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
S 990 – South Carolina
Introduced: 2020 Status: In Process
State Health Facility Licensure Act. Eliminate References To Certificate Of Need Requirements. The purpose of this article is to ensure that high quality services are provided in health facilities in this State.
S 1077 – South Carolina
Introduced: 2020 Status: In Process
To amend section 44-7-170(b) of the 1976 code, relating to institutions and transactions exempt from the state certification of need and health facility licensure act, to exempt the establishment of a subspecialty perinatal center with …
H 5241 – South Carolina
Introduced: 2020 Status: In Process
Amend section 44-7-170, code of laws of south carolina, 1976, relating to institutions and transactions exempt from the state certification of need and health facility licensure act, so as to exempt the establishment of a …
H 5070 – South Carolina
Introduced: 2020 Status: In Process
Amend the code of laws of South Carolina, 1976, by adding section 38-71-295 so as to prohibit preexisting condition exclusions in individual, group, and small employer health benefit plans; to amend section 38-71-143, relating to …
S 991 – South Carolina
Introduced: 2020 Status: In Process
Amend Chapter 71, Title 38 Of The 1976 Code, Relating To Accident And Health Insurance, By Adding Article 16, To Provide That All Health Insurance Carriers Shall Offer Shared Savings Incentive Programs As Components Of …
SB 3543 – Illinois
Introduced: 2020 Status: In Process
MEDICAID-MCO-PHARMACY FEE. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires all Medicaid managed care organizations to reimburse pharmacy provider dispensing fees and acquisition costs at no less than the amounts established …
SB 3733 – Illinois
Introduced: 2020 Status: In Process
INS-GENERIC PRESCRIPTION DRUGS. Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the Food and Drug Administration, insurance companies with plans that provide coverage for …
Next | See all Legislation Records
Introduced: 2020 Status: In Process
State Health Facility Licensure Act. Eliminate References To Certificate Of Need Requirements. The purpose of this article is to ensure that high quality services are provided in health facilities in this State.
S 1077 – South Carolina
Introduced: 2020 Status: In Process
To amend section 44-7-170(b) of the 1976 code, relating to institutions and transactions exempt from the state certification of need and health facility licensure act, to exempt the establishment of a subspecialty perinatal center with …
H 5241 – South Carolina
Introduced: 2020 Status: In Process
Amend section 44-7-170, code of laws of south carolina, 1976, relating to institutions and transactions exempt from the state certification of need and health facility licensure act, so as to exempt the establishment of a …
H 5070 – South Carolina
Introduced: 2020 Status: In Process
Amend the code of laws of South Carolina, 1976, by adding section 38-71-295 so as to prohibit preexisting condition exclusions in individual, group, and small employer health benefit plans; to amend section 38-71-143, relating to …
S 991 – South Carolina
Introduced: 2020 Status: In Process
Amend Chapter 71, Title 38 Of The 1976 Code, Relating To Accident And Health Insurance, By Adding Article 16, To Provide That All Health Insurance Carriers Shall Offer Shared Savings Incentive Programs As Components Of …
SB 3543 – Illinois
Introduced: 2020 Status: In Process
MEDICAID-MCO-PHARMACY FEE. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires all Medicaid managed care organizations to reimburse pharmacy provider dispensing fees and acquisition costs at no less than the amounts established …
SB 3733 – Illinois
Introduced: 2020 Status: In Process
INS-GENERIC PRESCRIPTION DRUGS. Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the Food and Drug Administration, insurance companies with plans that provide coverage for …
Next | See all Legislation Records
Pennsylvania Professional Liability Joint Underwriting Association v. Wolf – Pennsylvania
District Court: U.S. District Court, M.D. Pennsylvania Status: Decided
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 …
Commonwealth of Pennsylvania v. UPMC et al. – Pennsylvania
District Court: Commonwealth Court of Pennsylvania Status: Pending
In February 2019, Pennsylvania Attorney General Josh Shapiro stepped in to intervene in the long-standing battle over market share between University of Pittsburgh Medical Center (UPMC) and …
People of the State of California ex rel. Xavier Becerra v. Sutter Health – California
District Court: Superior Court of California, County of San Francisco Status: Decided
On March 29, 2018, California’s attorney general filed an antitrust and unfair competition lawsuit against Sutter Health alleging that Sutter engaged in “all-or-nothing” contracts with …
In the Matter of Community Health Systems, Inc. and Health Management Associates, Inc. – Alabama, South Carolina
District Court: United States of America Before The Federal Trade Commission Status: Decided
In April 2014, the Federal Trade Commission issued its final order in connection with Community Health Systems, Inc.’s proposed $7.6 billion acquisition of rival health system Health …
Kissing Camels Surgery Center et al. v. Centura Health Corporation, et al. – Colorado
District Court: Colorado Status: Decided
In November 2012, the operators of four ambulatory surgery centers in Denver sued two hospital systems and several insurance companies, alleging defendants had used their market …
In Re: Generic Pharmaceuticals Pricing Antitrust Litigation – Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin
District Court: Eastern District of Pennsylvania Status: Pending
Plaintiffs are attorney generals from 48 states, Puerto Rico, and the District of Columbia, as well as classes of private plaintiffs that filed an antitrust …
Next | See all Litigation Records
District Court: U.S. District Court, M.D. Pennsylvania Status: Decided
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 …
Commonwealth of Pennsylvania v. UPMC et al. – Pennsylvania
District Court: Commonwealth Court of Pennsylvania Status: Pending
In February 2019, Pennsylvania Attorney General Josh Shapiro stepped in to intervene in the long-standing battle over market share between University of Pittsburgh Medical Center (UPMC) and …
People of the State of California ex rel. Xavier Becerra v. Sutter Health – California
District Court: Superior Court of California, County of San Francisco Status: Decided
On March 29, 2018, California’s attorney general filed an antitrust and unfair competition lawsuit against Sutter Health alleging that Sutter engaged in “all-or-nothing” contracts with …
In the Matter of Community Health Systems, Inc. and Health Management Associates, Inc. – Alabama, South Carolina
District Court: United States of America Before The Federal Trade Commission Status: Decided
In April 2014, the Federal Trade Commission issued its final order in connection with Community Health Systems, Inc.’s proposed $7.6 billion acquisition of rival health system Health …
Kissing Camels Surgery Center et al. v. Centura Health Corporation, et al. – Colorado
District Court: Colorado Status: Decided
In November 2012, the operators of four ambulatory surgery centers in Denver sued two hospital systems and several insurance companies, alleging defendants had used their market …
In Re: Generic Pharmaceuticals Pricing Antitrust Litigation – Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin
District Court: Eastern District of Pennsylvania Status: Pending
Plaintiffs are attorney generals from 48 states, Puerto Rico, and the District of Columbia, as well as classes of private plaintiffs that filed an antitrust …
Next | See all Litigation Records
News & Opinions
Articles & Reports
NASHP
May 22, 2020
The Brookings Institution May 19, 2020
JAMA May 18, 2020
Kaiser Family Foundation May 13, 2020
The Brookings Institution May 19, 2020
JAMA May 18, 2020
Kaiser Family Foundation May 13, 2020