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“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
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Search the News Archive
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99 Matching News Items |
| 1. |
Sheppard Mullin
Nov. 10, 2025
"For years, the conversation around health insurer consolidation and vertical integration has simmered through antitrust inquiries, oversight hearings, and policy papers. The Patients Over Profit Act [HR 5433; S 2836] ... marks a decisive shift. Rather than regulating insurer-provider integration, the POP Act proposes to ban it outright."
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| 2. |
Sheppard Mullin
Aug. 17, 2025
"With the PHE-era federal waivers expected to end on December 31, 2025, and state laws increasingly diverging from these PHE-era exceptions, the legal framework for telehealth and tele-prescribing is entering a period of rapid change and heightened complexity."
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| 3. |
Sheppard Mullin
Apr. 28, 2025
"Beginning July 31, 2025, New York employers will no longer be required to provide separate leave for COVID-19 quarantines and isolations.... PEL is limited exclusively to COVID-19, and its paid leave benefits are separate from and additional to other paid sick and safe leave benefits ... [W]hile numerous other jurisdictions passed similar COVID-19 leave laws, New York's PEL is the last such statute remaining in effect."
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| 4. |
Sheppard Mullin
Jan. 6, 2025
"The Proposed Rule takes aim at several key areas of the Security Rule, including updates to: [1] Standards for assessing adequacy of safeguards ... [2] Administrative safeguard requirements ... [3] Technical safeguard requirements ... [4] Standards for Business Associate agreements ... [5] Encryption."
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| 5. |
Sheppard Mullin
Nov. 7, 2024
"Increasingly, health plans are relying on AI to streamline internal operations, including to automate review of prior authorization requests.... [The Physicians Make Decisions Act] provides that a determination of medical necessity must be made only by a licensed physician or a licensed health care professional who is competent to evaluate the specific clinical issues involved in the health care services requested by the provider. In other words, the buck stops with the provider, and AI cannot replace the provider's role."
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| 6. |
Sheppard Mullin
June 23, 2024
"At the heart of the dispute was the guidance released by HHS in December of 2022 and then updated again in March of 2024, which suggested that information collected from unauthenticated website visitors could be considered protected health information (PHI) under HIPAA. The Guidance was challenged by hospitals and healthcare providers who argued it exceeded HHS' statutory authority under HIPAA and imposed unreasonable compliance burdens." [American Hospital Association v. Becerra, No. 23-1110 (N.D. Tex. Jun. 20, 2024)]
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| 7. |
Sheppard Mullin
June 2, 2024
"The [Telehealth Modernization Act of 2024 (HR 7623)] largely seeks to continue Medicare's hospital-at-home program through 2029, which provides resources for at-home care for patients who need acute-level care. The Bill would also eliminate the geographic originating site restrictions on telehealth visits through 2026. Absent these changes, the programs will expire at the end of 2024."
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| 8. |
Sheppard Mullin
May 16, 2024
"Covered Entities will need to appoint a Section 1557 coordinator, implement policies and procedures, provide training, distribute and post notices containing specified content and provide auxiliary aids and services to individuals with disabilities and to those with limited English proficiency. The Final Rule will become effective on July 5, 2024, but many of the requirements imposed on Covered Entities have delayed compliance dates[.]"
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| 9. |
Sheppard Mullin
May 15, 2024
"According to the DOL, the 2018 AHP Rule was a significant departure from the DOL's longstanding pre-rule guidance on the definition of 'employer' under ERISA and substantially weakened the DOL's traditional criteria in a manner that would have enabled the creation of commercial AHPs functioning effectively as health insurance issuers."
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| 10. |
Sheppard Mullin
May 8, 2024
"[California SB 1120] would require algorithms, AI and other software tools used for utilization review to comply with specified requirements.... SB 1120 largely aligns with requirements applicable to Medicare Advantage plans ... Georgia's House Bill 887 would prohibit payors from making coverage determinations solely based on results from the use or application of AI tools.... New York, Oklahoma and Pennsylvania have bills ... requiring payors to disclose to providers and enrollees if they use or do not use AI in connection with utilization review."
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