Arushi Pandya on Centers for Medicare & Medicaid Services (CMS)

Congress Extends Telehealth Flexibilities for Two More Years

With only two weeks remaining in the year, Congress is considering a government funding deal (the “Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025” or the “Bill”) that includes a...more

12/19/2024 / Centers for Medicare & Medicaid Services (CMS) , Consolidated Appropriations Act (CAA) , Coronavirus/COVID-19 , Extensions , Health Care Providers , Healthcare , Healthcare Reform , Legislative Agendas , Medicare , New Legislation , Popular , Public Health Emergency , Technology , Telehealth , Telemedicine

Key Telehealth Updates in the CY 2025 Physician Fee Schedule Proposed Rule

On July 31, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule (“Proposed Rule”) for the 2025 Medicare Physician Fee Schedule, which includes implications for telehealth services reimbursable...more

9/6/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Medicare , Physician Fee Schedule , Physician Medicare Reimbursements , Proposed Rules , Public Health Emergency , Telehealth

SCOTUS Punts on EMTALA Preemption Question

On June 27, 2024, the U.S. Supreme Court dismissed Idaho v. United States on procedural grounds and sent the case back to the Ninth Circuit. By doing so, the Supreme Court reinstated the preliminary injunction issued by the...more

7/19/2024 / Centers for Medicare & Medicaid Services (CMS) , Commercial Litigation , Department of Health and Human Services (HHS) , EMTALA , Health Care Providers , Healthcare , Hospitals , Preemption , Reproductive Healthcare Issues , SCOTUS

EMTALA: In the Spotlight

Almost 40 years after its passing, the Emergency Medical Treatment and Active Labor Act (EMTALA) remains not only a key consideration for hospitals with emergency departments, but also a significant federal enforcement...more

6/3/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Emergency Rooms , EMTALA , Health Care Providers , Healthcare Facilities , Hospitals

CMS Issues CY2025 Medicare Advantage and Part D Final Rule

On April 4, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued the contract year 2025 (CY2025) Medicare Advantage and Part D final rule (the “Final Rule”). In addition to finalizing its CY2025 proposed rule,...more

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The Proposed...more

11/13/2023 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Managed Care Contracts , Medicare , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Medicare Part D , Proposed Rules

EMTALA and Pregnancy Care Remains a Federal Enforcement Priority

On May 1, 2023, the Centers for Medicare and Medicaid Services (“CMS”) announced two investigations of hospitals that failed to offer necessary stabilizing care to a pregnant individual experiencing an emergency medical...more

5/17/2023 / Abortion , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Dobbs v. Jackson Women’s Health Organization , EMTALA , Health Care Providers , Hospitals , Investigations , Medicare , Pregnancy , State of Emergency

Tracking the Waivers: Implications of the Wind Down of the COVID-19 Public Health Emergency

The White House recently announced that the COVID-19 national emergency and public health emergency (PHE) declarations will end on May 11, 2023. These declarations have been in place since the beginning of the COVID-19...more

3/14/2023 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Health Care Providers , Health Insurance Portability and Accountability Act (HIPAA) , Home Health Care , Hospice , Hospitals , Long Term Care Facilities , Medicaid , Public Health Emergency , Reasonable Expectation of Coverage , Regulatory Requirements , Rural Health Care Providers , Telehealth , Vaccinations , Virus Testing , Waivers

9/14/2022 / Abortion , Biden Administration , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Department of Justice (DOJ) , Dobbs v. Jackson Women’s Health Organization , Emergency Medical Services (EMS) , Emergency Rooms , EMTALA , Health Care Providers , Hospitals , Reproductive Healthcare Issues

Arushi Pandya

Sheppard Mullin Richter & Hampton LLP

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