Search Results for: medicaid

The United States Monday filed a lawsuit against Cigna Corporation in the US District Court for the Middle District of Tennessee for allegedly providing false patient diagnoses to receive increased Medicare payments in violation of the False Claims Act. The defendants include Cigna and its various state companies. The complaint alleges that, while processing home [...]

The Biden administration Thursday finalized a rule to undo a rule implemented by the Trump administration that prevented noncitizens from accessing public benefits. According to the Department of Homeland Security, the rule will restore the “historical understanding of a ‘public charge’ that had been in place for decades, until the prior Administration began to consider [...]

The US House of Representatives has passed HR 5376, the Inflation Reduction Act of 2022 to send it to President Joe Biden for signing into law. The bill addresses climate change, drug pricing and corporate taxes. The House voted 220-207 to pass the bill. Last Sunday, the US Senate narrowly passed the bill during a 27-hour [...]

US President Joe Biden Wednesday signed an executive order protecting the right of American women to travel across state lines for abortion care and directing the Department of Health and Human Services (HHS) to protect abortion and reproductive healthcare access. Biden signed the order in a video call to the first meeting of the Interagency [...]

The US Court of Appeals for the Second Circuit Monday rejected an appeal from Pfizer Inc. after the Department of Health and Human Services (DHHS) said that Pfizer’s plan to cover patients’ copays for its heart failure medications violated US law. The medications cost an estimated $13,000 per year, with many patients who need them [...]

The US Department of Health and Human Services’ (DHHS) Office of Civil Rights Wednesday issued a legal guidance warning the country’s 60,000 retail pharmacies that refusing to fill prescriptions for medication that can be used for abortion violates federal civil rights law. The guidance clarifies that under Section 1557 of the Affordable Care Act: As [...]

US President Joe Biden has signed an executive order on abortion to ease access to medical services for abortion and contraceptives in response to the Supreme Court’s ruling in Dobbs v. Jackson Women’s Health Organization that eliminated the constitutional right to an abortion provided by Roe v. Wade. President Biden stated during a press conference, [...]

The US Supreme Court Friday released its opinion in Becerra v. Empire Health Foundation, a case relating to Medicare reimbursement. The court held that “calculating the Medicare fraction, individuals ‘entitled to   benefits’ are all those qualifying for the program, regardless of whether they receive Medicare payments for part or all of a hospital stay.” In the [...]

The US Supreme Court Monday held by a 7-2 vote in Gallardo v. Marstiller that states can recoup settlement payments under the Medicaid Act to pay for an individual’s future medical care. Under the Medicaid act, states have the right to recover damages from liable parties who cause another’s injury if the injured party receives Medicaid [...]

The US Supreme Court Thursday ruled Thursday that damages for emotional distress are not recoverable in a private lawsuit to enforce either the Rehabilitation Act of 1973 or the Affordable Care Act. This decision clarifies what damages are available to individuals who sue under federal anti-discrimination statutes. Plaintiff Jane Cummings is legally blind and was [...]