News & Analysis as of

Physicians Health Care Providers California

Sheppard Mullin Richter & Hampton LLP

Pulse Check: How is Your California Practice Leveraging “103 NPs” – and Preparing for the Arrival of “104 NPs” in 2026?

Nearly three years ago, the passage of California Bill AB 890, effective January 1, 2023, set in motion a future pathway for qualified nurse practitioners (“NPs”) to practice independently under a new category of licensure....more

Nossaman LLP

When Are Hospitals on the Hook? Reconciling Elam and Bichai

Nossaman LLP on

Din v. Sutter Valley Hospital (June 10, 2025, C099101, unpublished) puts the spotlight on a dividing line in California law: when can a hospital be liable for actions taken by its medical staff? The case sharpens the contrast...more

Troutman Pepper Locke

California AG Takes Action Against $1.3 Million Insurance Fraud Scheme

Troutman Pepper Locke on

In May, California’s attorney general (AG) charged a local dermatologist with more than 20 counts of fraud after uncovering a scheme that allegedly resulted in the state’s Medicaid program paying out over $1.3 million for...more

Hanson Bridgett

Peer Review by Licentiates Only: Beware Health Care Service Plans!

Hanson Bridgett on

On February 19, 2025, the California Court of Appeal published a decision, Lin v. Board of Directors of PrimeCare Medical Network, Inc., 108 Cal.App.5th 1163, emphasizing California Business and Professions Code’s requirement...more

Hanson Bridgett

SB 1451 Updates Some Requirements for 103 and 104 Nurse Practitioners

Hanson Bridgett on

Nurse practitioners who practice pursuant to Sections 2837.103 and 2837.104 of the California Business and Professions Code may practice independently, without standardized procedures, in certain settings....more

A&O Shearman

DOJ Announces Settlement Where Medical Group And Related Parties Will Pay Over $62M To Resolve False Claims Act Suit

A&O Shearman on

On March 26, the Department of Justice (“DOJ”) announced that a California-headquartered healthcare provider, Seoul Medical Group Inc. (“Seoul Medical”), its former president and majority owner, and a Seoul Medical subsidiary...more

ArentFox Schiff

Investigations Newsletter: Medical Group and Related Parties to Pay Over $62 Million to Resolve FCA Claims for False Diagnoses

ArentFox Schiff on

Medical Group and Related Parties to Pay Over $62 Million to Resolve FCA Claims for False Diagnoses - On March 26, the US Department of Justice (DOJ) announced that a California-based medical group and related parties...more

Quarles & Brady LLP

The California Legislature Revisits Limitations on and Oversight of PE Involvement in the Health Care Industry

Quarles & Brady LLP on

Lawmakers in California remain dedicated to increasing oversight and placing limitations on private equity (PE) and hedge fund involvement in the health care industry. However, the jury is still out as to whether these new...more

McDermott Will & Schulte

SB 351 Proposes To Strengthen California CPOM and CPOD Doctrines

On February 12, 2025, Senator Christopher Cabaldon introduced California Senate Bill (SB) 351, which would codify and strengthen California’s existing corporate practice of medicine (CPOM) and corporate practice of dentistry...more

Foley & Lardner LLP

California: Private Equity Management of Medical Practices Again Appears in Proposed Legislation

Foley & Lardner LLP on

The California legislature recently introduced legislation, SB 351, that would impact private equity or hedge funds managing physician or dental practices in California. The bill is similar to a portion of California...more

Polsinelli

California Reintroduces Legislation to Restrict Private Equity Management of Health Care Providers

Polsinelli on

The California legislature has introduced a bill that would implement some of the same restrictions on private equity health care investments as last year’s AB 3129....more

ArentFox Schiff

California Claps Back on Insurer Use of AI to Deny Needed Medical Care Decisions

ArentFox Schiff on

California is leading the way in ensuring that determinations of medically necessary health care services are made by licensed physicians and not artificial intelligence (AI) algorithms....more

Ropes & Gray LLP

[Podcast] Health Care Transaction Laws Unwrapped: Recent Developments on the West Coast

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On this fourth episode of Ropes & Gray’s Health Care Transaction Laws Unwrapped podcast series, health care attorneys Ranee Adipat, Jenn Romig and Jaclyn Freshman discuss the latest updates to state health care transaction...more

DLA Piper

California Implements New AI and Software Regulations for Insurers

DLA Piper on

On September 28, 2024, California enacted SB 1120, which regulates the use of artificial intelligence (AI), an algorithm, or “other software tool” in utilization review and utilization management (UR/UM) functions by...more

Husch Blackwell LLP

California Private Equity in Healthcare Legislation

Husch Blackwell LLP on

On August 31, the last day of its 2024 Legislative Session, the California Legislature approved Assembly Bill 3129 (Wood), which provides for notification to and review by the Attorney General of health care transactions...more

Whiteford

California Department of Public Health's (CDPH) Limits On CRNA Scope of Practice Reminds Hospitals Nationwide to Revisit...

Whiteford on

The California Department of Public Health (CDPH) issued a letter on September 6, 2024, to all general acute care hospitals clarifying the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) following...more

Procopio, Cory, Hargreaves & Savitch LLP

Clarity for California Medical Staffs Regarding Statutory and Common Law Fair Hearing Rights

A new and recently published opinion of the California Second District Court of Appeal, Asiryan v. Medical Staff of Glendale Adventist Medical Center et. al., provides clarity for California medical staffs on the question of...more

Epstein Becker & Green

California Finalizes SB 184 Pre-Transaction Notice Requirements for “Material Change” Health Care Transactions

Epstein Becker & Green on

On December 18, 2023, the California Office of Administrative Law approved the emergency regulations promulgated by the Office of Health Care Affordability (OHCA) that set forth the procedural framework for (i) the...more

Polsinelli

Title 22 is Governing Law in California – Think Twice Before Adopting a Three-Year Practitioner Reappointment Cycle

Polsinelli on

In November 2022, when The Joint Commission (“TJC”) announced its decision to update its accreditation standards to permit practitioner recredentialing every three years instead of two, many California hospitals and their...more

Polsinelli

Changes to California Laws Regarding Notice to Patients: What Practitioners and Health Care Entities Need to Know

Polsinelli on

Effective January 1, 2023, all physicians licensed by the Medical Board of California must comply with modifications to the requirements that they provide notice to each patient that they are licensed and regulated by the...more

Sheppard Mullin Richter & Hampton LLP

Who is a Manager or Supervisor Excluded from California’s Healthcare Worker Retention Payment Program?

In a recent blog post, we described general registration and application considerations for employers seeking to enroll in California’s new Hospital and Skilled Nursing Facility COVID-19 Retention Payment Program (the “WRP”)...more

McDermott Will & Schulte

10 Things Providers Should Know About California’s Data Exchange Framework

McDermott Will & Schulte on

By January 31, 2023, general acute care hospitals, clinical labs and certain physician organizations and medical groups in California are required to enter into the Single Data Sharing Agreement (DSA) to participate in the...more

Nossaman LLP

California’s New Apology Law and Its Impact on Peer Review Hearings

Nossaman LLP on

Parties in peer review hearings can present a wide range of relevant evidence, regardless of its admissibility in a court of law.  But California has passed a new “apology law” that modifies that standard, erecting a...more

Wilson Sonsini Goodrich & Rosati

New California Law Turns Up the Heat on the Sunshine Act: California Physicians and Surgeons Must Provide Notice to Patients About...

Effective January 1, 2023, California Assembly Bill 1278 requires California-licensed physicians and surgeons, including physicians and surgeons licensed under the Medical Practice Act or the Osteopathic Act (but excluding...more

Arnall Golden Gregory LLP

New California Law Requires Physicians to Provide Patients with Notice of the Federal Open Payments Program

A new California law – Assembly Bill 1278, which was signed by the Governor on September 29, 2022 – requires physicians to provide patients with notice of the federal Open Payments database. The federal Open Payments program...more

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