Author Archive

White House Says It Will End Key Obamacare Subsidies to Insurers

October 13, 2017  |   Legal Updates   |     |   Comments Off on White House Says It Will End Key Obamacare Subsidies to Insurers

by PHIL HELSEL, ALEX JOHNSON and BENJY SARLIN The White House announced late Thursday that it would no longer reimburse insurers for lowering costs for customers under the Affordable Care Act, a decision Democrats condemned as "spiteful." President Donald Trump had indicated he was considering cutting off the payments in order to increase pressure on lawmakers to repeal the ACA, also known ...

CHIP Reauthorization Legislation and Medicare-Medicaid Extender Provisions

October 10, 2017  |   Legal Updates   |     |   Comments Off on CHIP Reauthorization Legislation and Medicare-Medicaid Extender Provisions

By Ethan Jorgensen-Earp Robert H Bradner Lisa V Tofil In this memorandum, Holland & Knight's Healthcare & Life Sciences Team summarizes recent legislative action on funding for the Children's Health Insurance Program (CHIP). The Senate Finance Committee and the House Energy and Commerce Committee on Oct. 4, 2017, approved each chamber's respective draft legislation to extend funding ...

If Republicans Agree on 80% of Tax Reform, What’s the Other 20%?

August 31, 2017  |   Legal Updates   |     |   Comments Off on If Republicans Agree on 80% of Tax Reform, What’s the Other 20%?

By: Carolyn Smith at Alston and Bird Senate Finance Committee Chairman Orrin Hatch (R-UT) and House Ways and Means Chairman Kevin Brady (R-TX) have both stated that Republicans agree on about 80% of tax reform. The needle might have moved closer to 90% with the recent announcement from the Big Six—Treasury Secretary Steven Mnuchin, National Economic Council Director Gary Cohn, House Speaker Paul Ryan (R-WI), Senate Majority Leader Mitch McConnell (R-KY), and Chairmen Hatch ...

Employee FMLA Retaliation Case Survives Dismissal – How Can You Avoid Similar Problems

August 21, 2017  |   Legal Updates   |     |   Comments Off on Employee FMLA Retaliation Case Survives Dismissal – How Can You Avoid Similar Problems

Overview The court in this case, the United States District Court for the District of South Carolina, was reviewing a Magistrate Judge’s (MJ) recommendation that the Court partially grant and partially deny Defendant Equilon Enterprises, LLC's (“SOPUS” or Employer) motion for summary judgment. SOPUS objected to portions of the MJ’s Report and Recommendation (R&R). The District court overruled the employer's objections, and adopted the MJ’s R & R in this case, see below.1 Court’s Decision In this case, ...

California doctors get more money but will they treat more poor people?

August 11, 2017  |   News and Events   |     |   Comments Off on California doctors get more money but will they treat more poor people?

Matt Levin, CALmatters | Published 10:33 a.m. PT Aug. 10, 2017 It seems like a simple solution. Raise what you pay doctors for treating low-income patients, and they’ll treat more of them. All those waits for appointments and physician shortages that have long plagued the state’s low-income health insurance program — a program that one out of every three Californians now relies on—could be remedied with a simple dose of ...

Covered California Expects 12.5% Average Rate Rise In 2018

August 02, 2017  |   News and Events   |     |   Comments Off on Covered California Expects 12.5% Average Rate Rise In 2018

By Emily Bazar and Anna Gorman | August 2, 2017 This updated story was originally published Aug. 1. Covered California health insurance premiums will jump by a statewide average of 12.5 percent next year, amid continuing uncertainty over the future of the Affordable Care Act, the state’s Obamacare exchange said Tuesday. Some plans may also see an additional increase, averaging 12.4 percent, if President Donald Trump stops funding critical subsidies that help reduce some consumers’ out-of-pocket expenses ...

Washington Employer Hit with $1.8 Million Judgment for Failing to Accommodate Prescription Drug User

August 02, 2017  |   Legal Updates   |     |   Comments Off on Washington Employer Hit with $1.8 Million Judgment for Failing to Accommodate Prescription Drug User

By Jennifer Mora and Vanessa Lee July 20, 2017 Last month, a Washington federal district court judge ordered an employer to pay a terminated employee a little over $1.8 million in damages for failing to accommodate the employee’s use of opioids that had been prescribed to treat her migraines, and for terminating her for a positive drug test result.1  Although employers typically have a right to implement ...

Capitol Hill Healthcare Update

August 01, 2017  |   Legal Updates   |     |   Comments Off on Capitol Hill Healthcare Update

By Mike Ferguson, Chris Jones, Adam Higgins and Tyler Thompson on July 31, 2017 Editor’s Note – The next Capitol Hill Healthcare Update will be published after Labor Day when Congress reconvenes following its August recess. Republicans Contemplate Next Steps Amid ACA Flameout Congressional Republicans and President Donald Trump face a series of key questions about how ...

California to Release 2018 Insurance Rates Amid Uncertainty

August 01, 2017  |   News and Events   |     |   Comments Off on California to Release 2018 Insurance Rates Amid Uncertainty

By THE ASSOCIATED PRESS | AUG. 1, 2017, 3:57 A.M. E.D.T SACRAMENTO, Calif. — California officials plan to release next year's monthly premiums Tuesday for people who buy individual insurance plans under former President Barack Obama's health care overhaul. The announcement comes at a time of extreme uncertainty about the future of ...

When High Deductibles Hurt: Even Insured Patients Postpone Care

July 27, 2017  |   News and Events   |     |   Comments Off on When High Deductibles Hurt: Even Insured Patients Postpone Care

In November 2015, Tina Heck was in her garage lifting 40-pound bags of wood pellets to fuel her heating stove, when something went very wrong with her back. “The next day, I could barely walk,” said the 55-year-old who lives on an acre of land in Nevada City, Calif., 60 miles northeast of Sacramento. The cause: a bulging disc in her lower spine, which shoots pain down her leg and makes her back stiff. The injury wasn’t ...