The contentious Nursing Home Minimum Staffing Rule (Rule), which established minimum staffing requirements for federally funded long-term care facilities (LTC) such as skilled nursing facilities (SNFs) for Medicare and...more
The Department of Justice Antitrust Division (DOJ), the Federal Trade Commission (FTC), and the Department of Health and Human Services (HHS) (together the Agencies) launched a cross-government agency request for information...more
2/13/2025
/ Acquisitions ,
Antitrust Division ,
Competition ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Federal Trade Commission (FTC) ,
Health Insurance ,
Healthcare ,
Hospitals ,
Mergers ,
Private Equity
We continue our New Jersey Regulatory Update with this Part II, which focuses on regulations that were finalized in the second half of 2024 and impact healthcare. For example, as a continuation of price transparency efforts,...more
Below is Part I of our New Jersey Regulatory Update focusing on regulations that were finalized in 2024 by various New Jersey agencies that impact healthcare. The final regulations range from additional transparency...more
1/30/2025
/ Continuing Education ,
Criminal Background Checks ,
Department of Health and Human Services (HHS) ,
Department of Homeland Security (DHS) ,
Final Rules ,
Health Care Providers ,
Healthcare ,
Licensing Rules ,
Medicaid ,
Mental Health ,
New Jersey ,
Nursing Homes ,
Regulatory Requirements ,
Reporting Requirements ,
Social Welfare Organizations
Compared to previous years, the New Jersey Legislature passed a limited number of statutes impacting health care in 2024. It was a slow start to 2024, but activity picked up in the last six months of the calendar year. Once...more
1/15/2025
/ Background Checks ,
Debt Collection ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Licensing Boards ,
Medicaid ,
Medical Debt ,
New Jersey ,
New Legislation ,
Pharmacies ,
Reproductive Healthcare Issues ,
State Legislatures ,
Telehealth ,
Telemedicine ,
Vaccinations
In connection with certain mergers and acquisitions, the FTC and the Antitrust Division of the US Department of Justice review information provided by parties about proposed transactions reportable under the Hart-Scott-Rodino...more
The Centers for Medicare & Medicaid Services (CMS) recently published a proposed rule, 89 FR 61596, that revives portions of a 2022 proposal to amend the Medicare Overpayment Rule. The 2024 proposed rule comes after...more
The Centers for Medicare & Medicaid Services (CMS) has adopted an age-friendly quality hospital measure in its most recent final rule addressing prospective payment systems, policy changes, and quality program requirements...more
Through its recent decision in Loper Bright Enterprises v. Raimondo, No. 22-451 (S. Ct. June 28, 2024), the US Supreme Court overturned the landmark decision in Chevron U.S.A. Inc. v. Natural Resources Defense Council, Inc.,...more
7/18/2024
/ Administrative Procedure Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Chevron Deference ,
Department of Health and Human Services (HHS) ,
Federal Bans ,
Federal Trade Commission (FTC) ,
Government Agencies ,
Healthcare ,
Loper Bright Enterprises v Raimondo ,
SCOTUS ,
Statutory Interpretation
Below is Part II of our New Jersey Statutory update. As you can see from the below, several statutes were passed imposing requirements on health insurance payers, including new requirements for prior authorization request and...more
6/12/2024
/ Bias ,
Dentists ,
EMTs ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Home Health Care ,
Medicaid ,
Medical Devices ,
Medical Equipment ,
Mental Health ,
Out-of-State Employees ,
Per Diem ,
Prior Authorization ,
Reimbursements ,
Reproductive Healthcare Issues ,
Skilled Nursing Facility ,
Training ,
Transparency
Every year, the New Jersey legislature passes statutes that impact healthcare beyond rate increases under the Medicaid program. Last year was no different, and the discussion below highlights some of those statutes, such as...more
6/6/2024
/ Acute Facilities ,
Centers for Medicare & Medicaid Services (CMS) ,
Cost-Sharing ,
Drug Pricing ,
False Claims Act (FCA) ,
Healthcare ,
Hospitals ,
Licensees ,
Medical License ,
Mental Health ,
New Jersey ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Supply Chain ,
Telehealth
Part II of our New Jersey Regulatory Update further identifies proposed and adopted regulations that may impact healthcare providers, from additional financial transparency rules impacting facilities to rules attempting to...more
5/10/2024
/ Child Care ,
Dental Practice ,
Department of Health and Human Services (HHS) ,
Disabilities ,
Financial Transactions ,
Health Care Providers ,
Healthcare ,
Healthcare Facilities ,
Hospitals ,
Inpatient Rehab Facilities ,
Long Term Care Facilities ,
Medicaid ,
New Jersey ,
Pharmaceutical Industry ,
Pharmacist ,
Recordkeeping Requirements ,
Regulatory Standards ,
State Health Departments ,
Transparency
It is that time of year for our regulatory update. Parts I and II will discuss proposed and adopted rules from the second half of last year to the first quarter of this year that impact healthcare providers in New Jersey,...more
5/8/2024
/ Abortion ,
Background Checks ,
Certifications ,
Continuing Education ,
Coronavirus/COVID-19 ,
Disabilities ,
Donations ,
Executive Orders ,
Healthcare ,
License Renewals ,
Long Term Care Facilities ,
Medicaid ,
Mental Health ,
New Jersey ,
Office of Consumer Affairs ,
Physicians ,
Prescription Drugs ,
Regulatory Standards ,
State Health Departments
New guidance released by the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) on April 1, 2024, clarified that hospitals will not be eligible for Medicare or Medicaid...more
4/11/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Conditions of Participation (CoP) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Final Rules ,
Healthcare ,
Hospitals ,
Informed Consent ,
Medical Examinations ,
Nurses ,
Pharmaceutical Industry ,
Physicians ,
Teaching Hospitals ,
Vaccinations
For the past month or longer, many providers have reported a significant impact on their revenue cycle due to the cyberattack on Change Healthcare, LLC. In light of that impact, the Centers for Medicare & Medicaid Services...more