United States: Healthcare

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Welcome to the Mondaq Food, Drugs, Healthcare, Life Sciences homepage, here you will find thought leadership articles, podcasts, videos and webinars providing insights covering topics such as Food and Drugs Law, Healthcare, Life Sciences, Biotechnology and Nanotechnology.

California Enacts Mandatory Nurse-to-Patient Staffing Ratios For Acute Psychiatric Hospitals

California's emergency regulations establishing mandatory nurse-to-patient staffing ratios for acute psychiatric hospitals took effect June 1, 2026, ending a decades-long regulatory gap. Senate Bill 596 strengthens enforcement by increasing penalties for violations and treating each day of noncompliance as a separate offense, creating significant operational challenges for hospitals while nursing organizations celebrate the patient safety measure.

United States Employment

HK

Holland & Knight

DOJ, CMS Announce New Data-Sharing Programs In Indiana And Ohio, Looks To Ramp Up Fraud Enforcement In The Midwest

The Department of Justice and Centers for Medicare & Medicaid Services have launched a new federal-state data-sharing initiative targeting healthcare fraud in the Midwest, with Indiana and Ohio serving as initial partners.

United States Healthcare

BT

Barnes & Thornburg LLP

ERISA Industry Committee Supports PBM Kickback Prohibition Act Before House

The ERISA Industry Committee has voiced strong support for proposed legislation that would prohibit pharmacy benefit managers from paying kickbacks to brokers and consultants.

United States Employment

HB

Hall Benefits Law

Comparing EPC Article 53(a) And US Patent Law In Gene Editing Ethics

As a result, morality and ethical exclusions have moved from largely theoretical concepts to a practical issue that can determine the fate of a patent application.

United States IP

PC

Potter Clarkson

FDA Proposes Revised Payor Communications Draft Guidance To Formally Include Devices And Reflect New Statutory Safe Harbor While Balancing Substantial Government Interests

United States Healthcare

AP

Arnold & Porter

Hantavirus and the EPA: A Collaborative Defense Against Viral Threats — A Conversation with Dana S. Lateulere and James V. Aidala (Podcast)

United States Environment

BC

Bergeson & Campbell

CMS Announces New Medicaid Eligibility Requirements: Implications For Managed Care Plans

United States Healthcare

CM

Crowell & Moring LLP

Happy Juice, Unhappy FTC

United States Media & IT

FK

Frankfurt Kurnit Klein & Selz

House Democrats Proposes Fines Of Up To $10 Million For High Rates Of Insurance Claim Denials

United States Employment

HB

Hall Benefits Law

SEC’s “Back To Basics” Enforcement Agenda Under Chairman Atkins: Insider Trading Returns To Center Stage

United States Commercial

FL

Foley & Lardner

Clover Health Decision Raises Significant Questions For CMS Star Ratings Framework

United States Healthcare

M

Mintz

FDA Issues Draft Guidance On Payor Communications To Address Statutory Changes

United States Healthcare

AG

Akin Gump Strauss Hauer & Feld LLP

Stark Law Whistleblowers Expose Hospital Fraud And Recover Millions

United States Healthcare

MS

Miller Shah

DOJ Mandates Accelerated Review Of Benefits Fraud Qui Tams

United States Criminal

GP

Goodwin Procter LLP

Federal Court Vacates $100,000 H-1B Fee

United States Immigration

JL

Jackson Lewis P.C.

The Cannabis Industry’s “Big Tobacco” Moment: What Insurers Need To Know About Murray v. Cresco

United States Cannabis

WE

Wilson Elser Moskowitz Edelman & Dicker LLP

Ambiguity Of Measurement Conditions For Relevant Chemical Property Leads To Federal Circuit Affirming Noninfringement Of Epoprostenol Patents

United States IP

DM

Duane Morris LLP

New Laws Are Changing Connecticut Employers’ Pay, Accommodation, AI Obligations In ’26/27

United States Employment

JL

Jackson Lewis P.C.

Orders Enforcing Agreements To Arbitrate—Final Or Not?

United States Litigation

DW

Dickinson Wright PLLC

DOL Ramps Up Focus On Access To Mental Health And Substance Use Disorder Benefits

The Employee Benefits Security Administration (EBSA), a division of the U.S. Department of Labor (DOL), is reportedly focusing its enforcement efforts on ensuring that employees have access to behavioral health...

United States Employment

HB

Hall Benefits Law

DOJ’s Inquiries Into Gender-Affirming Care Face Mounting Legal Challenges

The Department of Justice’s investigations into providers of gender-affirming medical care are putting the department on a collision course with both providers seeking to quash the subpoenas as unlawful...

United States Criminal

BS

Boies Schiller Flexner

No Surprises In Dispute Resolution: Final Rule Improves IDR Process For Providers

The 2026 Federal IDR Final Rule introduces significant changes to the No Surprises Act's dispute resolution process, requiring payers to provide standardized claim codes and additional information to providers.

United States Healthcare

BB

Bass, Berry & Sims

HHS-OIG Issues Favorable Advisory Opinion For Free Multi-Cancer Detection Supplemental Reports Provided With Medicare-Covered Colorectal Cancer Screening Tests

The U.S. Department of Health and Human Services-Office of Inspector General recently issued a favorable advisory opinion regarding a cancer testing company's proposal to offer free supplemental multi-cancer detection...

United States Healthcare

BT

Barnes & Thornburg LLP

CMS Issues Interim Final Rule Implementing Medicaid Community Engagement Requirements

United States Healthcare

HK

Holland & Knight

The EU Pharma Package: What U.S. Companies Need To Know

United States Healthcare

BT

Barnes & Thornburg LLP

A Growing Wave Of Proposed Legislation In 2026 Targets Healthcare Real Estate Transactions

United States Real Estate

HK

Holland & Knight

Holland & Knight Health Dose: June 9, 2026

United States Government

HK

Holland & Knight

Federal Agencies Propose New “Excepted Benefits” Category For Fertility Coverage

United States Employment

KM

Katten Muchin Rosenman LLP

Final Federal Independent Dispute Resolution Operations Rule Under The No Surprises Act

United States Healthcare

GP

Goodwin Procter LLP

Federal And State Program-Integrity Scrutiny Of Pharmacies Is Increasing: What Pharmacies Need To Know

United States Government

BI

Buchanan Ingersoll & Rooney PC

Hawaii MFCU Defunding Signals Increased Scrutiny For Providers And MCOs

United States Healthcare

M

Mintz

OHCA Releases Proposed Emergency Regulations Implementing AB 1415 Reporting Requirements For Private Equity (PE) And Management Services Organizations (MSOs)

United States Healthcare

SM

Sheppard, Mullin, Richter & Hampton LLP

New Mandate Requires Hospitals To Submit Provider-Based Attestations For Off-Campus Hospital Outpatient Departments

United States Healthcare

DM

Duane Morris LLP

Federal And State Program-Integrity Scrutiny Of Pharmacies Is Increasing: What Pharmacies Need To Know

Government scrutiny of pharmacies is not new. Pharmacies have always been subject to oversight by federal agencies, state Medicaid programs, Boards of Pharmacy, Pharmacy Benefit Managers (PBMs), Medicare Part D plans...

United States Government

BI

Buchanan Ingersoll & Rooney PC

Hawaii MFCU Defunding Signals Increased Scrutiny For Providers And MCOs

The Trump administration has decertified and defunded Hawaii’s Medicaid Fraud Control Unit (MFCU), withholding $3 million in federal funds. As detailed in a previous post, in May, the Office of Inspector General for the Department of Health and Human Services (HHS-OIG) informed every state of its intent to review the activities of its MFCU.

United States Healthcare

M

Mintz

OHCA Releases Proposed Emergency Regulations Implementing AB 1415 Reporting Requirements For Private Equity (PE) And Management Services Organizations (MSOs)

Since Governor Newsom signed AB 1415 into law last October, stakeholders have been awaiting the release of draft regulations from California’s Office of Health Care Affordability to clarify the statute’s notice and clearance requirements with respect to private equity firms and management services organizations involved in certain healthcare transactions.

United States Healthcare

SM

Sheppard, Mullin, Richter & Hampton LLP

New Mandate Requires Hospitals To Submit Provider-Based Attestations For Off-Campus Hospital Outpatient Departments

Hospitals that fail to meet both requirements by January 1, 2028, will lose eligibility for Medicare reimbursement under the Outpatient Prospective Payment System (OPPS) at those locations.

United States Healthcare

DM

Duane Morris LLP

Federal IDR Process Overhaul Finalized: What Stakeholders Need To Know

United States Healthcare

HK

Holland & Knight

The Data-Driven Prosecutor: How DOJ’s Analytics Revolution Is Reshaping Fraud Enforcement

The Department of Justice's Health Care Fraud Unit has fundamentally transformed fraud detection by deploying sophisticated data analytics to identify billing outliers before complaints are filed.

United States Criminal

FL

Foley & Lardner

New Rule Amends No Surprises Act Dispute Process For Out-of-Network Health Care Payments

The federal No Surprises Act established independent dispute resolution to resolve payment disputes between health care providers and commercial insurers.

United States Healthcare

JD

Jones Day

Krist Werling Discusses Healthcare Private Equity Trends In Healthcare Business International

Private equity investment in healthcare and life sciences is evolving as investors prioritize high-quality, scalable assets with strong management teams in sectors resistant to technological disruption.

United States Healthcare

SR

McDermott Will & Schulte

Annual Checkup From The ABA Antitrust In Healthcare Conference

The American Bar Association’s recent Antitrust in Healthcare Conference brought together enforcers, academic researchers, economists, and members of the bar for a lively, wide-ranging discussion...

United States Anti-trust

AV

Axinn Veltrop & Harkrider

Columbus Business First Features Partner Vince Nardone On Shifting Dental Practice And DSO Growth Strategies

United States Healthcare

B

Benesch Friedlander Coplan & Aronoff LLP

HHS Expands Use Of AI In Detection Of Healthcare Fraud

United States Healthcare

SM

Sheppard, Mullin, Richter & Hampton LLP

Jurisdiction Under Scrutiny In OPO Challenge To 2020 Final Rule

United States Healthcare

CM

Crowell & Moring LLP

Connecticut Enacts New Restrictions On Hospital Sale-Leaseback Transactions And Private Equity Entity Involvement In Hospital Operations

United States Healthcare

SM

Sheppard, Mullin, Richter & Hampton LLP

From Data To Deals: AI’s Impact On Life Sciences Investing

United States Healthcare

SR

McDermott Will & Schulte

Oh, Baby! Fertility Benefits Remain A Focus For Employers And Regulators

United States Employment

JL

Jackson Lewis P.C.

IRS Announces 2027 HSA, HDHP, Excepted Benefit HRA, DPCSA Limits

United States Employment

SR

McDermott Will & Schulte

OIG Focuses On Prevention In New Medicare Advantage Risk Adjustment Report

United States Healthcare

M

Mintz

Supreme Court Declines To Review $220 Million Drug Pricing Judgment Against Eli Lilly

United States Healthcare

GP

Goodwin Procter LLP

DOJ Announces Accelerated Review And Enhanced Enforcement In Benefits Fraud Matters

United States Criminal

JD

Jones Day

OHCA Releases Proposed Regulations Broadening Health Care Transaction Oversight In California

United States Healthcare

M

Mintz

New York's FY 2026-27 Enacted Budget: Healthcare Regulatory Proposals Fail To Advance

United States Healthcare

HK

Holland & Knight

CMS Issues Interim Final Rule Imposing Medicaid Work Requirements For Expansion Populations

United States Healthcare

FH

Foley Hoag LLP

Boan Biotech Submits BLA To FDA For Two Denosumab Biosimilars

United States Healthcare

GP

Goodwin Procter LLP

NSA IDR Overhaul: What Stakeholders Need To Know

United States Healthcare

SR

McDermott Will & Schulte

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Highlighted Content

Health Care Mediation Strategies: How To Resolve Complex Provider, Reimbursement, And Compliance Disputes (Podcast)

United States Litigation

J

JAMS

Infringement Of Repurposed Drug Patents And Skinny Labelling – Where Does The Balance Lie In Europe Today?

United States Healthcare

D

Dehns

Taking The Temperature Of Health Care Disputes: The Latest Trends And The Effect Of Business Interruption

United States Litigation

J

JAMS

The Silent Treatment: The EPO's Approach To Non-therapeutic Methods Encompassing Therapeutic Effects

United States Healthcare

D

Dehns

How Best To Resolve Conflicts In The Health Care Setting

United States Litigation

J

JAMS

ADR And Diversity In The Life Sciences Sector

United States Commercial

J

JAMS

[PODCAST] The Pandemic And Beyond: Navigating Disputes Within Health Care Systems

United States Healthcare

J

JAMS

How Alternative Dispute Resolution Can Help Hospital Administrators Handle Conflicts

United States Litigation

J

JAMS

Latest Videos

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No Foolin’: Business In 2026 Webinar Gets An April Makeover (Video)

BS

Bond, Schoeneck & King PLLC

PBM Reform 2026: What Recent Legislation Means For The Industry (Video)

M

Mintz

A Flurry Of Changes For Plan Sponsors, Prescription Drug Plans And Health Plan Vendors (Video)

RB

Reinhart Boerner Van Deuren s.c.

Leaders In Law: Life Sciences And Technology Transactions With Jekkie Kim (Podcast)

W

WilmerHale

The Business Of Breakthroughs: Mayo Clinic On Innovation And The Future Of Care (Video)

AM

Alvarez & Marsal

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