The Source Blog
Recent Action in Healthcare Costs
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.
SB 228 – Florida
Introduced: 2024 Status:
Health Insurance Cost Sharing: Defining the term “cost-sharing requirement”; requiring specified individual health insurers and their pharmacy benefit managers to apply payments by or on behalf of insureds toward the total contributions of the insureds’ …
HB 363 – Florida
Introduced: 2024 Status:
Health Insurance Cost Sharing: Requires specified individual health insurers, group insurers, HMOs & their pharmacy benefit managers to apply payments of prescription drugs by or on behalf of insureds & subscribers toward total contributions of …
Next | See all Legislation Records
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.
SB 228 – Florida
Introduced: 2024 Status:
Health Insurance Cost Sharing: Defining the term “cost-sharing requirement”; requiring specified individual health insurers and their pharmacy benefit managers to apply payments by or on behalf of insureds toward the total contributions of the insureds’ …
HB 363 – Florida
Introduced: 2024 Status:
Health Insurance Cost Sharing: Requires specified individual health insurers, group insurers, HMOs & their pharmacy benefit managers to apply payments of prescription drugs by or on behalf of insureds & subscribers toward total contributions of …
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
Nona TepperApril 10, 2024
Dave MuoioApril 10, 2024
Roslyn Murray, Andrew RyanApril 4, 2024
Alex KacikApril 4, 2024
Caroline HudsonApril 3, 2024
Dave MuoioApril 10, 2024
Roslyn Murray, Andrew RyanApril 4, 2024
Alex KacikApril 4, 2024
Caroline HudsonApril 3, 2024
Articles & Reports
JAMA Network
March 29, 2024
JAMA Network March 28, 2024
JAMA Health Forum March 22, 2024
Health Affairs Forefront March 14, 2024
JAMA Network March 28, 2024
JAMA Health Forum March 22, 2024
Health Affairs Forefront March 14, 2024