SCOTUSBlog

JANUARY 13, 2022

Congress may have given OSHA the power to regulate workplace dangers, the court explained, but it “has not given that agency the power to regulate public health more broadly.” OSHA issued the vaccine-or-test mandate at the center of National Federation of Independent Business v. The OSHA case. Court of Appeals for the 6th Circuit.

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FDA Law Blog

SEPTEMBER 13, 2021

In 2018, Trump’s Department of Health and Human Services (HHS) released its Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs , but the edifice envisioned by the Blueprint largely failed to materialize. Medicare negotiation authority; encourage biosimilars and generic drug utilization). Last Thursday, the U.S.

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SCOTUSBlog

JANUARY 16, 2024

Share The Supreme Court will hear oral argument on Wednesday in a case involving the deference that courts should give to federal agencies’ interpretations of the laws that they administer. From health care to finance to environmental pollutants, administrative agencies use highly trained experts to interpret and carry out federal laws.

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Constitutional Law Reporter

FEBRUARY 1, 2022

Missouri , the Court ruled that the Centers for Medicare & Medicaid Services (CMS) rule should be allowed to take effect nationwide as the lower courts consider legal challenges. Department of Labor’s Occupational Safety and Health Administration (OSHA) can’t go into effect while lawsuits are pending.

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SCOTUSBlog

APRIL 16, 2021

Florida’s Medicaid agency paid for the bulk of her treatment. The Medicaid agency then sought $300,000 of this amount to cover Gallardo’s past medical expenses. The Medicaid agency then sought $300,000 of this amount to cover Gallardo’s past medical expenses. Gallardo remains in a vegetative state.

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FDA Law Blog

JUNE 14, 2021

Coincidentally, on the same day the post went up, Senator Rand Paul introduced the “Verified Innovative Testing in American Laboratories Act of 2020” or the “VITAL Act of 2020,” a new bill clarifying that the Centers for Medicare and Medicaid Services (CMS), not FDA, is to regulate LDTs.

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SCOTUSBlog

NOVEMBER 3, 2023

The Indian Health Service is an agency within the Department of Health and Human Services that administers health care programs for Native American tribes. In an effort to promote tribal self-governance, Congress allows tribes to contract with the agency to oversee these programs themselves.

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FDA Law Blog

JANUARY 18, 2023

By Faraz Siddiqui — Last week, the Centers for Medicare & Medicaid Services (CMS) released a memorandum on how it intends to implement the Medicare Drug Price Negotiation Program, passed under the Inflation Reduction Act (IRA) (see our blog post and slide deck on IRA).

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SCOTUSBlog

JANUARY 7, 2022

Department of Labor , centers on the vaccine-or-test mandate issued by the Occupational Safety and Health Administration. Share The Supreme Court heard oral argument on Friday in two sets of challenges to the Biden administration’s authority to combat the COVID-19 pandemic. The OSHA case.

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FDA Law Blog

OCTOBER 9, 2023

The agencies defined the term by regulation as “any expenditure required by or on behalf of an enrollee with respect to essential health benefits; such term includes deductibles, coinsurance, copayments, or similar charges, but excludes premiums, balance billing amounts for non-network providers, and spending for non-covered services.”

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The Crime Report

NOVEMBER 17, 2022

30, 2021, JC was admitted to Zuckerberg San Francisco General Hospital for symptoms of heart failure. His legs were swollen, which can be a sign that the heart isn’t pumping properly, and he was having trouble breathing. He ended up spending seven days in the hospital with no one to talk to but the hospital staff. Contingency Management.

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FDA Law Blog

SEPTEMBER 8, 2022

Wasserstein — Three patient advocate groups have sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging HHS’s 2020 Notice of Benefits and Payment Parameters (NBPP) rule. By Sophia R. Gaulkin & Jeffrey N.

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FDA Law Blog

JUNE 15, 2022

Kirschenbaum — In 2017, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule to significantly decrease the rate the government will reimburse 340B hospitals in 2018 for outpatient prescription drugs from average sales price (“ASP”) plus 6% to ASP minus 22.5%. By Faraz Siddiqui & Alan M.

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Vanguard

MAY 20, 2020

Headquarter ed in Pennsylvania , Kepro partners with federal and state government-sponsored health plans, providing quality reviews, assessments and care management services and solutions primarily for Medicare and Medicaid recipients. . Centers for Disease Control and Prevention , Leigh says. .

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FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. §

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FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. §

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FDA Law Blog

JUNE 7, 2023

The False Claims Act is an important tool for the Federal government to recoup misspent taxpayer dollars, used across numerous agencies to recapture billions of dollars each year. They are entitled to receive one third of any claw back, which can result in multi-million-dollar awards. What was SuperValu all about?

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SCOTUSBlog

JANUARY 20, 2022

Gordon College seeks review, arguing that all of its professors are Christian educators who are used to promote the Christian mission through teaching, scholarship, and service. In 1981, Congress passed a statute requiring that reimbursement rates paid to organizations for managing state Medicaid plans must be “actuarially sound.”

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FDA Law Blog

JULY 8, 2021

Distributed IVD products are regulated by FDA, while laboratories that perform LDTs are regulated by the Centers for Medicare & Medicaid Services (CMS). FDA, however, claims that nearly two-thirds of COVID LDT EUAs submitted to the agency for review had design or validation issues. Gibbs & Gail H.

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