Nationwide Trends
All Payer Claims Databases (APCD)
For more on APCD’s, check out the report “The Secret of Health Care Prices: Why Transparency Is in the Public Interest”.
Surprise/Balance Billing Protections
For more on state surprise billing statutes, refer to our Issue Brief on The Source Blog.
State Merger Review Authority
For more on provider and insurer market consolidation, see key issue page Market Consolidation.
State Regulation of Anticompetitive Provider Contract Terms
See major litigation and resource tables on key issue page Provider Contracts.
Certificate of Public Advantage Laws
For more on provider and insurer market consolidation, see key issue page Market Consolidation.
Telehealth Requirements Under Existing Mandates and COVID-19 Emergency
See data charts on COVID-19 Crisis Key Issue Page for more information.
State Public Option Proposals
For more on state public option legislation, see key issue page System Reform.
The State Database
State laws and regulations governing healthcare can vary greatly and have the potential to impede or facilitate improvements to the functioning of the healthcare marketplace. The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform with support from the Robert Wood Johnson Foundation, catalogues state legislation to contain healthcare costs and improve quality in a searchable and sortable, public database. These laws impact price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session, and continues to populate newly enacted pharmaceutical legislation as part of the database.
*Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
USER GUIDE: The Database utilizes key issue tags for all legislation and litigation records as a guide for users to quickly identify important topics (see User Guide for more info). Search the Database for specific bills, statutes or cases by key issue category, keyword, and/or jurisdiction. *Multiple filter/selections enabled.
111 results returned.
District Court: Eastern District of Wisconsin District Court Docket: 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, …
In re Mission Health Antitrust Litigation
District Court: Western District of North Carolina District Court Docket: Status: Pending
Originally filed in federal district court by the city of Brevard, North Carolina (City of Brevard, North Carolina v. HCA Healthcare and Mission Health System), …
FTC v. RWJBarnabas Health & Saint Peter’s Healthcare System
District Court: District of New Jersey District Court Docket: 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
District Court: District of Utah District Court Docket: 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
District Court: District of Connecticut District Court Docket: 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 …
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Individual State Pages
If you would like to report a possible data discrepancy, please email info@sourceonhealthcare.org or contact The Source here.