Health Law Daily Wrap Up, WORTH NOTING—Other Health Law litigation and regulatory developments, (Jul 6, 2026)

By WK Editorial Staff

A roundup of other items of interest to the Health Law community.

ADMINISTRATION OF MEDICARE/MEDICAID PROGRAMS—DAB DECISIONS:The ALJ affirmed that the Inspector General (IG) properly excluded the Provider from participation in Medicare, Medicaid, and all federal health care programs for five years pursuant to section 1128(a)(1) of the Social Security Act because the Provider was convicted of Medicaid fraud related to the submission of claims for physical therapy services that were not rendered. The ALJ also concluded that the Provider could not collaterally attack the underlying conviction in the exclusion proceeding and that the mandatory five-year exclusion period was reasonable as a matter of law (Hannah Danielle Christmas, DAB No. CR6831, Doc. No. C-25-943 (Feb. 6, 2026)).

ADMINISTRATION OF MEDICARE/MEDICAID PROGRAMS—DAB DECISIONS: The ALJ affirmed that the CMS properly revoked the Providers Medicare enrollment and billing privileges pursuant to 42 C.F.R. 424.535(a)(3) and (a)(9) because a delegated official of the Provider was convicted of a felony financial crime that was detrimental to the best interests of the Medicare program and its beneficiaries, and the Provider failed to report the felony conviction and subsequent Inspector General exclusion within the required time period. The ALJ also affirmed that the CMS properly placed the Provider on the Preclusion List because the Provider was subject to a reenrollment bar and the underlying conduct was detrimental to the best interests of the Medicare program (Dominion Home Health Care, Inc., DAB No. CR6843, Doc. No. C-25-463 (Feb. 25, 2026)).

ORGAN PROCUREMENT AND TRANSPLANTATION—NOTICES: Modification of living organ donation reimbursement program eligibility guidelines in response to Honor Our Living Donors Act (Notice, 91 Fed. Reg. 40005 (July 1, 2026)).

EMTALA—N.D. Ohio: After a pregnant patient arrived at the ER bleeding and was denied care she went home and miscarried her baby. When she returned to the hospital they falsely reported to police that she had given live birth at home. The patient filed suit for violations of EMTALA as well as other claims (Watts v. Bon Secours Mercy Health, No. 4:25-cv-00049-SL (N.D. Ohio June 26, 2026)).

FOOD—D. Del.: Consumers brought claims against Mott's alleging ReaLemon and ReaLime products were misleadingly marketed as “real” “natural” and “10% juice” despite containing artificial preservatives (Rich v. Mott's LLP, No. 1:25-cv-00243-GBW (D. Del. June 25, 2026)).

ANTITRUST—W.D.N.Y.: Mosaic Health filed antitrust claims alleging pharmaceutical companies violated state and federal antitrust laws by “coordinating to retract a long-standing discount for safety-net hospitals and clinics” (Mosaic Health, Inc. v. Sanofi-Aventis U.S., LLC, No. 6:21-cv-06507-EAW-CDH (W.D.N.Y. June 26, 2026)).

AGENCY NEWS—United States reaches $1M settlement over waived pharmacy copays (DOJ News (June 24, 2026)).

AGENCY NEWS—U.S. Attorney announces $2.2M settlement with urologists for submitting false claims to Medicare (DOJ News (June 25, 2026)).

AGENCY NEWS—HHS expands secure access to health records through the TEFCA Network, announces milestone of one billion health records exchanged (HHS News (June 26, 2026)).

GENERAL HEALTH CARE NEWS—OTHER AGENCY DOCUMENTS: ACA Exchange Enrollment in 2026 (ASPE Issue Brief (June 26, 2026)).

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