Articles and Blogs

Hospital industry groups are opposing CMS proposals that would expand site-neutral reimbursement and modify the 340B program, arguing the changes could undermine hospital finances and future facility investment. AHA and other provider groups argued that the policy fails to account for the higher Medicare burden, increased complexity and stricter licensing, accreditation and regulatory requirements that…Read More

The U.S. Court of Appeals for the Second Circuit (the “Court”) recently ruled that a False Claims Act (“FCA”) relator can satisfy Rule 9(b) without identifying every false claim underlying an alleged fraudulent scheme—but left open whether Rule 9(b) applies to certain reverse FCA claims at all. In United States ex rel. Gallian v. AmerisourceBergen…Read More

The U.S. Department of the Treasury (“Treasury”) and the IRS recently proposed regulations that would deny § 501(c)(3) tax-exempt status to private schools that maintain race-based admissions, scholarship or related programs. While the proposal is directed at educational institutions, the preamble contains important lessons for health care foundations and other charitable organizations managing donor-restricted funds….Read More

The Wisconsin Division of Quality Assurance (“DQA” or the “agency”) recently issued Wisconsin – 26-001, which addresses surveyor access to provider records during assisted living surveys. The guidance applies to Adult Family Homes (“AFHs”), Community-Based Residential Facilities (“CBRFs”) and Residential Care Apartment Complexes (“RCACs”). DQA’s memo confirms that providers utilizing electronic record systems must provide…Read More

On August 11, 2026, the Health Resources and Services Administration (“HRSA”) released its Health Center Program Scope of Project Policy Manual (“Scope Manual”), providing comprehensive guidance on what constitutes a health center’s approved scope of project under Section 330 of the Public Health Service Act. The Scope Manual became effective immediately upon release. Federally Qualified…Read More

Corewell Health unveiled a $1.7B plan to build two hospital towers in Michigan: an 11-story, 780k-sf facility at Butterworth Hospital in Grand Rapids and an eight-story, 423k-sf tower at Beaumont Troy Hospital. The projects will add 360 private rooms and are expected to open in 2030. Moody’s recently reported nonprofit and public hospital profitability softened…Read More

The Indiana Court of Appeals (the “Court”) reversed a trial court’s temporary commitment order, holding the evidence did not clearly and convincingly establish the patient was gravely disabled. Although the evidence supported the patient suffered from mental illness and exhibited symptoms associated with a manic episode, the Court concluded the evidence did not demonstrate those…Read More

On August 27, 2026, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced its resolution of an investigation into a California-based health care provider’s potential violation of the Health Insurance Portability and Accountability Act (“HIPAA”) Privacy Rule’s right of access provisions. This resolution brings the total to…Read More