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Interim final regulations for internal claims and appeals; external review processes for group health plans and health insurance coverage

Proskauer Rose LLP
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USA
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July 30 2010

Group health plans and health insurance issuers (other than "grandfathered health plans") must begin complying with new internal claims and appeals and external review procedures for plan years commencing on or after September 23, 2010

New informal guidance issued on various health reform mandates

Proskauer Rose LLP
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USA
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September 24 2010

On September 20, 2010, new important guidance relating to the Patient Protection and Affordable Care Act ("PPACA") was issued by the U.S. Department of Labor (“DOL”) and the Internal Revenue Service (“IRS”

Health coverage for children to age 26: interim final regulations

Proskauer Rose LLP
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USA
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May 11 2010

On May 10, 2010, the Departments of Labor and Health and Human Services published interim final regulations (the "Regulations") implementing the requirements regarding dependent coverage of children who have not attained age 26 for group health plans and health insurance issuers under the provisions of the Affordable Care Act (the "Act"

HHS releases final application, instructions and application submission dos and don’ts on early retiree reinsurance program

Proskauer Rose LLP
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USA
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June 30 2010

In earlier client alerts, we reported that the Secretary of the Department of Health and Human Services (HHS) released an interim final rule that implements the Early Retiree Reinsurance Program established by the Affordable Care Act (the "Act"

Health Reform Act includes additional tax exemption requirements: what tax-exempt hospitals need to do now

Proskauer Rose LLP
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USA
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June 7 2010

The Affordable Care Act (the "Act") establishes, for the first time, specific statutory requirements that hospitals must meet to qualify as organizations described in Section 501(c)(3) of the Internal Revenue Code and exempt from federal income tax

Health care reform: interim final regulations released for preexisting condition exclusions, lifetime and annual limits, rescissions, and patient protections

Proskauer Rose LLP
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USA
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June 28 2010

On June 23, 2010, the Departments of Labor, Health and Human Services, and Treasury released final interim regulations (the "Regulations") relating to preexisting condition exclusions, lifetime and annual limits, rescissions, and other patient protections under the Affordable Care Act (the "Act"

Revised proposed New York regulations limit use of state funds for administration expenses and executive compensation by service providers as of April 1, 2013

Proskauer Rose LLP
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USA
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January 8 2013

Implementing Executive Order 38 issued by Governor Cuomo early in 2012, thirteen New York State agencies have now released revised proposed regulations

Stop waiting for reform: what health care providers should do now

Proskauer Rose LLP
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USA
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March 4 2010

President Obama has now unveiled more detail on his health reform legislative proposal and strategy

Health care reform has arrived: “grandfathered plans”

Proskauer Rose LLP
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USA
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April 1 2010

Understanding and interpreting the new sweeping healthcare reform changes is now a top priority for all employers

The fraud-and-abuse provisions of the health care reform act

Proskauer Rose LLP
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USA
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May 27 2010

The recently enacted Affordable Care Act includes a number of extremely important fraud-and-abuse provisions affecting health care providers, including amendments to the False Claims Act (FCA), changes to the Anti-Kickback Statute (AKS), and new requirements related to the return of overpaymemts, as well as additional funding and new enforcement powers to fight fraud and abuse

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