The Source Blog
Recent Action in Healthcare Costs
SB 791 (Companion Bill HB 932) – 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 …
HB 1148 – Maryland
Introduced: 2024 Status: In Process
Requiring out-of-network health care facilities to provide certain information to a consumer and obtain certain consent before providing a health care service; requiring that certain out-of-network status information be provided in a certain consent form; …
HB 14 – Wyoming
Introduced: 2024 Status: Enacted
AN ACT relating to the insurance code; requiring health insurers and contracted utilization review entities to follow prior authorization regulations as specified; providing legislative findings; providing definitions; requiring rulemaking; and providing for effective dates.
SB 684 – West Virginia
Introduced: 2024 Status: In Process
Setting medical loss ratio for managed care contracts with Bureau for Medical Services
SB 1508 – Oregon
Introduced: 2024 Status: Enacted
This bill updates health care provisions. The Oregon Health Authority is to determine the types of health care services provided for recipients of medical assistance. Such assistance will be subjected to revisions and revisions based …
HB 2378 – Washington
Introduced: 2024 Status:
AN ACT Relating to facility fees charged by certain affiliated health care providers
SB 6161 – Washington
Introduced: 2024 Status:
AN ACT Relating to provider contract compensation; adding a new section to chapter 48.43 RCW; and creating new sections.
Previous | Next | See all Legislation Records
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 …
HB 1148 – Maryland
Introduced: 2024 Status: In Process
Requiring out-of-network health care facilities to provide certain information to a consumer and obtain certain consent before providing a health care service; requiring that certain out-of-network status information be provided in a certain consent form; …
HB 14 – Wyoming
Introduced: 2024 Status: Enacted
AN ACT relating to the insurance code; requiring health insurers and contracted utilization review entities to follow prior authorization regulations as specified; providing legislative findings; providing definitions; requiring rulemaking; and providing for effective dates.
SB 684 – West Virginia
Introduced: 2024 Status: In Process
Setting medical loss ratio for managed care contracts with Bureau for Medical Services
SB 1508 – Oregon
Introduced: 2024 Status: Enacted
This bill updates health care provisions. The Oregon Health Authority is to determine the types of health care services provided for recipients of medical assistance. Such assistance will be subjected to revisions and revisions based …
HB 2378 – Washington
Introduced: 2024 Status:
AN ACT Relating to facility fees charged by certain affiliated health care providers
SB 6161 – Washington
Introduced: 2024 Status:
AN ACT Relating to provider contract compensation; adding a new section to chapter 48.43 RCW; and creating new sections.
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