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The Courts

March 26, 2019 | Daily News

President Donald Trump told Senate Republicans that the Department of Justice’s call for a federal court to scrap the Affordable Care Act provides an opportunity for Congress to improve health care, but Senate Republicans seemed unsure of that and expressed confusion over the administration's shifting stance.

March 26, 2019 | Daily News

Less than 24 hours after the Department of Justice asked a federal court to throw out the entire Affordable Care Act, House Democrats introduced sweeping legislation to bolster the Obama-era health care law and rallied to protect the law as the case moves through the appeals system.

March 26, 2019 | Daily News

Purdue Pharma, the manufacturer of OxyContin, has settled with the state of Oklahoma for $270 million in the state’s opioid litigation against multiple opioid makers over their allegedly deceptive marketing practices.

March 26, 2019 | Daily News

The federal government says cutting the pay rates for clinic visits at certain off-campus hospital outpatient facilities is well within CMS’ authority, and the law exempting those facilities from other site-neutral payments doesn’t limit CMS’ ability to change the pay rates for services to control volume.

March 26, 2019 | Daily News

Eliminating the Affordable Care Act would cause the uninsured rate to increase by at least 65 percent and cause the amount of uncompensated care to grow by at least 82 percent, according to a new study by the Urban Institute.

March 25, 2019 | Daily News

The Department of Justice on Monday (March 25) told the Fifth Circuit Court of Appeals that it now agrees with District Judge Reed O ‘Connor’s Dec. 14 decision that the ACA’s individual mandate is no longer valid and therefore the entire Affordable Care Act, which included major reforms to the insurance market and Medicaid and established the biosimilars market, should be thrown out.

March 25, 2019 | Daily News

The Department of Justice on Monday (March 25) told the Fifth Circuit Court of Appeals that it now agrees with District Judge Reed O'Connor’s Dec. 14 decision that the ACA’s individual mandate is no longer valid and therefore the entire Affordable Care Act, which included major reforms to the insurance market and Medicaid and established the biosimilars market, should be thrown out.

March 22, 2019 | Daily News

Wisconsin Attorney General Josh Kaul filed a motion telling federal courts in Texas that the state is no longer interested in the challenging the constitutionality of the Affordable Care Act and would like to be formally removed as a plaintiff in Texas v. Azar.

March 20, 2019 | Daily News

Advocates for Medicaid beneficiaries filed a third lawsuit Wednesday (March 20) challenging the Trump administration’s continued approval of Medicaid work requirements.

March 19, 2019 | Daily News

The class action lawsuit spearheaded by Wisconsin-based Common Ground Health Cooperative and involving about 90 other exchange issuers has filed an amended complaint with the Federal Court of Claims and now seeks to collect cost-sharing reduction reimbursements owed for plan years 2017, 2018 and 2019.

March 14, 2019 | Daily News

A federal judge said he hopes to rule on the legality of Medicaid work requirements in Arkansas and Kentucky by the end of the month, unveiling his plan to decide quickly at the conclusion of back-to-back court hearings Thursday (March 14) that tested the reasoning behind one of the Trump administration’s most controversial health care priorities.

March 13, 2019 | Daily News

The Department of Justice is asking a federal court to dismiss a lawsuit brought by five major cities who charge the administration is violating the Constitution through its efforts to sabotage the Affordable Care Act.

March 13, 2019 | Daily News

Lawyers for Medicaid beneficiaries and the federal government will square off Thursday (March 14) for round two of the high-profile litigation over the legality of Medicaid work requirements—and the arguments they make likely will sound familiar.

March 08, 2019 | Daily News

The Depart of Justice immediately appealed a closely watched lawsuit worth potentially billions of dollars to dozens of insurers late Thursday (March 7) after a federal court formally ordered the government to pay Community Health Choices a total $71 million in cost-sharing reduction reimbursements for the 2017 and 2018 plan years.

March 08, 2019 | Daily News

A coalition of business groups and other stakeholders tell Senate health committee Chair Lamar Alexander (R-TN) and ranking Democrat Patty Murray (WA) that repealing the Affordable Care Act’s 40 percent tax on high-cost plans would be a critical first step in improving the health system, and also urge the lawmakers to reject any attempt to tax employer-sponsored coverage.

March 06, 2019 | Daily News

The Department of Justice is asking the federal claims court to issue a final judgment of about $71 million in 2017 and 2018 cost-sharing reduction payments for Community Health Choice (CHC), in order to smooth the way for a quick appeal, but wants the court to wait until CMS completes the 2018 reconciliation process before entering a judgment for Maine Community Health Options (MCHO) and the class action suit led by Common Ground Health Co-Op.

March 05, 2019 | Daily News

Republican Sen. Susan Collins (ME) joined a group of Senate Democrats and advocacy groups on Tuesday in expressing opposition to Sixth Circuit Court of Appeals nominee Chad Readler, arguing that Readler’s controversial refusal to fully defend the Affordable Care Act against a constitutional challenge while at the Justice Department disqualifies him from a promotion.

March 05, 2019 | Daily News

The federal government has asked the federal D.C. district court to dismiss hospitals’ request to scrap lower reimbursement for 340B drugs in 2019 by pointing back to arguments it used to defend the agency’s initial 2018 cuts, which the court found were beyond CMS’ authority.

March 05, 2019 | Daily News

The government appealed a D.C. federal district court ruling that found CMS did not have authority to cut reimbursement for 340B drugs by almost 30 percent in 2018, but both the agency and the hospitals are asking to put the appeal on hold until the lower court makes a decision on how the situation should be rectified.

March 04, 2019 | Daily News

A federal judge last week granted a short deadline extension for the federal government and health insurance plans to report to the U.S. Court of Claims the amount of reimbursement issuers are owed for the 2017 and 2018 cost-sharing reductions following the outcome of three similar lawsuits.

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