Over the last several years, courts in various jurisdictions have issued favorable rulings in lawsuits challenging the Centers for Medicare & Medicaid Services’ (CMS’) policy requiring the inclusion of Medicare and commercial payments in the calculation of the Medicaid disproportionate […]
The Centers for Medicare & Medicaid Services (CMS) finalized regulations requiring states to include Medicare or commercial payments for services provided to dually eligible Medicaid patients when calculating the hospital-specific limit on DSH payments during annual DSH audits. For some […]
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DC District Court overturns HRSA’s 340B guidance on orphan drug exclusion, applying less deference to the agency’s interpretation of the 340B statute; possible implications for proposed mega-guidance.
Supreme Court rules Supremacy Clause does not give providers a private right of action to enforce Medicaid statute
Supreme Court hears oral arguments in King v. Burwell to determine whether subsidies will continue to be available in states using federal exchange
D.C. Circuit and Fourth Circuit Issue Conflicting Rulings Regarding Availability of Premium Tax Credits in Federally Facilitated Exchanges
HRSA Issues Interpretive Rule Supporting Orphan Drug Exclusion Policy After Federal Court Vacated Initial Rulemaking
Federal Court Decision Questions HRSA
Supreme Court upholds individual mandate; renders Medicaid expansion voluntary