The Source Blog
Recent Action in Healthcare Costs
HB 2076 – Tennessee
Introduced: 2024 Status: In Process
As enacted, establishes procedures for recoupment of overpayments made to a healthcare provider by certain health insurance entities.
HB 317 – Kentucky
Introduced: 2024 Status: In Process
This bill updates the Kentucky Revised Statutes (KRS) by defining “health care provider” and setting eligibility and requirements about prior authorization exemptions. It sets forth requirements for revoking preauthorization exemptions and mandates external reviews of …
HB 318 – Kentucky
Introduced: 2024 Status: In Process
This bill mandates that all health benefit plan insurers in Kentucky must provide a program to minimize or eliminate prior authorization requirements for participating providers. Prior authorization is a requirement that a physician obtain approval …
SB 270 – Kentucky
Introduced: 2024 Status: In Process
This bill proposes amendments to Kentucky law related to prior authorization for health care services. Prior authorization is the process of obtaining approval from a health insurer before a health care service can be performed. …
HB 2599 – Arizona
Introduced: 2024 Status: Enacted
This bill addresses the processes of review and appeal for healthcare services within the state of Arizona and amends sections 20-2501, 20-2532, 20-2533, 20-2534, 20-2535, 20-2536 and 20-2537 of the Arizona Revised Statutes. It introduces …
HF 2367 – Iowa
Introduced: 2024 Status: In Process
This bill relates to an insurer’s duty of good faith in negotiations. Under the bill, it shall be an unfair method of competition and unfair or deceptive act or practice in the business of insurance …
HB 932 (Companion Bill S791) – Maryland
Introduced: 2024 Status: In Process
This bill seeks to alter and implement various requirements related to health insurance utilization review. The utilization review involves evaluating the necessity, appropriateness, and efficiency of healthcare services, procedures and facilities. The bill also revises …
Previous | Next | See all Legislation Records
Introduced: 2024 Status: In Process
As enacted, establishes procedures for recoupment of overpayments made to a healthcare provider by certain health insurance entities.
HB 317 – Kentucky
Introduced: 2024 Status: In Process
This bill updates the Kentucky Revised Statutes (KRS) by defining “health care provider” and setting eligibility and requirements about prior authorization exemptions. It sets forth requirements for revoking preauthorization exemptions and mandates external reviews of …
HB 318 – Kentucky
Introduced: 2024 Status: In Process
This bill mandates that all health benefit plan insurers in Kentucky must provide a program to minimize or eliminate prior authorization requirements for participating providers. Prior authorization is a requirement that a physician obtain approval …
SB 270 – Kentucky
Introduced: 2024 Status: In Process
This bill proposes amendments to Kentucky law related to prior authorization for health care services. Prior authorization is the process of obtaining approval from a health insurer before a health care service can be performed. …
HB 2599 – Arizona
Introduced: 2024 Status: Enacted
This bill addresses the processes of review and appeal for healthcare services within the state of Arizona and amends sections 20-2501, 20-2532, 20-2533, 20-2534, 20-2535, 20-2536 and 20-2537 of the Arizona Revised Statutes. It introduces …
HF 2367 – Iowa
Introduced: 2024 Status: In Process
This bill relates to an insurer’s duty of good faith in negotiations. Under the bill, it shall be an unfair method of competition and unfair or deceptive act or practice in the business of insurance …
HB 932 (Companion Bill S791) – Maryland
Introduced: 2024 Status: In Process
This bill seeks to alter and implement various requirements related to health insurance utilization review. The utilization review involves evaluating the necessity, appropriateness, and efficiency of healthcare services, procedures and facilities. The bill also revises …
Previous | 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
News & Opinions
Elisabeth RosenthalJuly 17, 2024
Dan WeissmannJuly 17, 2024
Alex KacikJuly 17, 2024
Alex KacikJuly 9, 2024
Dan WeissmannJune 25, 2024
Dan WeissmannJuly 17, 2024
Alex KacikJuly 17, 2024
Alex KacikJuly 9, 2024
Dan WeissmannJune 25, 2024
Articles & Reports
Health Affairs Scholar
July 16, 2024
NEJM Catalyst June 19, 2024
Commonwealth Fund May 13, 2024
RAND Corporation May 13, 2024
NEJM Catalyst June 19, 2024
Commonwealth Fund May 13, 2024
RAND Corporation May 13, 2024