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Health Reform Legislation Enacted

Client Alert | less than 1 min read | 03.24.10

Congress has enacted, and President Obama has signed, major health reform legislation. A link to the enacted legislation, and to the pending amendments that have been approved by the House and are awaiting action by the Senate, can be found at http://www.speaker.gov/newsroom/legislation?id=0361. We will soon post a summary and analysis of the new legislation.

Insights

Client Alert | 6 min read | 04.29.26

CMS Seeks to Expand Interoperability Requirements to Drug Pre-Authorization (FAQ)

On April 10, 2026, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (2026 CMS Interoperability Standards and Prior Authorization for Drugs, or CMS-0062-P) outlining the agency’s plans to impose new interoperability requirements on payors participating in certain Medicare and Medicaid programs. As described by the agency in a recent press release, the proposed rule “builds on” prior rulemaking by clarifying and enhancing interoperability requirements for payors’ prior authorization processes, specifically those associated with coverage requests for pharmaceutical therapies....