk

Verrill on

The United States Department of Justice (DOJ) has recently emphasized that Maine, New Hampshire, and Vermont are priorities for health care investigations and anticipated significant enforcement. Even well-managed (and...more

Sheppard Mullin Richter & Hampton LLP

CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

On April 29, 2022, the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs...more

Epstein Becker & Green

Ohio’s Medical Practitioner Conscience Clause Becomes Effective

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Ohio’s two-year state operating budget, which passed in June, enacted Revised Code 4743.10, which established a general medical conscience clause in Ohio law. Under the new law, which became effective September 30, 2021, “a...more

Kerr Russell

Telemedicine in Michigan: 2021

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The COVID-19 pandemic continues to demonstrate the importance and effectiveness of telemedicine as a means of providing patients with access to safe and quality medical care through the use of technology... Originally...more

Holland & Knight LLP

American Rescue Plan Act of 2021: Summary

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The U.S. House of Representatives on March 10, 2021, passed the Senate-amended H.R. 1319, the American Rescue Plan (ARP). The ARP provides $1.9 trillion in additional relief to respond to the novel coronavirus (COVID-19)....more

Maynard Nexsen

NC Legislative Update: February 2021 #2

Maynard Nexsen on

Lawmakers returned to Raleigh for a short work week, holding session Monday through Wednesday. Due to another round of ice storms in the forecast later in the week, many legislators chose to get ahead of the storm and...more

Holland & Knight LLP

President Biden Proposes Massive COVID-19 Rescue Plan: Summary and Outlook

Holland & Knight LLP on

President Joe Biden has proposed an "American Rescue Plan," which was described as an "emergency legislative package to fund vaccinations, provide immediate, direct relief to families bearing the brunt of the COVID-19 crisis,...more

Troutman Pepper

The “New” Enforcers: How States and Localities Are Changing the Landscape of Regulatory Authority

Troutman Pepper on

Over the last decade, observers have noted that states have begun to play a greater role as regulatory enforcers – a trend that increased with the federal regulatory roll-back that began with the advent of the Trump...more

Rivkin Radler LLP

VNSNY Agrees to $57 Million Settlement

Rivkin Radler LLP on

The Visiting Nurse Service of New York (VNSNY) has agreed to pay $57 million to settle a whistleblower lawsuit that alleged it billed the Medicare and Medicaid programs for hundreds of millions of dollars in home care visits...more

Mintz - Health Care Viewpoints

Senate HELP Committee Signals Support for Permanently Expanding Telehealth Access

Earlier this month, we wrote about what the future of telehealth might look like in a post-COVID-19 world. In that post, we referenced comments made by CMS Administrator Seema Verma, in which she voiced her support for...more

King & Spalding

Telehealth Reimbursement Limitations: A Particularly Appropriate Response To Addressing a Communicable Disease

King & Spalding on

On March 17, 2020, acting under the Coronavirus Preparedness And Response Supplemental Appropriations Act (the “Act”) and section 1135(b) of the Social Security Act, the Secretary waived certain telehealth reimbursement...more

Snell & Wilmer

Temporary Emergency Licensure Changes for Physicians

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In light of the increasing demand for physicians essential to combat the ongoing COVID-19 pandemic, Centers for Medicare & Medicaid Services (CMS) has temporarily waived Medicare and Medicaid requirements that physicians be...more

Foley & Lardner LLP

COVID-19: Resources for Oncology Providers (Medicaid, Grants, & Stark Law Waivers)

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The Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS), the Office for Civil Rights (OCR), the Office of the Inspector General (OIG), and other Federal and State agencies and...more

Foley & Lardner LLP

COVID-19: Resources for Oncology Providers (Telehealth, Clinical Trials, Reporting Deadlines)

Foley & Lardner LLP on

The Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS), the Office for Civil Rights (OCR), the Office of the Inspector General (OIG), and other Federal and State agencies and...more

Seyfarth Shaw LLP

HHS Issues Advisory Opinion on PREP Act: Immunity May Extend Beyond Actual Covered Persons and Approved Countermeasures

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With crisis comes uncertainty, and even the best-intentioned regulations can leave those combating the current COVID-19 public-health emergency out in the cold.  Many have asked whether the recent Declaration under the...more

Seyfarth Shaw LLP

Health CARES - Regulatory Waivers for Long Term Care Facilities

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As previously reported, the CARES Act impacts long-term care (LTC) facilities, including skilled nursing facilities (SNFs) and nursing facilities (NFs). In addition to this legislative action, the Centers for Medicare and...more

Chambliss, Bahner & Stophel, P.C.

CARES Relief for State and Local Governments

The CARES Act establishes a $500 billion loan program accessible by cities, states, and businesses, while also providing for more than $250 billion in direct funding to state and local governments. The majority of the direct...more

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