Legal & Regulatory Issues

Silver level health insurance plans on the ACA marketplace will cost Americans an average of 3.1 percent less in 2022 compared to 2021, but actual premium prices will vary widely depending on location and income level, according to a Kaiser…

A federal court has issued a nationwide block on the enforcement of President Joe Biden's COVID-19 vaccination mandate for federal government contractors, according to a news release from the Montana Department of Justice. 

A jury ruled that UnitedHealthcare must pay out $60 million in punitive damages after losing a Nevada lawsuit against physician services company TeamHealth over provider underpayments.

Democracy Forward, a nonprofit legal organization, filed an amicus brief Dec. 7 urging a federal court to preserve CMS' interim final vaccination rule for healthcare workers.

The U.S. Supreme Court declined Dec. 6 to hear an antitrust lawsuit against Charlotte, N.C.-based Atrium Health that challenged its market dominance. 

As President Joe Biden looks to combat the spread of COVID-19 by requiring payers to cover over-the-counter tests, insurers fear that the move could result in price gouging, Bloomberg reported Dec. 2. 

President Joe Biden's Dec. 2 announcement of a plan to require private insurers cover over-the-counter COVID-19 tests is raising skepticism that access issues will still be rampant, The Hill reported Dec. 5.

A nurse in South Carolina has been charged with producing fake COVID-19 vaccine cards and lying to federal investigators, the Justice Department announced Dec. 3. 

CMS has suspended implementation and enforcement of its COVID-19 vaccination mandate for healthcare workers pending developments in litigation, the agency said in a Dec. 2 memorandum.

Nevada will charge insured public employees upwards of $55 a month if they are unvaccinated against COVID-19, making it the first state to enact such a penalty.