Compliance
This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.
What Does Today’s Supreme Court Decision Striking Down Tariffs Mean For The Pharmaceutical Industry?
The Trump administration has other legal avenues to impose tariffs on pharmaceuticals despite today’s Supreme Court decision striking down many of the administration’s current tariffs. In a 6-3 decision, the court ruled that President Donald Trump did not have the authority to impose tariffs under a 1977 law, the International Emergency Economic Powers Act. But ...
Assemblymember Ash Kalra has tried a handful of times over the past few years to institute massive changes in the state's health care system.
A federal judge in Chicago temporarily blocked on Thursday the Trump administration from moving ahead with $600 million in cuts to public health grants in four states led by Democrats. U.S. District Judge Manish Shah said that California, Colorado, Illinois, and Minnesota were likely to succeed in a lawsuit alleging the funding cuts were meant to ...
Sens. Elizabeth Warren (D-Mass.) and Josh Hawley (R-Mo.) are teaming up to “break up big medicine.” The lawmakers introduced legislation to crack down on health care conglomerates that own multiple parts of the industry — including pharmacy benefit managers (PBMs), which act as a conduit between insurers and drug manufacturers, and pharmacies themselves. Warren and Hawley’s “Break Up Big Medicine Act” proposes prohibiting ...
Trump Required Hospitals To Post Their Prices for Patients. Mostly It’s the Industry Using the Data.
Republicans think patients should be shopping for better health care prices. The party has long pushed to give patients money and let consumers do the work of reducing costs. After some GOP lawmakers closed out 2025 advocating to fund health savings accounts, President Donald Trump introduced his Great Healthcare Plan, which calls for, among other ...
After years of conversation, legislators pushed key reforms to pharmacy benefit managers over the finish line, much to the chagrin of the industry. Under the bipartisan health funding deal, which was signed into law by President Donald Trump on Tuesday, PBMs will be required to pass through all drug rebates, fees and other funds to ...
House Judiciary Committee Republicans have subpoenaed eight Affordable Care Act health insurers for documents as part of a widening investigation of potential fraud surrounding the use of premium subsidies in the individual market, Axios has learned. Why it matters: Enhanced premium tax credits for ACA coverage expired on Jan. 1. But Republicans are pressing forward with their probe ...
President Donald Trump on Tuesday afternoon signed a massive funding package that ends a brief government shutdown and provides full-year funding for the federal government through the end of the year. The House voted earlier in the day to pass the package by a vote of 217-214. As part of negotiations between Senate Democrats and ...
The Federal Trade Commission and Cigna’s Evernorth unit have officially reached a settlement that resolves allegations that the company’s pharmacy benefit manager artificially drove up prices for insulin. As part of the settlement, Evernorth’s Express Scripts has agreed to several key business changes that are designed to reduce insulin prices significantly, the FTC said in ...
Pharmacies may have a better chance to win racketeering lawsuits against other insulin supply-chain players than health plans or patients do. U.S. District Judge Brian Martinotti recently issued two rulings that let pharmacies, or “direct purchaser” plaintiffs, move ahead with claims against pharmacy benefit managers that were based on the federal Racketeer Influenced and Corrupt ...