The Source Blog
Recent Action in Healthcare Costs
SB 0666 – Tennessee
Introduced: 2024 Status: Enacted
The key objective is enhancing and solidifying standards for utilization review, increasing cooperation between healthcare providers and utilization review agents, and ensuring adherence to the Prior Authorization Fairness Act. The bill also mandates health insurers …
SB 1392 – Tennessee
Introduced: 2024 Status: Enacted
This bill modifies the Tennessee Right to Shop Act, making several amendments related to health and medical insurance. It first clarifies the definitions of “Emergency medical service” and “Healthcare service,” the latter including prescription drugs …
LD 2115 – Maine
Introduced: 2024 Status: In Process
This bill, also known as the Act to Prohibit Unfair Practices Related to the Collection of Medical Debt, aims to reform the methods by which medical debts are collected. The bill mandates that a healthcare …
LD 224 – Maine
Introduced: 2024 Status: Enacted
This bill, enacted by the State of Maine, prevents healthcare insurers from denying or reducing reimbursements to doctors, hospitals, or outpatient clinical practices due to their non-participation in a Maintenance of Certification Program. The Maintenance …
LD 2271 – Maine
Introduced: 2024 Status: Enacted
This bill proposes new requirements for health care entities in the state of Maine relating to facility fees. The term “facility fee” refers to a fee charged or billed by a health care provider for …
HB 0885 – Tennessee
Introduced: 2024 Status: Enacted
This bill, also known as the “Prior Authorization Fairness Act”, proposes amendments to the Tennessee Code Annotated, Titles 53, 56 and 71, in relation to healthcare services. The objective of the bill is to ensure …
HB 1213 – Tennessee
Introduced: 2024 Status: Enacted
This bill seeks to amend sections of the Tennessee Code Annotated, specifically titles pertaining to insurance. The revisions are relating to the Tennessee Right to Shop Act, which allows patients to compare prices for healthcare …
Next | See all Legislation Records
Introduced: 2024 Status: Enacted
The key objective is enhancing and solidifying standards for utilization review, increasing cooperation between healthcare providers and utilization review agents, and ensuring adherence to the Prior Authorization Fairness Act. The bill also mandates health insurers …
SB 1392 – Tennessee
Introduced: 2024 Status: Enacted
This bill modifies the Tennessee Right to Shop Act, making several amendments related to health and medical insurance. It first clarifies the definitions of “Emergency medical service” and “Healthcare service,” the latter including prescription drugs …
LD 2115 – Maine
Introduced: 2024 Status: In Process
This bill, also known as the Act to Prohibit Unfair Practices Related to the Collection of Medical Debt, aims to reform the methods by which medical debts are collected. The bill mandates that a healthcare …
LD 224 – Maine
Introduced: 2024 Status: Enacted
This bill, enacted by the State of Maine, prevents healthcare insurers from denying or reducing reimbursements to doctors, hospitals, or outpatient clinical practices due to their non-participation in a Maintenance of Certification Program. The Maintenance …
LD 2271 – Maine
Introduced: 2024 Status: Enacted
This bill proposes new requirements for health care entities in the state of Maine relating to facility fees. The term “facility fee” refers to a fee charged or billed by a health care provider for …
HB 0885 – Tennessee
Introduced: 2024 Status: Enacted
This bill, also known as the “Prior Authorization Fairness Act”, proposes amendments to the Tennessee Code Annotated, Titles 53, 56 and 71, in relation to healthcare services. The objective of the bill is to ensure …
HB 1213 – Tennessee
Introduced: 2024 Status: Enacted
This bill seeks to amend sections of the Tennessee Code Annotated, specifically titles pertaining to insurance. The revisions are relating to the Tennessee Right to Shop Act, which allows patients to compare prices for healthcare …
Next | See all Legislation Records
PhRMA and BIO v. Sandoval – Nevada
District Court: District of Nevada Status: Decided
In September 2017, just three months after Nevada passed its insulin transparency law (SB 539) in June 2017 to increase transparency over the price of …
Association for Accessible Medicines v. Frosh – Maryland
District Court: District of Maryland Status: Decided
In a significant victory for the pharmaceutical industry, the 4th U.S. Circuit Court of Appeals found Maryland’s landmark 2017 law (HB 631), which punishes generic …
Negron v. Cigna and OptumRx – Connecticut
District Court: District of Connecticut Status: Pending
Cigna faces a class-action lawsuit alleging the insurance giant overcharged its members by more than 10 times the amount the insurer paid for certain prescription …
In Re UnitedHealth Group PBM Litigation – Minnesota
District Court: District of Minnesota Status: Decided
Plan members brought suit against UnitedHealth Group, Inc. under ERISA and RICO for Defendants’ conduct in administrating pharmacy benefits that allegedly caused Plaintiffs to overpay …
Mohr-Lercara v. Oxford Health Ins., Inc. – New York
District Court: Southern District of New York Status: Pending
A proposed class action was filed in New York federal court accusing Oxford Health Insurance of overcharging patients for prescription drugs. The complaint alleges that …
Previous | See all Litigation Records
District Court: District of Nevada Status: Decided
In September 2017, just three months after Nevada passed its insulin transparency law (SB 539) in June 2017 to increase transparency over the price of …
Association for Accessible Medicines v. Frosh – Maryland
District Court: District of Maryland Status: Decided
In a significant victory for the pharmaceutical industry, the 4th U.S. Circuit Court of Appeals found Maryland’s landmark 2017 law (HB 631), which punishes generic …
Negron v. Cigna and OptumRx – Connecticut
District Court: District of Connecticut Status: Pending
Cigna faces a class-action lawsuit alleging the insurance giant overcharged its members by more than 10 times the amount the insurer paid for certain prescription …
In Re UnitedHealth Group PBM Litigation – Minnesota
District Court: District of Minnesota Status: Decided
Plan members brought suit against UnitedHealth Group, Inc. under ERISA and RICO for Defendants’ conduct in administrating pharmacy benefits that allegedly caused Plaintiffs to overpay …
Mohr-Lercara v. Oxford Health Ins., Inc. – New York
District Court: Southern District of New York Status: Pending
A proposed class action was filed in New York federal court accusing Oxford Health Insurance of overcharging patients for prescription drugs. The complaint alleges that …
Previous | 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