News & Analysis as of

Medicaid › Texas

Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +
Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with children.  less -
Cozen O'Connor

Texas AG Settles for $40 Million Over Medicaid Fraud Allegations

Cozen O'Connor on

Texas AG Ken Paxon announced a settlement with Molina Healthcare of Texas, Inc. and Molina Healthcare, Inc. (collectively, “Molina”), to resolve allegations of Medicaid fraud. The AG’s office claims Molina violated the Texas...more

King & Spalding

Texas Sues Federal Government to Protect Medicaid Financing

King & Spalding on

On December 11, 2024, the Texas Health and Human Services Commission filed a complaint in the United States District Court for the Western District of Texas. The complaint seeks to block the enforcement of a May 9, 2014,...more

Husch Blackwell LLP

Texas Sues CMS to Halt Recoupment of $83 Million in Medicaid Payments

Husch Blackwell LLP on

On December 11, 2024, the Texas Medicaid Agency filed suit against CMS in Federal District Court in Austin to fight an $83 million disallowance of Medicaid payments made to hospital providers in the Austin area between 2014...more

ArentFox Schiff

Investigations Newsletter: Owner, Operator of Texas Lab Charged for $79 Million Medical Testing Fraud Scheme

ArentFox Schiff on

Owner, Operator of Texas Lab Charged for $79 Million Medical Testing Fraud Scheme - On November 20, Osman Syed, the owner and operator of a laboratory in Texas, was charged with three counts of health care fraud,...more

Proskauer - Health Care Law Brief

Post‑Chevron Spotlight: Disproportionate Share Hospital Payments Restored as Texas Hospitals Prevail in Challenge to HHS Exclusion...

Proskauer - Health Care Law Brief on

In a victory for Texas health care providers, in Baylor All Saints Medical Center dba Baylor Scott & White All Saints Medical Center‑Fort Worth et al. v. Xavier Becerra, case number 4:24‑cv‑00432, the United States District...more

McDermott Will & Emery

Texas Approves SB 14 Prohibiting Gender-Affirming Care for Minors

McDermott Will & Emery on

On May 17, 2023, the Texas Senate approved Senate Bill No. 14 (SB 14), prohibiting physicians from providing gender-affirming medical care to minors experiencing gender dysphoria (distress that results from having one’s...more

Sheppard Mullin Richter & Hampton LLP

Another Win for Providers: Texas Federal District Court Again Vacates Independent Dispute Resolution Rule for the No Surprises Act

Sheppard Mullin Richter & Hampton LLP on

On February 6, 2023, the United States District Court for the Eastern District of Texas ruled in favor of the Texas Medical Association and vacated portions of the final rule adopted in August 2022 (the “August 2022 Final...more

King & Spalding

OIG Report Finds Texas May Have Claimed More Than $30 Million in Federal Funds for Medicaid Uncompensated Care Payments That Did...

King & Spalding on

On September 29, 2022, OIG published a report of its findings summarizing its investigation into whether Texas properly claimed uncompensated care (UC) payments (the Report). The Report by OIG found that Texas incorrectly...more

Hendershot Cowart P.C.

Investing In or Opening an Ambulatory Surgery Center? Beware of State & Federal Regulations

Hendershot Cowart P.C. on

Investment in ambulatory surgery centers (ASCs) is soaring. Physicians, hospitals, and health systems are attracted by the high margins, significant growth potential, payer influence, and efficient patient care. Beyond...more

Epstein Becker & Green

In Wake of Dobbs Decision, CMS Issues Guidance to Hospitals on EMTALA Obligations

Epstein Becker & Green on

Last week, the Centers for Medicare & Medicaid (CMS) issued guidance to remind hospitals of their ongoing federal obligations under the Emergency Medical Treatment and Labor Act (EMTALA), specifically when treating patients...more

Constangy, Brooks, Smith & Prophete, LLP

Texas Governor Issues "No-Mandate Mandate" On COVID-19 Vaccines

Constangy, Brooks, Smith & Prophete, LLP on

Oh, what a difference a few months makes. Yesterday, Texas Gov. Greg Abbott (R) issued Executive Order GA 40, which prohibits any entity in Texas, including private businesses, from requiring that employees or customers...more

ArentFox Schiff

Texas Medicaid Program – Update for Drug Manufacturers

ArentFox Schiff on

Texas Health and Human Services announced that beginning April 1, 2021, drug manufacturers who wish for their products to be added to the Texas Drug Code Index (the Texas Medicaid formulary) must create an electronic account...more

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