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    • GENERAL HEALTH CARE NEWS—OTHER AGENCY DOCUMENTS: White House budget proposal seeks 12.5 percent cut for HHS
    • ADVERTISING (FOOD, DRUG & MEDICAL DEVICES) —N.D. Ill.: Fluoride mouthrinse deception claims survive Colgate and Tom’s of Maine motions to dismiss
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    • CONTROLLED SUBSTANCES—FINAL RULES: Designation of P2P Methyl Glycidic Acid as a List I Chemical
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    • MEDICARE OVERPAYMENTS AND UNDERPAYMENTS—N.D. Ohio: Medicare council’s determination vis-a-vis review of new evidence upheld in overpayment case
    • PRESCRIPTION DRUGS—OIG REPORTS: OIG flags inflated Omvoh Part B payments
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    Health Law Daily Wrap Up, WORTH NOTING—Other Health Law litigation and regulatory developments, (Apr 6, 2026)

    By WK Editorial Staff

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

    BILLING AND CODING—S.D.N.Y.: Order dismissing petition to confirm an Independent Dispute Resolution award under the No Surprises Act and the FAA. (Seshan, M.D., P.C. v. Aetna, In ...

    By WK Editorial Staff

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

    BILLING AND CODING—S.D.N.Y.: Order dismissing petition to confirm an Independent Dispute Resolution award under the No Surprises Act and the FAA. (Seshan, M.D., P.C. v. Aetna, Inc., No. 7:25-cv-02938-JGLC (S.D.N.Y. Mar. 30, 2026)).

    BILLING AND CODING—D. Md.: Order denying dismissal of suit seeking to enforce Independent Dispute Resolution award for out-of-network emergency services payments to air ambulance provider (PHI Health LLC v. Optimum Choice Inc., No. 1:25-cv-02320-ABA (D. Md. Mar. 27, 2026)).

    REPRODUCTIVE HEALTH CARE—CMS LETTERS: Interpretive Guidance for Hospital and Critical Access Hospital Emergency Services Protocols and Training - Obstetrical Services Conditions of Participation (CMS Letter, No. QSO-26-07-Hospitals/CAHs (Mar. 27, 2026)).

    ADMINISTRATION OF MEDICARE/MEDICAID PROGRAMS—ASPE Report: Integrated Care and Health Outcomes for Dual Eligible Individuals (ASPE Report (Mar. 17, 2026)).

    HEALTH CARE REFORM—GAO REPORTS: CMS Innovation Center: Obligations and Model Testing Progress (GAO Report, No. GAO-26-107953 (Mar. 27, 2026)).

    AUDITS AND MONITORING—GAO REPORTS: Patient-Centered Outcomes Research Institute: Review of the FY 2025 Financial Statement Audit (GAO Report, No. GAO-26-108882 (Mar. 26, 2026)).

    COVERAGE—CMS NEWS: Exchange Coverage Remains Near Record High as 23.1 Million Enroll in 2026, Reflecting Continued Strength and Stability (CMS News (Mar. 27, 2026)).

    FRAUD AND ABUSE—DOJ NEWS: Telemedicine Company Owner Pleads Guilty to $46M Medicare Fraud Scheme (DOJ News (Mar. 27, 2026)).

    FALSE CLAIMS ACT—DOJ NEWS: Consent Judgment Entered Against Bucks County Company Resolving Allegations of False Claims for Billing Group Art Classes in Assisted Living and Adult Day Facilities as Occupational Therapy (DOJ News (Mar. 18, 2026)).

    ENFORCEMENT ACTIONS—DAB DECISIONS: The ALJ affirmed that the Inspector General (IG) properly excluded the Provider from participation in Medicare, Medicaid, and all other federal health care programs for twenty-five years pursuant to section 1128(a)(2) of the Social Security Act because the Provider was convicted of criminal offenses related to the neglect or abuse of patients in connection with the delivery of a healthcare item or service. The ALJ also affirmed that the 25-year exclusion imposed by the IG was not unreasonable based on the presence of three aggravating factors and the absence of any mitigating factors. (Husam Thamin Abed , DAB No. C-25-160, Doc. No. CR6661 (Apr. 7, 2025)).

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