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: District of Rhode Island District Court Docket: 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
District Court: District of Columbia District Court Docket: Status: Decided
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 …
Pasadena Hospital d/b/a Huntington Hospital and Cedars-Sinai Health System v. California and Rob Bonta
District Court: Superior Court of California, County of Los Angeles District Court Docket: Status: Decided
Pasadena Hospital d/b/a Cedars-Sinai Health System (Cedars-Sinai) and Huntington Memorial Hospital (Huntington) announced their intended affiliation in March 2020. The California AG’s office was concerned …
Federal Trade Commission and State of Tennessee v. Methodist Le Bonheur Healthcare and Tenet Healthcare
District Court: Western District of Tennessee, Western Division District Court Docket: Status: Decided
Joined by the Tennessee attorney general, the FTC filed in federal court for a preliminary injunction to block Methodist Le Bonheur’s proposed $350 million acquisition …
United States v. Geisinger Health and Evangelical Community Hospital
District Court: Middle District of Pennsylvania District Court Docket: Status: Decided
In August 2020, the DOJ filed suit in the district court of Pennsylvania, challenging agreements that include Geisinger Health System’s bid to acquire 30% ownership …
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Individual State Pages
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