Newsletters

02.08.23

Wit Redux: Ninth Circuit Issues New Superseding Opinion in Landmark Mental Health Case

The Ninth Circuit has issued a new opinion in the long-running Wit v. United Behavioral Health litigation that changes the legal landscape for ERISA class actions.


12.05.22

California DMHC Issues Two All Plan Letters Focused on Timely Access and Network Adequacy

On November 4 and 7, 2022, the California Department of Managed Health Care issued two All Plan Letters concerning compliance with the state’s network adequacy and timely access requirements, including new statutory and regulatory amendments enacted in October 2021 and January 2022, ...


03.30.22

When California Minors Need Mental Health Treatment, Who Can Consent, and to What?

Increasing mental health care needs for minors present a range of legal issues for children, parents, health care providers and health care payors.


03.09.22

Texas Federal Court Strikes Down No Surprises Act IDR Standard

On February 23, the federal District Court in the Eastern District of Texas struck down key provisions of regulations issued by the federal Departments of Health and Human Services, Labor, and the Treasury and the federal Office of Personnel Management to implement the No Surprises Act.


02.16.22

CMS Publishes Letters on No Surprises Act Enforcement in States

The federal Centers for Medicare & Medicaid Services has begun publishing on its website letters that it sent to states beginning in December 2021 that provide important information regarding the manner in which the surprise medical billing and health care price transparency provisions will be ...


02.08.22

Manatt Provides Input to OIG on Opportunities for Modernizing Guidance Mechanisms

On January 31, 2022, Manatt, Phelps & Phillips, LLP, submitted a formal response to the Request for Information issued by the U.S. Department of Health & Human Services, Office of Inspector General on ways to make its publicly available resources more relevant, timely and user-friendly.


02.07.22

The Fourth Circuit Raises the Bar for Proving Scienter Under the False Claims Act

On January 25, 2022, the U.S. Court of Appeals for the Fourth Circuit issued an important opinion for companies trying to navigate the complex statutory scheme in heavily regulated areas like Medicare and Medicaid.


02.02.22

Spotlight on Private Equity for FCA Enforcement in 2022

Despite the unprecedented challenges of the COVID-19 pandemic, mergers and acquisitions in the health care industry have continued apace and show no signs of slowing.


01.26.22

Federal Regulators Issue Joint Report on MHPAEA Signaling Increased Enforcement Against Plans Likely

On Tuesday, the U.S. Departments of Labor, Health & Human Services, and the Treasury issued their joint report to Congress on the Mental Health Parity and Addiction Equity Act.


01.20.22

CFPB Will Enforce Laws Preventing the Collection/Reporting of Medical Debts Barred by the NSA

As part of the Biden administration’s focus on enforcement of the No Surprises Act (NSA), the Consumer Financial Protection Bureau (CFPB) has issued a bulletin (the Bulletin) indicating that it will closely review the practices of those engaged in the collection or reporting of medical debt, ...