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Wade Emmert

Carrington, Coleman, Sloman & Blumenthal, LLP

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Wade's Health Law Highlights for April 29, 2025

May 1, 2025 What's New Affordable Care Act Artificial Intelligence Business Associates Data Access and Breach Fraud & Abuse Hospitals Medicare Mergers & Acquisitions Non-Competes Pharmacies & Benefit Managers Ransomware Affordable Care Act The U.S. Supreme Court heard arguments on April 21 regarding the constitutionality of the U.S. Preventive Services Task Force, which determines what preventive care health insurers must cover at no cost under the Affordable Care Act. The case centers on...

May 1, 2025 What's New AI in Healthcare Antitrust Capital Assets Data Privacy Equity Fraud & Abuse Laboratories Medicare Pharmacy Benefit Managers Private Equity Ransomware Reimbursement Skilled Nursing Facilities AI in Healthcare A recent survey found that healthcare professionals expect AI to have the greatest impact on administrative tasks (52.4%), followed by EHR management (47.6%) and diagnostic accuracy (41.9%). The survey of 105 professionals across 73 U.S. healthcare organizations...

May 1, 2025 What's New OIG Advisory Opinion No. 25-02 Data Privacy False Claims Act Medicare Reimbursement Mergers & Acquisitions OIG Advisory Opinion No. 25-02 Favorable opinion regarding an arrangement whereby Requestor— designated as a community health center pursuant to Section 330 of the Public Health Service Act—proposes, during the provision of certain social services to individuals, to: (1) identify individuals in need of primary care services; (2) inform them of the availability of...

May 1, 2025 What's New Antitrust Compliance, Audits, and Enforcement Cybersecurity and Data Protection Drug Regulation Medical Malpractice Mergers & Acquisitions Veterinary Medicine and Telehealth Antitrust The Department of Justice announced the formation of an Anticompetitive Regulations Task Force aimed at eliminating state and federal laws that undermine market competition. The Task Force will focus on five key sectors: housing, transportation, food and agriculture, healthcare, and...

May 1, 2025 What's New Abortion Artificial Intelligence Compliance Programs & Audits Contracting Cybersecurity & Privacy Fraud & Abuse GLP-1 Weight Loss Drugs Health and Human Services Immigration Taxation Telehealth Texas Health and Human Services Commission Transparency Abortion Senate Bill 31, known as the Life of the Mother Act, aims to clarify medical exceptions to Texas abortion laws that currently permit the procedure only when the mother’s life or major bodily function is at risk. The...

May 1, 2025 What's New Abortion AI in Healthcare Cybersecurity Dentistry Food & Drug Administration Medicaid Mergers & Acquisition Privacy Tax Exemption Abortion Texas Attorney General Ken Paxton announced the arrest of Maria Margarita Rojas, a 48-year-old midwife who operated multiple clinics in the Houston area. Rojas, known as “Dr. Maria,” was charged with performing illegal abortions and practicing medicine without a license, both serious offenses under Texas law. Her network included...

May 1, 2025 🚨Are Your Vendors Protecting Patient Data?🚨 If you’re a healthcare provider, you likely rely on vendors who handle patient information—your EHR system, billing company, IT support, and more. But how well do you know their security practices? Before entrusting them with PHI (protected health information), conduct due diligence. Here are some red flags to watch for: 🔴 No mention of HIPAA compliance on their website? That’s a problem. 🔴 Misspelling HIPAA as “HIPPA”? If they can’t...

May 1, 2025 What's New False Claims Act Food & Drug Administration Medicare Nonprofits Physician-Patient Ransomware Security Stark Law Transparency False Claims Act Dr. David Young, 61, of Fredericksburg, Texas, has been sentenced to 10 years in prison for Medicare fraud. The physician signed thousands of fake prescriptions and medical records for orthotic braces and cancer genetic testing for over 13,000 Medicare beneficiaries, resulting in more than $70 million in fraudulent healthcare...

May 1, 2025 In this Edition Advertising Artificial Intelligence Corporate Practice of Medicine Fraud, Abuse and Waste Fraud and Misrepresentation Information Blocking Insurance Security Taxation Transgender Care Advertising Twenty US states have enacted comprehensive privacy laws that regulate health data usage in digital advertising. The Federal Trade Commission and state regulators have expanded definitions of health data to include browsing histories, location information, and medical...

May 1, 2025 In this Issue Artificial Intelligence Data Breach Food & Drug Administration Fraud & Abuse Texas Legislation HIPAA Medicare Artificial Intelligence A recent American Medical Association survey of 1,183 physicians shows AI usage among doctors increased from 38% in 2023 to 66% in 2024. Physicians use AI primarily for visit documentation, discharge summaries, care plans, translation services, and medical research summaries, with 68% reporting AI provides advantages in patient care....