The Source Blog
Trends in Healthcare Markets
Certificates of Need (CON)
For more on CON legislation, refer to Legislative Topics: Certificates of Need overview in the Source Blog
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Key:
- Active CON Program
Most Favored Nation Bans (MFN)
For more on MFN legislation, check out our Legislative Topics: Most Favored Nation overview in the Source Blog.
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Key:
- Ban currently in effect
- Pending legislative ban
Recent Action in Healthcare Markets
HB 442 – Delaware
Introduced: 2022 Status: Enacted
An Act to amend Title 16 of the Delaware Code relating to the Delaware Health Care Commission and State of Delaware health care spending and quality benchmarks. Delaware’s per capita health care spending consistently ranks …
SB 967 – California
Introduced: 2022 Status: Enacted
Health care coverage: tax returns: information sharing authorization and outreach. Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase …
SB 939 – California
Introduced: 2022 Status: Inactive / Dead
Prescription drug pricing. Existing federal law requires the United States Secretary of Health and Human Services to enter into an agreement with each manufacturer of covered outpatient drugs to ensure the amount a covered entity …
SB 944 – California
Introduced: 2022 Status: Inactive / Dead
California Health Benefit Exchange: affordability assistance. Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit …
SB 858 – California
Introduced: 2022 Status: Enacted
Health care service plans: discipline: civil penalties. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health …
SB 840 – California
Introduced: 2022 Status: Inactive / Dead
Budget Act of 2022. This bill would make appropriations for the support of state government for the 2022–23 fiscal year. This bill would declare that it is to take effect immediately as a Budget Bill.
SB 1473 – California
Introduced: 2022 Status: Enacted
California Health Benefit Exchange. Existing federal law, the federal Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans …
Next | See all Legislation Records
Introduced: 2022 Status: Enacted
An Act to amend Title 16 of the Delaware Code relating to the Delaware Health Care Commission and State of Delaware health care spending and quality benchmarks. Delaware’s per capita health care spending consistently ranks …
SB 967 – California
Introduced: 2022 Status: Enacted
Health care coverage: tax returns: information sharing authorization and outreach. Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase …
SB 939 – California
Introduced: 2022 Status: Inactive / Dead
Prescription drug pricing. Existing federal law requires the United States Secretary of Health and Human Services to enter into an agreement with each manufacturer of covered outpatient drugs to ensure the amount a covered entity …
SB 944 – California
Introduced: 2022 Status: Inactive / Dead
California Health Benefit Exchange: affordability assistance. Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit …
SB 858 – California
Introduced: 2022 Status: Enacted
Health care service plans: discipline: civil penalties. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health …
SB 840 – California
Introduced: 2022 Status: Inactive / Dead
Budget Act of 2022. This bill would make appropriations for the support of state government for the 2022–23 fiscal year. This bill would declare that it is to take effect immediately as a Budget Bill.
SB 1473 – California
Introduced: 2022 Status: Enacted
California Health Benefit Exchange. Existing federal law, the federal Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans …
Next | See all Legislation Records
Uriel Pharmacy v. Advocate Aurora Health – Wisconsin
District Court: Eastern District of Wisconsin Status: Pending
Brought by Uriel Pharmacy, a self-insured employer, the federal lawsuit alleges Advocate forced insurers to enter all-or-nothing and anti-tiering and anti-steering contract terms. In addition, …
City of Brevard, North Carolina v. HCA Healthcare and Mission Health System – North Carolina
District Court: Western District of North Carolinaa Status: Pending
Filed in federal district court by the city of Brevard, North Carolina, the lawsuit seeks class action status and alleges HCA used its monopoly power …
FTC v. RWJBarnabas Health & Saint Peter’s Healthcare System – New Jersey
District Court: District of New Jersey Status: Decided
RWJBH is the largest academic health system in New Jersey with 12 hospitals and collaborates with Rutgers Robert Wood Johnson Medical Schools. Saint Peter’s Healthcare …
FTC v. HCA Healthcare & Steward Health Care – Utah
District Court: District of Utah Status: Pending
HCA Healthcare, the second largest health system with six hospitals in the Wasatch Front region of Utah, proposed to acquire five hospitals from Steward Health …
Saint Francis Hospital v. Hartford HealthCare – Connecticut
District Court: District of Connecticut Status: Pending
In February 2021, Saint Francis Hospital sued Hartford HealthCare, one of two major health systems in Connecticut, alleging that Hartford’s physician practice acquisitions and resulting …
Federal Trade Commission and State of Rhode Island v. Lifespan and Care New England Health – Rhode Island
District Court: District of Rhode Island Status: Decided
Rhode Island’s two largest nonprofit hospital systems, Lifespan and Care New England, abandoned their merger plans in the face of a joint antitrust challenge from …
United States and State of Minnesota and State of New York v. UnitedHealth Group and Change Healthcare – Minnesota, New York
District Court: District of Columbia Status: Pending
The DOJ, along with attorneys general of New York and Minnesota, filed a lawsuit in federal court in the District of Columbia to block UnitedHealth …
Next | See all Litigation Records
District Court: Eastern District of Wisconsin Status: Pending
Brought by Uriel Pharmacy, a self-insured employer, the federal lawsuit alleges Advocate forced insurers to enter all-or-nothing and anti-tiering and anti-steering contract terms. In addition, …
City of Brevard, North Carolina v. HCA Healthcare and Mission Health System – North Carolina
District Court: Western District of North Carolinaa Status: Pending
Filed in federal district court by the city of Brevard, North Carolina, the lawsuit seeks class action status and alleges HCA used its monopoly power …
FTC v. RWJBarnabas Health & Saint Peter’s Healthcare System – New Jersey
District Court: District of New Jersey Status: Decided
RWJBH is the largest academic health system in New Jersey with 12 hospitals and collaborates with Rutgers Robert Wood Johnson Medical Schools. Saint Peter’s Healthcare …
FTC v. HCA Healthcare & Steward Health Care – Utah
District Court: District of Utah Status: Pending
HCA Healthcare, the second largest health system with six hospitals in the Wasatch Front region of Utah, proposed to acquire five hospitals from Steward Health …
Saint Francis Hospital v. Hartford HealthCare – Connecticut
District Court: District of Connecticut Status: Pending
In February 2021, Saint Francis Hospital sued Hartford HealthCare, one of two major health systems in Connecticut, alleging that Hartford’s physician practice acquisitions and resulting …
Federal Trade Commission and State of Rhode Island v. Lifespan and Care New England Health – Rhode Island
District Court: District of Rhode Island Status: Decided
Rhode Island’s two largest nonprofit hospital systems, Lifespan and Care New England, abandoned their merger plans in the face of a joint antitrust challenge from …
United States and State of Minnesota and State of New York v. UnitedHealth Group and Change Healthcare – Minnesota, New York
District Court: District of Columbia Status: Pending
The DOJ, along with attorneys general of New York and Minnesota, filed a lawsuit in federal court in the District of Columbia to block UnitedHealth …
Next | See all Litigation Records
News & Opinions
Articles & Reports
Health Affairs
November 27, 2022
U.S. Government Accountability Office November 7, 2022
Health Affairs November 7, 2022
Health Affairs November 7, 2022
U.S. Government Accountability Office November 7, 2022
Health Affairs November 7, 2022
Health Affairs November 7, 2022