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October 02, 2023
Ex-Players Claim NFL Benefit Plans Still Use Race-Norming
Two former NFL players have accused the league's disability benefit plans of using race-norming to deny them the full payouts they are entitled to receive, in a proposed class action in federal court in Baltimore that marks the second such suit this year to claim that the NFL bases payouts on the now-discredited practice.
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October 02, 2023
Cigna Seeks $155K Atty Fee In 'Complex' COVID Test Site Row
Cigna Health and Life Insurance Co. is seeking $154,700 in attorney fees after a Connecticut federal judge sanctioned a medical practice chain that is suing the insurer for allegedly failing to properly reimburse for policyholders' COVID-19 tests.
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October 02, 2023
Insurer Must Face Claim In Crowell & Moring Imbroglio
An Illinois state appellate court has revived allegations that a Blue Cross Blue Shield affiliate aided and abetted Crowell & Moring LLP in its purported breach of its fiduciary duties to former law firm client Walgreens, marking the latest twist in the pharmacy giant's legal battles involving the firm.
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October 02, 2023
GessnerLaw To Lead Wage Suit Against Mental Health Agency
A GessnerLaw PLLC attorney will represent a class of workers who claim a North Carolina mental health agency failed to pay them for time spent in mandatory meetings and trainings, a federal judge ruled, rejecting the employer's argument that the attorney wasn't fit for the job.
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October 02, 2023
Catching Up With Delaware's Chancery Court
Delaware's Court of Chancery prepped for a makeover last week as new litigants sought legal fees, milestone payments, merger documents and more damages from opioid sales. Used car empire Carvana Inc.'s founders snagged a deal on super-voting stock, and clothing retailer Guess Inc. ironed out a stockholder dispute over sexual misconduct.
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October 02, 2023
Minerals Technologies Puts Barretts Talc Unit Into Bankruptcy
Minerals Technologies Inc. put its talc-mining subsidiary into Chapter 11 bankruptcy in Texas on Monday, seeking to sell the business and use the proceeds to fund a settlement trust for alleged victims who claim in a growing number of lawsuits that they were exposed to talc contaminated with asbestos.
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October 02, 2023
Justices Reject Plea To Ease FCA Kickback Standard
The U.S. Supreme Court on Monday refused to revive an eye doctor's case seeking to ease the standard requiring direct links between kickbacks and payments in False Claims Act cases.
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October 02, 2023
SmileDirectClub To Seek $30M Ch. 11 Loan Package
Bankrupt dental treatment service SmileDirectClub Inc. will ask a Texas judge Monday to grant interim approval to a Chapter 11 lending package that will make $30 million of new money loans available to help the company fund its search for a buyer after filing for bankruptcy late Friday with more than $1 billion in debt.
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October 01, 2023
Law360 MVP Awards Go To 171 Attys At 76 Firms
The attorneys chosen as Law360's 2023 MVPs have distinguished themselves from their peers by securing hard-earned successes in high-stakes litigation, complex global matters and record-breaking deals.
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September 30, 2023
Planned Parenthood Gets Halt Of NC Abortion Limits, For Now
A North Carolina federal judge has temporarily blocked two parts of the state's 12-week abortion law, reasoning that Planned Parenthood and a physician are likely to succeed in their constitutional challenges to provisions requiring hospitalization for certain abortions and locating a fetus inside the uterus early in a pregnancy.
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September 29, 2023
Cigna To Pay $172M To End Medicare Advantage FCA Claims
The Cigna Group will pay over $172 million to resolve claims that the health insurer exaggerated patient illnesses in order to extract more money from the federal government through the Medicare Advantage program, the U.S. Justice Department said Saturday.
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September 29, 2023
Idaho Can Enforce Abortion Ban During Appeal, 9th Circ. Says
Idaho can enforce a law that criminalizes abortion care in medical emergencies while it appeals a preliminary injunction that the Biden administration won last summer in federal court after the U.S. Supreme Court overturned the constitutional right to abortion, a Ninth Circuit panel ruled Thursday.
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September 29, 2023
US Chamber Loses Bid To Stop Medicare Drug Price Talks
An Ohio federal judge on Friday rejected a request from the U.S. Chamber of Commerce and three business groups for a temporary block on Medicare drug price negotiations.
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September 29, 2023
Docs Say Maya Kowalski's Mom Didn't Set Off Alarm Bells
Two doctors who treated Maya Kowalski, the child at the center of the Netflix documentary "Take Care of Maya," before her stay at Johns Hopkins All Children's Hospital told jurors Friday they never had any reason to suspect that her mother was anything other than a concerned parent trying to help alleviate her daughter's chronic pain.
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September 29, 2023
Gilead Must Face HIV Drug Design-Defect Claims At Trial
A California federal judge has granted Gilead Sciences a partial win on some failure-to-warn claims in a yearslong legal battle with thousands of consumers alleging the pharmaceutical giant hid the side effects of its anti-HIV drug Truvada but found Gilead can't escape other allegations, including claims it defectively designed the drug.
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September 29, 2023
FDA Wants Oversight Of Lab-Developed Tests
The U.S. Food and Drug Administration moved to classify laboratory-developed tests as medical devices on Friday, marking a momentous decision after more than a decade of debates over whether the tests should be subject to more oversight from the regulatory agency.
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September 29, 2023
Ex-USPTO Head Says Breaking Patents Won't Cut Drug Prices
The director of the U.S. Patent and Trademark Office under former President Donald Trump has joined a trio of retired Federal Circuit judges in warning U.S. lawmakers not to give any oxygen to ideas from the likes of Sen. Bernie Sanders that would use patent law to try to cut prescription drug costs.
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September 29, 2023
Pro Say: A Cheat Sheet For The New Supreme Court Term
The U.S. Supreme Court justices return to the bench on Monday for a new term sure to have an impact, with issues ranging from gun ownership rights in domestic violence cases to the legality of administrative courts and the First Amendment implications of public officials blocking critics on social media.
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September 29, 2023
Insurer Secures Win In Ga. Hospitals' COVID-19 Coverage Suit
Affiliated FM Insurance Co. paid a group of Augusta University hospitals the maximum amount due under the policies' communicable disease coverage, a Georgia federal court ruled, finding that the group was entitled to a single global payment regardless of how many locations had the actual presence of COVID-19.
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September 29, 2023
6th Circ. Revives Bans On Gender-Affirming Care For Minors
A split Sixth Circuit has dismantled two district court injunctions blocking recently enacted bans on gender-affirming care for minors in Tennessee and Kentucky, saying that life-tenured judges should be wary about removing this type of societal issue from the democratic process.
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September 29, 2023
Notification Issue Can't Excuse Failure To Bid On VA Contract
The U.S. Government Accountability Office has tossed a protest alleging a medical transportation company wasn't properly notified about a contract opportunity by either the U.S. Department of Veterans Affairs or a federal database, saying the issue did not violate federal procurement rules.
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September 29, 2023
HHS Watchdog Says Pathology Deal Carries Kickback Risk
A pathology lab operator's plan to enter into agreements with other labs to perform specimen preparation carries the risk of violating the Anti-Kickback Statute, a U.S. Department of Health and Human Services watchdog warned.
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September 29, 2023
Texas Justices To Hear UT Royalty Dispute With Pet Co.
The Texas Supreme Court has agreed to take up a patent licensing dispute between the Board of Regents of The University of Texas System and a pet health care company over the amount of royalties the board is owed for veterinary testing products.
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September 29, 2023
Atty Files FOIA Suit Over HHS Pot Recommendation Letter
An attorney and journalist filed a Freedom of Information Act complaint Friday alleging the U.S. Department of Health and Human Services has wrongfully suppressed a letter that purportedly recommends cannabis's status as a Schedule I substance be changed.
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September 29, 2023
Hospice Head Gets 4 Years For $150M Medicare Billing Fraud
A hospice medical director was sentenced to four years in prison and ordered to pay $18 million for his role in submitting more than $150 million in bogus Medicare claims on behalf of patients he falsely claimed were near death.
Expert Analysis
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FDA's Drug Software Draft Guidance Raises New Questions
The U.S. Food and Drug Administration's long-awaited draft guidance regarding regulatory considerations for prescription drug use-related software functions as an informative starting point for developers, but many new and lingering questions must be answered before the regulatory limbo is resolved, say attorneys at King & Spalding.
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Series
ESG Around The World: European Union
As the EU makes ESG regulation a priority, companies — both those based in the EU and others just doing business there — need to keep abreast of myriad new legislation that has either already taken effect or will in the near future, as noncompliance could result in fines, damages and director liability, say attorneys at Steptoe & Johnson.
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Avoiding The Ethical Pitfalls Of Crowdfunded Legal Fees
The crowdfunding of legal fees has become increasingly common, providing a new way for people to afford legal services, but attorneys who accept crowdsourced funds must remember several key ethical obligations to mitigate their risks, say Hilary Gerzhoy and Julienne Pasichow at HWG.
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4 Pharma Industry Arguments Against CMS Drug Pricing Plan
The Centers for Medicare & Medicaid Services is facing significant pushback regarding its plans for implementing the Inflation Reduction Act's Medicare drug price negotiation program, due to a number of potential repercussions for manufacturers, say attorneys at Mintz Levin.
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Issues Ahead As Psychedelic Medicine Faces Pivotal Moment
Recent regulatory changes and decriminalization efforts have opened doors for research and development in psychedelic medicine, but challenges like stigma, access and funding persist, meaning companies will need to address these issues to support the industry’s credibility, say consultants at FTI Consulting.
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Bracing For Regulatory Delays As Shutdown Looms
As a government shutdown looms, stakeholders should plan for regulatory delays and note that more regulations could become vulnerable to congressional disapproval under the Congressional Review Act, say Matthew Shapanka and Holly Fechner at Covington.
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An Overview Of 6 PBM Bills Moving Through Congress
As legislators turn to pharmacy benefit manager reform as a potential next step in addressing the cost of prescription drugs, six congressional committees have recently advanced PBM-related legislation with generally high bipartisan support, suggesting that a final package is likely to advance through Congress, say Rachel Stauffer and Katie Waldo at McDermott+Consulting.
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10th Circ. ERISA Ruling Is Promising For Self-Funded Plans
Though some recent appellate decisions have seemingly narrowed application of Employee Retirement Income Security Act preemption, which generally helps protect self-funded health plans from state regulation, the Tenth Circuit's decision in PCMA v. Mulready takes a big step toward reaffirming preemption, say attorneys at Bass Berry.
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What Large Language Models Mean For Document Review
Courts often subject parties using technology assisted review to greater scrutiny than parties conducting linear, manual document review, so parties using large language models for document review should expect even more attention, along with a corresponding need for quality control and validation, say attorneys at Sidley.
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Checking In On How SuperValu Has Altered FCA Litigation
Four months after the U.S. Supreme Court's ruling in U.S. ex rel. Chutte v. SuperValu, the decision's reach may be more limited than initially anticipated, with the expansion of the scienter standard counterbalanced by some potential defense tools for defendants, say Elena Quattrone and Olivia Plinio at Epstein Becker.
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Participating In Living History Makes Me A Better Lawyer
My role as a baron in a living history group, and my work as volunteer corporate counsel for a book series fan association, has provided me several opportunities to practice in unexpected areas of law — opening doors to experiences that have nurtured invaluable personal and professional skills, says Matthew Parker at the Nebraska Department of Health and Human Services.
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How A Gov't Shutdown Would Affect Immigration Processing
While a government shutdown would certainly create issues and cause delays for immigration processing, independently funded functions would continue for at least a limited time, and immigration practitioners can expect agencies to create reasonable exceptions and provide guidance for navigating affected matters once operations resume, say William Stock and Sarah Holler at Klasko Immigration Law Partners.
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Opinion
Smart Immigration Reform Can Improve Health Care Access
With the U.S. health care crisis expected to worsen due to ongoing nationwide physician shortages, immigration reform can provide one short-term solution to bring more trained doctors to medically underserved areas, says Sarah Peterson at Fragomen.
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Opinion
Private Equity Owners Can Remedy Law Firms' Agency Issues
Nonlawyer, private-equity ownership of law firms can benefit shareholders and others vulnerable to governance issues such as disparate interests, and can in turn help resolve agency problems, says Michael Di Gennaro at The Law Practice Exchange.
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Cos. Must Overhaul Data Privacy Approach To Avoid Lawsuits
With the proliferation of third-party trackers and the increasing complexity of privacy laws, companies need to significantly change their approach to online privacy to avoid litigation by focusing on responsible data collection practices and ongoing monitoring of ad tech tools, says Ian Cohen at LOKKER.