Policy & Compliance

  • April 02, 2024

    IVF Ruling Leaves Lawyers Puzzling Over 'Fetal Personhood'

    A recent decision from Alabama's top court that frozen embryos are legally children raises a host of thorny questions that touch some surprising areas of the law, from the criminal code and public benefits to surrogacy contracts and even tax deductions. A rash of new "personhood" legislation promises to be a challenge for lawyers working in areas well beyond healthcare.

  • April 02, 2024

    NM Medical Cannabis Insurance Row To Stay In Federal Court

    The federal court is the proper place for a proposed class action seeking to make Blue Cross and Blue Shield and other insurers cover medical cannabis, a New Mexico federal judge has ruled, rejecting objections by patients who said the state's high court will eventually need to get involved.

  • April 02, 2024

    For Medicare Drug Cost Suits, Final Price Could Be Key

    Drugmakers and industry groups arguing that the Medicare drug price negotiation program amounts to an unconstitutional taking of their property have an uphill battle. Experts say their claims can be either fortified or undercut by the final price of the selected prescription drugs.

  • April 02, 2024

    HHS Underlines Consent Priority For Pelvic, Prostate Exams

    New federal guidance that teaching hospitals and medical schools must have written consent before conducting pelvic, prostate, and other sensitive medical exams is a signal the agency has drawn a line on patient privacy and control, experts say.

  • April 02, 2024

    Medical Advocacy Orgs Ascend Amid Healthcare Court Battles

    The rapid ascent of an abortion case filed by the Alliance for Hippocratic Medicine illustrates the growing power of physician and provider advocacy groups to shape the nation's healthcare policy and legal debates.

  • April 02, 2024

    DOJ Sets Sights On 3rd Parties In Managed Care FCA Claims

    The Justice Department has sent a message in recent months, both in litigation and public speeches, that it plans to target third-party contractors and vendors whose actions contribute to the government being overbilled for medical care, even if they didn't submit those claims directly.

  • April 02, 2024

    Prosecutors Call Indicted Exec's Misconduct Claims 'Flawed'

    Prosecutors have asked a California federal judge to reject a bid for sanctions by a former healthcare CEO indicted on novel insider trading charges, arguing that his claims related to a separate case are based on "flawed grounds."

  • April 02, 2024

    SF City Atty Says Gov't Has Duty To Probe Hospital Rankings

    As law schools, medical schools and health systems continue to raise concerns over the veracity of annual rankings published by U.S. News and World Report, San Francisco City Attorney David Chiu is holding fast to his belief that his office has an important role to play in pushing for transparency from the publication. Here, he discusses the U.S. News suit against him and how his investigation fits into his office's consumer protection work.

  • April 01, 2024

    Ga., FTC Seek $17M+ Fine And Ban On Doc's Stem Cell Ads

    After securing an early win last week against a Georgia doctor and a series of companies that marketed stem cell therapy as a cure-all miracle treatment, federal regulators and the state of Georgia asked a federal judge Monday for $17.7 million in fines and an injunction barring the defendants from any future endeavors in the medical marketing industry.

  • April 01, 2024

    Swedish Match Sued Over Allegedly Youth Targeted Zyn Ads

    Philip Morris International and its subsidiary Swedish Match North America LLC have been hit with a putative class action from an unnamed California man alleging he became addicted to the company's Zyn smokeless oral nicotine pouches when he was a minor because of the product's marketing campaign.

  • April 01, 2024

    Ex-Pharma Co. Exec Denies Signing Noncompete Deal

    The former director of government sales for a pharmaceutical company asked the North Carolina Business Court on Friday to knock out a breach of contract claim in a lawsuit that alleges he took trade secrets to a competitor, arguing the company has no valid noncompete agreement to back it up.

  • April 01, 2024

    Cigna Can't Escape Patients' ERISA Fight Over Claim Rates

    A Connecticut federal judge agreed to trim a federal benefits lawsuit against Cigna alleging the company underpaid claims from providers who indirectly contracted with the insurer, finding allegations from participants in employer-sponsored health plans could proceed to discovery but that several medical associations lacked standing to sue.

  • April 01, 2024

    Fla. Justices Uphold Abortion Ban, Approve Pro-Choice Ballot Measure

    The Florida Supreme Court on Monday upheld a 15-week abortion ban in the state while also approving an initiative to preserve abortion access for placement on the ballot in November, leaving it to voters to decide the state's post-Dobbs future.

  • April 01, 2024

    Amazon's Disability Inclusion Efforts A Sham, Suit Says

    Amazon's stated commitments to disability inclusion are a sham, a California worker with cerebral palsy claimed in a proposed class action, saying the company gave him a warehouse gig despite his many warnings that he couldn't meet the job's physical demands.

  • March 29, 2024

    Calif. Justices Rule Living Wills Not A Path To Arbitration

    The California Supreme Court has unanimously ruled that an advance healthcare directive, or living will, does not permit a designated power of attorney to opt into arbitration on a patient's behalf, a decision that, while blessed by consumer groups, left some in the medical community "pretty disappointed."

  • March 29, 2024

    Hogan Lovells Vet's High Court Debut A Study In Contrasts

    Several weeks ago, when a Hogan Lovells lawyer finally delivered U.S. Supreme Court arguments after 20 years at the firm, she parsed arcane arbitration issues and her words weren't widely heard outside the courtroom. But weeks later and back at the high court podium, her words were heard nationwide when she pointedly spotlighted a judge's use of "anonymous blog posts" in a bombshell abortion ruling.

  • March 29, 2024

    Home Depot Asks High Court To Block $2.67B BCBS Deal

    Home Depot has asked the U.S. Supreme Court to take up its challenge of a $2.67 billion settlement in antitrust litigation targeting Blue Cross Blue Shield, saying the deal immunizes activity that hurts competition.

  • March 29, 2024

    Ohio Abortion Providers File Suit Over 24-Hour Wait Period

    A group of Ohio organizations filed a lawsuit Friday on behalf of abortion providers in the state, arguing certain longstanding abortion regulations violate amendments made to the state's constitution in November that protect access to abortion care.

  • March 29, 2024

    Retired Sidley Austin Atty Joins Pharma Group's Case

    A former Sidley Austin LLP attorney said Thursday that he is coming out of retirement to work for a pharmaceutical coalition in its push for protection from anti-kickback restrictions in a federal lawsuit.

  • March 28, 2024

    Medical Lab Inks $2.1M Deal To End NC's False Claims Probe

    A North Carolina lab will pay back $2.1 million to the state's Medicaid program after settling an investigation into how it charged the public health program for tests, the state attorney general's office announced Thursday.

  • March 28, 2024

    9th Circ. Won't Let Cigna Patients Appeal Class Cert. Denial

    The Ninth Circuit won't let a group of Cigna plan participants immediately appeal a trial court's rejection of class status in their lawsuit accusing the insurance giant of unlawfully colluding with its billing contractor to underpay out-of-network claims for mental health treatments.

  • March 28, 2024

    Implant Maker's Bribe Case Ripe For Trimming, Judge Says

    A money laundering charge levied against implant manufacturer SpineFrontier Inc. and its executives may be dropped from the broader bribery and kickback prosecution as a Boston federal judge Thursday struggled to square up how the company could have allegedly concealed the unlawful transfers to surgeons while also disclosing them publicly.

  • March 28, 2024

    Doctor Allowed To Withdraw NBA Fraud Plea, Gets June Trial

    A Manhattan federal judge will allow a Seattle-area doctor to pull back his guilty plea and go to trial in June, against prosecutors' objections, in a case alleging he assisted a cohort of retired NBA players to create fake invoices to submit to the league's healthcare plan.

  • March 28, 2024

    Grading Garland: Attys Give AG Mixed Reviews 3 Years In

    U.S. Attorney General Merrick Garland's name won't be on the ticket in November, but his performance three years into his tenure is a subplot in the 2024 presidential election.

  • March 28, 2024

    Feds Finalize Restraints On Short-Term Health Insurance

    President Joe Biden's administration finalized regulations Thursday that shrink the window for short-term, limited-duration health insurance from three years to no more than four months, but it backed off more sweeping changes from its July proposal that would have affected fixed indemnity insurance.

Expert Analysis

  • Bar Score Is Best Hiring Metric Post-Affirmative Action

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    After the U.S. Supreme Court's ruling striking down affirmative action admissions policies, law firms looking to foster diversity in hiring should view an applicant's Multistate Bar Examination score as the best metric of legal ability — over law school name or GPA, says attorney Alice Griffin.

  • Preparing For The Future Of Virtual Direct Supervision

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    The Centers for Medicare & Medicaid Services are expected to make an announcement soon about the future of virtual direct supervision, which has the potential to either add permanent flexibility to Medicare payment policy or cause some satellite centers to become unviable virtually overnight, say attorneys at Bass Berry.

  • Ghosting In BigLaw: How To Come Back From Lack Of Feedback

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    Junior associates can feel powerless when senior colleagues cut off contact instead of providing useful feedback, but young attorneys can get back on track by focusing on practical professional development and reexamining their career priorities, says Rachel Patterson at Orrick.

  • How Spending Clause Ruling May Affect Medicaid Litigation

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    The U.S. Supreme Court's decision in Health and Hospital Corp. v. Talevski preserves an important avenue for health providers and beneficiaries to use the Civil Rights Act to sue state Medicaid agencies in a landscape that has steadily narrowed potential paths for challenging state violations of spending clause legislation, say attorneys at Hooper Lundy.

  • Steps To Success For Senior Associates

    Excerpt from Practical Guidance
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    Adriana Paris at Rissman Barrett discusses the increased responsibilities and opportunities that becoming a senior associate brings and what attorneys in this role should prioritize to flourish in this stressful but rewarding next level in their careers.

  • Legal Profession Must Do More For Lawyers With Disabilities

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    At the start of Disability Pride month, Rosalyn Richter at Arnold & Porter looks at why lawyers with disabilities are significantly underrepresented in private practice, asserting that law firms and other employers must do more to conquer the implicit bias that deters attorneys from seeking accommodations.

  • Scope Of FTC's Health Info Enforcement May Expand

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    The Federal Trade Commission's proposed amendments to the Health Breach Notification Rule signal the agency's mounting efforts to regulate consumer health information beyond the reaches of the Health Information Portability and Accountability Act, which does not cover many recent health apps and technologies, say Jodi Daniel and Brandon Ge at Crowell & Moring.

  • Appellate Funding Disclosure: No Mandate Is Right Choice

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    The Advisory Committee on Appellate Rules' recent decision, forgoing a mandatory disclosure rule for litigation funding in federal appeals, is prudent, as third-party funding is only involved in a minuscule number of federal cases, and courts have ample authority to obtain funding information if necessary, says Stewart Ackerly at Statera Capital.

  • How NY Law Affects Scrutiny Of Health Care PE Transactions

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    A recently passed New York law will strengthen pretransanction notification requirements for health care entities — particularly those backed by private equity — but contains several ambiguities that will hopefully be clarified before the law takes effect in August, say attorneys at Norton Rose.

  • Health Care Info Blocking Rule Changes To Watch For

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    As the Office of the National Coordinator for Health Information Technology proposes certain revisions to the federal information blocking rules, health IT developers should be aware of the potentially beneficial changes to come, but frustrated stakeholders continue to endure the current environment while awaiting the final enforcement rules, say attorneys at Sheppard Mullin.

  • Drug Pricing Law Could Have Unintended Consequences

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    Though the Inflation Reduction Act was intended to lower prescription drug prices, it may have a number of unintended economic effects on drug pricing and access, particularly for biologics and biosimilars, and could even lead to certain price increases, say Alice Chen at the University of Southern California and Andrew Elzinga and Penka Kovacheva at Cornerstone Research.

  • How Attys Can Avoid Exposing Their Firms To Cyberattacks

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    Attorneys are the weakest link in their firms' cyberdefenses because hackers often exploit the gap between individuals’ work and personal cybersecurity habits, but there are some steps lawyers can take to reduce the risks they create for their employers, say Mark Hurley and Carmine Cicalese at Digital Privacy & Protection.

  • CMS Stark Law Waiver Fixes Gap In COVID Era Protections

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    Recently, the Centers for Medicare & Medicaid Services retroactively included independent freestanding emergency departments in Section 1135 waivers applicable to the Stark Law during the pandemic, a welcome correction to a regulatory shortcoming inconsistent with CMS' initial assurances of protection, say attorneys at McDermott.