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
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
Articles & Reports
Health Affairs
November 6, 2023
JAMA Network October 27, 2023
The Commonwealth Fund October 26, 2023
The Commonwealth Fund October 26, 2023
Health Affairs October 26, 2023
JAMA Network October 26, 2023
FTI Consulting October 25, 2023
Kaiser Family Foundation October 24, 2023
Physicians Advocacy Institute and The Physicians Foundation October 19, 2023
JAMA Network October 27, 2023
The Commonwealth Fund October 26, 2023
The Commonwealth Fund October 26, 2023
Health Affairs October 26, 2023
JAMA Network October 26, 2023
FTI Consulting October 25, 2023
Kaiser Family Foundation October 24, 2023
Physicians Advocacy Institute and The Physicians Foundation October 19, 2023
Health Benefits In 2023: Premiums Increase With Inflation And Employer Coverage In The Wake Of Dobbs
Health Affairs
October 18, 2023