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.
A coalition of states sued the Trump administration last Tuesday over its decision to cut $11 billion in federal funds that go toward COVID-19 initiatives and various public health projects across the country.
Federal Judge Temporarily Blocks $11 Billion In Trump Administration’s Cuts To Public Health Funding
A federal judge last Thursday temporarily blocked the Trump administration's move to cut over $11 billion in public health funding to states after 23 states and the District of Columbia sued to keep the funding intact.
Commonly used drugs like Novo Nordisk’s Ozempic were exempt from President Donald Trump’s expansive reciprocal tariffs announced earlier this week, which are expected to drive prices up across several industries, though analysts and Trump have warned that future tariffs will likely target imported medicines. Key Facts Trump imposed a baseline 10% on most U.S. imports ...
Underscoring the massive scale of America’s medical debt problem, a New York-based nonprofit has struck a deal to pay off old medical bills for an estimated 20 million people. Undue Medical Debt, which buys patient debt, is retiring $30 billion worth of unpaid bills in a single transaction with Pendrick Capital Partners, a Virginia-based debt ...
The agency submitted an order (PDF) seeking an administrative stay in the case, as there are currently no sitting commissioners who are able to join the proceedings. The two sitting commissioners, Republicans Andrew Ferguson and Melissa Holyoak, have recused themselves.
Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials with medical need, as determined by board-certified specialist physicians.
An ambitious California Democrat wants the world’s fifth-largest economy to create its own National Institutes of Health and vaccine program, saying the state can’t rely on the administration to support research and science.
Braidwood oral arguments are set for April 21. A policy expert says many states will maintain the current standards, even if the federal rules go away
Congress could consider updating the provision in the Employee Retirement Income Security Act that preempts states’ efforts to regulate employee benefits. Analysts at the Congressional Research Service, an in-house research center that helps members of Congress and their aides understand the matters they’re working on, mention that possibility in a new report on recent U.S. Supreme Court ...
On March 19, 2025, the California Department of Managed Health Care (DMHC) issued an All Plan Letter (APL 25-005) directing its regulated health plans to provide specific flexibilities to providers who were displaced by the devastating wildfires in Los Angeles and Ventura counties earlier this year.