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    • FALSE CLAIMS ACT—N.D. Ind.: Court prescribes trial for hospital facing FCA allegations in connection with 340B diversion, retaliation
    • CONDITIONS OF PARTICIPATION—DAB DECISIONS: Facility locked, unstaffed, during posted hours deemed not ‘operational’
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    • CONTROLLED SUBSTANCES—FINAL RULES: Adjustment to the 2026 Aggregate Production Quota for d,lAmphetamine, d-Amphetamine (for Sale), Hydromorphone and Methylphenidate (for Sale) Pursuant to 21 U.S.C. 826(h)
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    • COVERAGE—GAO REPORTS: Medicare, Medicaid beneficiaries generally had opioid overdose reversal medication coverage
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    • DRUGS AND BIOLOGICS—FDA GUIDANCE NOTICES: Validation of Certain In Vitro Diagnostic Devices for Emerging Pathogens During a Section 564 Declared Emergency; Guidance for Industry and Food and Drug Administration Staff; Availability
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    • EXPERT INSIGHTS—DOJ Fraud Division launches Whistleblower Rewards Program offering fast-track payments for fraud tips
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    • MEDICARE PART C / MEDICARE ADVANTAGE—E.D. Pa.: Federal Arbitration Act equitable-relief carve-out excludes challenges to Medicare Advantage reimbursement policy
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    • QUALITY OF CARE—DAB DECISIONS: Medicare accident-hazard rules require pureed meals free of chunks and support immediate-jeopardy penalties
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    Health Law Daily Wrap Up, MEDICARE PART C / MEDICARE ADVANTAGE—E.D. Pa.: Federal Arbitration Act equitable-relief carve-out excludes challenges to Medicare Advantage reimbursement policy, (Nov 12, 2026)

    Law Firms Mentioned:King & Spalding LLP | Robinson&Cole LLP
    Organizations Mentioned:Aetna Health Inc. | Lehigh Valley Physician Hospital Organization, Inc. | Thomas Jefferson University d/b/a Jefferson Health

    By Jeffrey H. Brochin, J.D.

    Claims seeking to reverse an ongoing reimbursement policy through specific performance and declaratory relief fall outside arbitration clauses that expressly exclude equitable claims.

    A federal District Court in Pennsylvania has denied the Motion to C ...

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