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Texas Out of Network Provider

Jackson Walker

Senate Bill (SB) 2544: Mediation Filing Deadlines for Out-Of-Network Facilities

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The recently enacted Texas Senate Bill (SB) 2544 imposes mandatory mediation filing deadlines for out-of-network (OON) facility providers. Under Insurance Code Chapter 1467, OON facility providers (including ambulatory...more

Bass, Berry & Sims PLC

Court Strikes Down Federal Surprise Billing QPA Calculation Rules, Continuing Pause on Arbitrations

Bass, Berry & Sims PLC on

On August 24, the U.S. District Court for the Eastern District of Texas once again struck down parts of the regulations governing the arbitration process created by the No Surprises Act (NSA) to settle payment disputes...more

McDermott Will & Schulte

District Court Vacates Provisions of No Surprises Act Final Rule

On February 6, a US district court in Texas vacated provisions of the No Surprises Act final rule related to the independent dispute resolution (IDR) process for determining payment for out-of-network services....more

Harris Beach Murtha PLLC

Texas Medical Association Again Challenges Federal Rules Under No Surprises Act

The Texas Medical Association is yet again challenging the federal government’s implementation of the independent dispute resolution process established by the No Surprises Act, this time arguing the $350 fee to initiate the...more

King & Spalding

Federal Court Vacates Air Ambulance Portion of No Surprises Act Dispute Resolution

King & Spalding on

On July 26, 2022, LifeNet was granted summary judgment in its challenge to portions of the second set of implementing regulations for the Independent Dispute Resolution (IDR) process for air ambulance providers under the No...more

ArentFox Schiff

Three Administrative Law Takeaways from the Texas Medical Association Rule Challenge Decision

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New legislation often starts a cat-and-mouse game between the executive branch and regulated entities related to how statutory language is implemented. While we often write about environmental statutes, the procedural...more

Jackson Walker

Texas Court Strikes Independent Dispute Resolution Processes Within the No Surprises Act Final Rule – Implications for Healthcare...

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On February 23, 2022, the United States District Court for the Eastern District of Texas – Tyler Division issued a legal opinion in the case of Texas Medical Association and Adam Corley v. United States Department of Health...more

Verrill

Surprise Medical Bills: Texas District Court Vacates Portion of Independent Dispute Resolution (IDR) Process in Agency Rule

Verrill on

The U.S. District Court for the Eastern District of Texas recently vacated a portion of the Requirements Related to Surprise Billing, Part II, Interim Final Rule (the “Rule”) regarding the independent dispute resolution (IDR)...more

Husch Blackwell LLP

Texas District Court Vacates Portions of No Surprises Act Rule Related to Arbitration

Husch Blackwell LLP on

On February 23, 2022, Judge Jeremy Kernodle of the Eastern District of Texas ruled that certain parts of the Interim Final Rule Part II (the Rule) implementing the No Surprises Act (the Act) are invalid. Specifically, the...more

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