The Source Blog
Recent Action in Healthcare Costs
HB 0495 – Utah
Introduced: 2025 Status: Enacted
This bill makes several amendments to health care practices and insurance regulations in Utah. The first section updates health care claims practices, requiring insurers to timely pay valid claims within specific timeframes, provide written explanations […]
S 0126 – Vermont
Introduced: 2025 Status: In Process
This bill proposes a comprehensive reform of Vermont’s health care system with several key provisions. The bill aims to transform health care payment and delivery by establishing reference-based pricing (setting hospital reimbursement rates based on […]
H5 120 – Rhode Island
Introduced: 2025 Status: In Process
This bill provides that an insurer would be prohibited from requiring prior authorization for any admission, item, service, treatment, or procedure ordered by an in-network primary care provider (PCP), with an exception that prior authorization […]
S 0053 – Rhode Island
Introduced: 2025 Status: In Process
This bill provides that an insurer would not be allowed to impose prior authorization requirements for any admission, item, service, treatment, or procedure ordered by an in-network primary care provider (PCP), with one key exception: […]
S 0168 – Rhode Island
Introduced: 2025 Status: In Process
This bill prohibits health insurers in Rhode Island from requiring prior authorization for medical services, items, treatments, or procedures ordered by primary care providers (PCPs), which are defined as general internists, family physicians, pediatricians, geriatricians, […]
S 0681 – Rhode Island
Introduced: 2025 Status: In Process
This bill amends the powers and duties of the Office of the Health Insurance Commissioner (OHIC) to implement additional oversight and review of healthcare costs. Specifically, the bill requires prior approval from OHIC for two […]
SB 87 – South Dakota
Introduced: 2025 Status: In Process
This bill addresses preauthorization requirements and utilization review processes for health benefit plans in South Dakota, introducing several key provisions to streamline and improve healthcare service approvals. Before issuing an adverse determination questioning the medical […]
Next | See all Legislation Records
Introduced: 2025 Status: Enacted
This bill makes several amendments to health care practices and insurance regulations in Utah. The first section updates health care claims practices, requiring insurers to timely pay valid claims within specific timeframes, provide written explanations […]
S 0126 – Vermont
Introduced: 2025 Status: In Process
This bill proposes a comprehensive reform of Vermont’s health care system with several key provisions. The bill aims to transform health care payment and delivery by establishing reference-based pricing (setting hospital reimbursement rates based on […]
H5 120 – Rhode Island
Introduced: 2025 Status: In Process
This bill provides that an insurer would be prohibited from requiring prior authorization for any admission, item, service, treatment, or procedure ordered by an in-network primary care provider (PCP), with an exception that prior authorization […]
S 0053 – Rhode Island
Introduced: 2025 Status: In Process
This bill provides that an insurer would not be allowed to impose prior authorization requirements for any admission, item, service, treatment, or procedure ordered by an in-network primary care provider (PCP), with one key exception: […]
S 0168 – Rhode Island
Introduced: 2025 Status: In Process
This bill prohibits health insurers in Rhode Island from requiring prior authorization for medical services, items, treatments, or procedures ordered by primary care providers (PCPs), which are defined as general internists, family physicians, pediatricians, geriatricians, […]
S 0681 – Rhode Island
Introduced: 2025 Status: In Process
This bill amends the powers and duties of the Office of the Health Insurance Commissioner (OHIC) to implement additional oversight and review of healthcare costs. Specifically, the bill requires prior approval from OHIC for two […]
SB 87 – South Dakota
Introduced: 2025 Status: In Process
This bill addresses preauthorization requirements and utilization review processes for health benefit plans in South Dakota, introducing several key provisions to streamline and improve healthcare service approvals. Before issuing an adverse determination questioning the medical […]
Next | See all Legislation Records
Ross v. University of Pittsburgh Medical Center – Pennsylvania
District Court: US District Court for the Western District of Pennsylvania Status: Pending
On January 18, 2024, Victoria Ross, a former University of Pittsburgh Medical Center (UPMC) nurse, filed an antitrust class action suit in the US District […]
Braidwood Management Inc., et al. v. Becerra, et al. – Federal
District Court: Northern District of Texas Status: Pending
Braidwood Management, an organization that represents Christian businesses based in Texas, and a group of individuals from Texas filed a complaint to challenge parts of […]
Community Hospitals and Wellness Centers v. State of Ohio – Ohio
District Court: Common Pleas Court of Williams County Status: Decided
Ohio’s Healthcare Price Transparency Law, passed in June 2015 (HB 52) by the Ohio Legislature, has been challenged by health care providers arguing that the […]
Minnesota v. Sanofi-Aventis U.S. LLC – Minnesota
District Court: District Court of New Jersey Status: Pending
Minnesota’s attorney general filed a suit accusing Sanofi, Eli Lilly, and Novo Nordisk, the three largest manufacturers of insulin, of price gouging. The lawsuit, filed in […]
Herrera et al. v. JFK Medical Center et al. – Florida
District Court: M.D. Florida Status: Decided
In August 2014, plaintiffs filed a putative class action against multiple HCA-operated hospitals in Tampa, alleging they were charged unreasonable amounts for emergency radiological services. […]
Alcon Labs., Inc. v. Cottrell – New Jersey
District Court: District of New Jersey Status: Decided
Consumers brought putative class action against manufacturers and distributors of prescription eye medication, alleging they packaged medication in such a way as to force consumers […]
In re Express Scripts/Anthem ERISA Litigation – New York
District Court: Southern District of New York Status: Pending
The district court dismissed a proposed class action against Anthem Inc. and Express Scripts Inc. over drug pricing methods, holding that the companies can’t be […]
Next | See all Litigation Records
District Court: US District Court for the Western District of Pennsylvania Status: Pending
On January 18, 2024, Victoria Ross, a former University of Pittsburgh Medical Center (UPMC) nurse, filed an antitrust class action suit in the US District […]
Braidwood Management Inc., et al. v. Becerra, et al. – Federal
District Court: Northern District of Texas Status: Pending
Braidwood Management, an organization that represents Christian businesses based in Texas, and a group of individuals from Texas filed a complaint to challenge parts of […]
Community Hospitals and Wellness Centers v. State of Ohio – Ohio
District Court: Common Pleas Court of Williams County Status: Decided
Ohio’s Healthcare Price Transparency Law, passed in June 2015 (HB 52) by the Ohio Legislature, has been challenged by health care providers arguing that the […]
Minnesota v. Sanofi-Aventis U.S. LLC – Minnesota
District Court: District Court of New Jersey Status: Pending
Minnesota’s attorney general filed a suit accusing Sanofi, Eli Lilly, and Novo Nordisk, the three largest manufacturers of insulin, of price gouging. The lawsuit, filed in […]
Herrera et al. v. JFK Medical Center et al. – Florida
District Court: M.D. Florida Status: Decided
In August 2014, plaintiffs filed a putative class action against multiple HCA-operated hospitals in Tampa, alleging they were charged unreasonable amounts for emergency radiological services. […]
Alcon Labs., Inc. v. Cottrell – New Jersey
District Court: District of New Jersey Status: Decided
Consumers brought putative class action against manufacturers and distributors of prescription eye medication, alleging they packaged medication in such a way as to force consumers […]
In re Express Scripts/Anthem ERISA Litigation – New York
District Court: Southern District of New York Status: Pending
The district court dismissed a proposed class action against Anthem Inc. and Express Scripts Inc. over drug pricing methods, holding that the companies can’t be […]
Next | See all Litigation Records
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