Effective January 1, 2024, health care entities in California that propose to enter into “material change transactions” will be required to provide advance written notice to the California Office of Health Care Affordability...more
“The provision of health care services via telemedicine has been growing in popularity over the last several years. With the arrival of the COVID-19 pandemic, healthcare providers were able to rely on a variety of temporary...more
At a time when many are questioning the continued utility and viability of the corporate practice of medicine ban, California may be doubling down. On May 3, 2021, the California Senate Health Committee approved SB-642, the...more
5/11/2021
/ California ,
Civil Code ,
Corporate Governance ,
Corporate Practice of Medicine ,
Health Care Providers ,
Independent Practice Association ,
New Regulations ,
Physicians ,
Proposed Legislation ,
Shareholders ,
State and Local Government ,
Unlicensed Medical Providers
In response to the COVID-19 pandemic, the majority of states have temporarily waived or modified licensure requirements, allowing licensed practitioners from other states to provide in-person or telehealth services without...more
On April 30, 2018, the California Supreme Court issued a landmark decision in Dynamex Operations West v. Superior Court, No. S222732, in which the Court chose to essentially scrap the nearly 30-year old test for determining...more
10/25/2018
/ ABC Test ,
CA Supreme Court ,
Employee Definition ,
Employer Liability Issues ,
Employment Litigation ,
Gig Economy ,
Hiring & Firing ,
Independent Contractors ,
Misclassification ,
State and Local Government ,
State Labor Laws ,
Wage and Hour
On April 30, 2018, the California Supreme Court issued a landmark decision in Dynamex Operations West v. Superior Court, No. S222732, in which the Court chose to essentially scrap the nearly 30-year old test for determining...more
6/27/2018
/ ABC Test ,
CA Supreme Court ,
Employee Definition ,
Employer Liability Issues ,
Gig Economy ,
Health Care Providers ,
Hiring & Firing ,
Independent Contractors ,
Misclassification ,
Physicians ,
Popular ,
State and Local Government ,
State Labor Laws ,
Tax Planning ,
Wage and Hour
To protect patients from receiving an unexpected surprise bill when they seek care at in-network facilities from out-of-network providers, Governor Brown signed AB 72: California’s surprise out-of-network law. The new law...more
On September 23, 2016, Governor Brown signed AB 72, California’s surprise out-of-network law. The bill protects patients who seek care at an in-network facility from balance billing by individual health care providers who are...more
9/30/2016
/ Cost-Sharing ,
Employee Retirement Income Security Act (ERISA) ,
Governor Brown ,
Health Care Providers ,
Health Insurance ,
Managed Care Contracts ,
Medi-Cal ,
Medicare ,
New Legislation ,
Out of Network Provider ,
Patient Rights ,
Popular ,
Surprise Medical Bills
On April 13, 2016, a jury in Santa Clara, California awarded Aetna, Inc. $37.4 million from Bay Area Surgical Management, LLC (“BASM”), six of its affiliated surgery centers and its three principals. Aetna had accused the...more
4/19/2016
/ Aetna ,
Ambulatory Surgery Centers ,
Anti-Competitive ,
Civil Conspiracy ,
False Billing ,
Fraudulent Concealment ,
Health Insurance ,
Insurance Industry ,
Jury Awards ,
Kickbacks ,
Out of Network Provider ,
Unjust Enrichment
SB 396 (Hill) becomes effective on January 1, 2016, adding new patient protection measures to the current regulation of ambulatory surgery centers (“ASCs”).
First, SB 396 authorizes accreditation organizations to perform...more
An increasing number of health care providers are exploring telemedicine, either as an adjunct to their primary physical practice or as a separate and new venture. Providers have determined that many aspects of the service...more
Lions and Tigers and Bears, Oh My! The Unexpected Laws that May Affect Your Telehealth Business -
An increasing number of health care providers are exploring telemedicine, either as an adjunct to their primary physical...more
9/16/2015
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
FCC ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Medicaid ,
Medical Devices ,
Medicare ,
OIG ,
Patient Self-Referral ,
Right to Privacy ,
Robocalling ,
Stark Law ,
TCPA ,
Telehealth ,
Telemedicine
On the way to authorizing direct access to physical therapy, the California legislature may have broadly loosened the restrictions on numerous business arrangements imposed by California’s corporate practice ban. AB 1000,...more
In this Issue:
- AB 1000 and Corporate Practice in California: More than Meets the Eye—or Less?
- Loose Lips Sink Ships and Careless E-mails Torpedo a Transaction
- New Faces
- Points from the...more
6/12/2014
/ Antitrust Provisions ,
Benefit Plan Sponsors ,
Billing ,
Confidential Information ,
Data Protection ,
Email ,
Employee Benefits ,
Healthcare ,
Medicare ,
MICRA ,
Patient Self-Referral