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Two states are going to sue the Trump admin over its association health plan rule. Here's why.

June 21, 2018


Massachusetts Attorney General (AG) Maura Healey (D) and New York AG Barbara Underwood (D) say they believe the Trump administration's final rule to expand association health plans "is unlawful and would lead to fewer critical consumer health protections."

A judge has twice ordered LePage to expand Maine's Medicaid program, but he's still fighting it

June 20, 2018


Maine Superior Court Justice Michaela Murphy in her latest ruling says Gov. Paul LePage's (R) "refusal to act and follow the will of the people" on Medicaid expansion "has the potential to engender disrespect for duly enacted laws," but LePage's administration claims that Murphy's court order violates the separation of powers required by the state's constitution.

Inside the arguments for, and against, Kentucky's Medicaid work requirements

June 19, 2018


U.S. District Judge James Boasberg says he will issue a ruling by the end of this month on a lawsuit challenging Kentucky's Medicaid work requirements.

Former Theranos execs indicted on fraud charges

June 18, 2018


John Bennett, special agent in charge of the FBI in San Francisco, says, "This indictment alleges a corporate conspiracy to defraud financial investors," but "more egregiously, this conspiracy misled doctors and patients about the reliability of medical tests that endangered health and lives."

The government doesn't have to make the ACA's full risk corridor payments, appeals court rules

June 15, 2018


A federal court acknowledges that Section 1342 of the Affordable Care Act (ACA) requires the federal government to pay exchange insurers the full amount of funds they are owed under the law's risk corridors provision, but the judges in a split ruling also say Congress each year after the ACA was enacted had approved appropriations riders requiring the program to be budget-neutral.

ACA lawsuit is legally unsound and could have 'catastrophic' consequences, health care groups argue

June 15, 2018


Legal experts and health care organizations representing doctors, hospitals, medical schools, patient-advocacy groups, the insurance industry, and others argue against the legal claims of the 20 states and the Trump administration in the latest Affordable Care Act lawsuit.

A judge just approved the $85B AT&T-Time Warner deal. What does that mean for health care's mega-mergers?

June 15, 2018


Experts say a federal judge's approval of a merger between AT&T and Time Warner could mean the Department of Justice will be less likely to successfully challenge the proposed merger between Aetna and CVS Health, as well as the proposed merger between Cigna and Express Scripts.

The Trump admin wants to strike down ACA consumer protections. Some Republicans (and physician groups) are pushing back.

June 13, 2018


Some Republican policymakers and six of the United States' largest physician groups are pushing back against the Trump administration's argument that a federal court should strike the Affordable Care Act's protections for individuals with pre-existing medical conditions in a lawsuit challenging the law's constitutionality.

DOJ won't defend the individual mandate—and asks court to strike down other key ACA provisions

June 8, 2018


The Department of Justice in a brief filed yesterday in a federal court says, "This court should hold that the [Affordable Care Act's (ACA)] individual mandate will be unconstitutional as of January 1, 2019, and that the ACA's guaranteed-issue and community-rating provisions are inseverable from the mandate."

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