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The Courts

November 01, 2018 | Daily News

The federal DC district court again ordered HHS to clear the backlog of Medicare appeals, saying that since the department told the court it could clear the backlog in fiscal 2022, the agency should do so by the end of that year and provide the court with updates on its progress.

October 29, 2018 | Daily News

Federal DC district judge Richard Leon poked several holes in the plaintiffs’ arguments against the expansion of short-term health insurance plans and seemed to agree with the Trump administration’s defense of the plans at a preliminary injunction hearing Friday. A court ruling on whether to block the administration's controversial move to extend the duration of the plans won't come before the end of the year, following the Affordable Care Act's latest open enrollment period, he said. 

October 25, 2018 | Daily News

Plaintiffs in the high-profile case to block the Trump administration’s rule expanding short-term health insurance plans take issue with the Department of Justice's arguments that the stakeholders do not have standing and argue the rule violates the intent of the Affordable Care Act by steering patients away from ACA-compliant plans. The plaintiffs’ reply brief was filed Monday (Oct. 22), days before the federal DC district court was slated to hear oral arguments Friday (Oct. 26) on their motion for the court to immediately suspend the rule.

October 25, 2018 | Daily News

Two California men have pleaded guilty to conspiring to defraud Affordable Care Act plans in at least 12 states by enrolling people in coverage and transporting them to expensive drug treatment facilities in California that paid referral and other fees, the Department of Justice announced.

October 23, 2018 | Daily News

Maryland Attorney General Brian Frosh asked the Supreme Court to review the state’s law that would give its attorney general authority to sue generic drug manufacturers for “unconscionable” drug price increases, after a Fourth Circuit panel stopped the law from going into effect.

October 19, 2018 | Daily News

HHS told a federal court that it intends to release by Nov. 1 a proposal that would move the effective date for the 340B ceiling prices and penalties rule to Jan. 1, up from July 1, and for that reason the court should put a lawsuit over the date on hold.

October 19, 2018 | Daily News

Two weeks after the IRS collected an Obamacare tax from Medicaid managed care plans, a federal judge denied a request from six GOP-led states that sought to bar the collection of that tax.

October 18, 2018 | Daily News

The Trump Administration is arguing that the stakeholders seeking to immediately suspend new federal regulations on short-term plans fail to show that they would be harmed by the rule and therefore their request for a preliminary injunction should be rejected.

October 16, 2018 | Daily News

More than a dozen health care stakeholders recently filed briefs in support of groups that are asking a federal district court to immediately end implementation of the Trump administration’s rule expanding access to short-term health plans.

October 12, 2018 | Daily News

A second health plan that sued the government for ending reimbursements for cost-sharing reductions in October 2017 has been awarded money from the U.S. Federal Court of Claims: Sanford Health Plans is set to receive just over $360,000 that the government determined the plan would have been owed for the fourth quarter of that year.

October 12, 2018 | Daily News

A federal trial on delays in Tennessee’s processing of Medicaid applications wrapped up after two days of testimony, but a ruling from the judge is not expected for several months.

October 11, 2018 | Daily News

The national drug and device lobbies this week weighed in on a Utah Supreme Court case that could determine whether FDA approval of a medical device shields the product's manufacturer from strict liability claims over alleged design defects.

October 11, 2018 | Daily News

Newly minted Supreme Court Justice Brett Kavanaugh could play a pivotal role in deciding two key cases related to the pharmaceutical industry in the upcoming term.

October 10, 2018 | Daily News

A federal judge has not issued any ruling in a lawsuit by six GOP-led states that attempted to block the IRS from collecting an Obamacare tax on Medicaid managed care plans.

October 09, 2018 | Daily News

The U.S. Federal Claims Court has ordered the federal government to pay a Montana co-op health plan more than $1.2 million in cost-sharing reductions that would have gone to the co-op for the fourth quarter of 2017 had the administration had not cut off the funding.

October 09, 2018 | Daily News

The trial in a class-action lawsuit alleging Tennessee took too long to decide whether individuals are eligible to be on Medicaid started on Tuesday (Oct. 9) -- four years after the case was filed.

October 06, 2018 | Daily News

The Senate’s Saturday confirmation of Judge Brett Kavanaugh fills the lone vacancy on the Supreme Court and adds an expected conservative vote to the high court’s term that could include several pressing health policy cases.

October 03, 2018 | Daily News

A federal judge in DC on Tuesday (Oct. 2) scheduled a hearing for Oct. 26 on stakeholders' motion to immediately suspend the administration's short-term health plan rule.

October 01, 2018 | Daily News

A group of stakeholders is urging the DC federal district court to immediately block new federal regulations on short-term health plans set to go into effect Oct. 2, arguing the rule undermines the clear purpose of the Affordable Care Act and that allowing short-term plans to proliferate during the forthcoming open enrollment would cause irreparable harm to the individual market.

October 01, 2018 | Daily News

A California-based physician association owned by DaVita Inc. will pay $270 million to the federal government to settle allegations that it submitted inaccurate information about its patients in order to inflate Medicare Advantage payments, the Department of Justice announced Monday (Oct. 1).