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INDEX
Vol. 19, Nos. 1-49, pp. 1-1800
Jan. 7 - Dec. 23, 2010

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

    E-HEALTH
    EAR, NOSE, AND THROAT SERVICES
      – Cochlear implants
        – – Faulty devices, maker reimbursement of providers for services, advisory opinion, 1273
        – – Kickbacks, maker settles allegations (D. Colo.), 829
      – N.H., coverage for hearing aids and evaluations, 1104
      – N.C., hearing aid coverage for young people, new law, 812
      – Preauthorization requirements not complied with, no abuse in limiting nose surgery reimbursement (D. Haw.), 648
    EARTHQUAKES
    ECONOMY
      – Medicaid federal matching funding boost inaction could lead to recession, governors say, 935
    EDUCATION AND TRAINING
      – Cal., insulin injections by unlicensed school staff (Cal. Ct. App.), 839; review granted (Cal.), 1387
      – Colleges and universities
      – GME
      – Health IT careers, grants, 238
      – Medic training and licensing for veterans
        See LEGISLATION, FEDERAL, HR 3199
      – Ohio, no need for duplicative training for advanced practice nurses to write prescriptions, 79
      – Teaching hospitals
    EDUCATIONAL INSTITUTIONS
    EHR
    EIGHTH AMENDMENT
      – Excessive fines, false enrollment application of medical center, overpayment recoupment not punitive (11th Cir.), 1218
    ELDER ABUSE
      – SNFs, employee job records subject to discovery (Cal. Ct. App.), 652
    ELECTRONIC HEALTH RECORDS
      – Discovery in malpractice suits, impact, 1265
      – Health information exchanges (HIEs)
      – HIPAA breach notification, HHS progress on omnibus package of regulations, 454
      – Incentives
        – – Expansion to behavioral health, mental health, and substance abuse providers
          See LEGISLATION, FEDERAL, HR 5025
        – – Hospital-based physicians, Senate lawmakers consider changes, 237
        – – “Meaningful use”
          – – – Comments on final rules, 1015
          – – – Congressional letter urges CMS to redefine, 304
          – – – Final rules released, 976
          – – – Medicaid, CMS fact sheet, 1025
          – – – Multi-campus hospitals, CMS position unchanged, 1171
          – – – Proposed and interim rules, 26
          – – – Questions of House panel, 1023
          – – – Senate committee chairs urge changes, 499
      – N.H., new health information privacy law, 27
      – Patient safety and health IT products, Grassley (R-Iowa) asks FDA about its role, 304
      – Physician offices, increased use, 80
      – Privacy framework proposed by FTC, 1703
      – “Red flag” rules
      – Standards and certification criteria for technology, 976; response to rules, 1015
      – Unencrypted, data breaches reporting, 210
      – VA hospital security measures matter of agency discretion (D.P.R.), 306
      – White House advisers' report on facilitating data exchange, 1744
    ELEVENTH AMENDMENT
      – Abortion providers may seek La. state medical malpractice fund benefits, officials not immune from suit (5th Cir.), 1755
      – FQHCs, P.R. agency required to make Medicaid wraparound payments (1st Cir.), 1522
      – Medicaid drug reimbursement cuts, state law claims against federal officials (D. Minn.), 282; appeal filed (8th Cir.), 571
      – N.Y., anti-subrogation law challenge dismissed (W.D.N.Y.), 1320
      – Protection and Advocacy for Individuals with Mental Illness Act suit seeking access to state agency mental health records (7th Cir.), 609; stay denied, 777; (U.S., rev sought), 1108
      – Sovereign immunity, state policy of not licensing nurses in methadone maintenance program (M.D. Pa.), 973
      – State agency barred from seeking medical records of mentally ill individuals who died at state treatment facility (U.S., rev grant), 878; cases pending as new term begins, 1307
    EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA)
    EMERGENCY SERVICES
      – Anti-kickback laws
        – – Ambulance service reimburses city for emergency dispatch, advisory opinion, 1592
        – – County grants for county emergency operations center, advisory opinion, 867
        – – Mutual emergency response arrangement between municipalities, limited cost-sharing waiver, advisory opinion, 867
      – Assignment of benefits, emergency care facility may sue insurers for treatments (S.D. Tex.), 278
      – Bacterial meningitis, first fines under new Cal. standard, 619
      – Balance billing for emergency room costs, state law breach alleged (S.D. Cal.), 1747
      – Chicago paramedics' overtime claims should have been considered (7th Cir.), 749
      – EMTALA issues
      – Exclusive agreement to provide medical services to inmates, Sherman Act, product market (N.D. Cal.), 797
      – “Gross negligence” burden of proof for malpractice claims against emergency care providers does not violate state constitution (Ga.), 390
      – Ind. workers' compensation, new law prohibits delay in emergency care for work-related injuries, 414
      – Indigent residents, county must pay (Cal. Super. Ct.), 1038
      – Medic training and licensing for veterans
        See LEGISLATION, FEDERAL, HR 3199
      – Natural disasters
      – On-call schedule change appeal fails, privileges not renewed (9th Cir.), 776
      – Ostensible agency, hospital liability for emergency room care by independent contractor (Nev.), 987
      – Out-of-network care
        – – Beneficiary not entitled to 100 percent of costs (5th Cir.), 567
        – – HMOs need not pay maximum prices (Fla. Dist. Ct. App.), 309
      – Racial bias claim based on revoked reprimand letter, no adverse employment action against African American physician (S.D.N.Y.), 1131
      – Refusal to treat “black men from Africa with AIDS,” bias claim may proceed (D.N.J.), 1293
      – Trauma surgeon, claims related to disciplinary actions for alleged altercation and on-call schedule removal, 2 cases (D. Nev.), 1328
      – Vt., doctors may be questioned about ordinary course of business review of misdiagnosis death (D. Vt.), 250
      – Whistleblower and civil rights laws do not protect physician who sent mass e-mail complaining about staff (Mich. Ct. App.), 1456
    EMPLOYEE BENEFITS
      – ERISA plans
      – Multiemployer benefit fund, nursing home operator unlawfully failed to make pension and benefit contributions (2d Cir.), 31
      – Sherman Act and RICO violations by health insurers and brokers, dismissal of employee benefit plans and policy holders claims (3d Cir.), 1205
      – Unemployment compensation owed pharmacy technician fired for excessive absences due to medical condition (Ind.), 803
    EMPLOYEE RETIREMENT INCOME SECURITY ACT
    EMPLOYMENT DISCRIMINATION
    EMTALA (EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT)
    END-OF-LIFE CARE
      – Assisted suicide
      – Hospice care
      – Idaho “conscience” law signed by governor, health care providers can deny certain services, 462
      – N.Y., information about options, new law, 1175
    END-STAGE RENAL DISEASE (ESRD)
      – Home dialysis supplies and equipment, repayment of $19.3M (M.D. Tenn.), 450
      – Miss. law does not permit extensions after expiration of CON (Miss.), 269
      – Ohio property tax, no exemption for dialysis facility, insufficient charitable institution proof (Ohio), 1479
      – Overtime, FLSA claims of dialysis technician may proceed (N.D. Ill.), 1590
    ENFORCEMENT POLICY
      – ACOs, regulation and enforcement, BNA Insights, 1333
      – ADA, “landmark year” for DOJ enforcement, 911
      – Anti-kickback and false claims changes, impact on drug and medical device industries, 1094
      – Civil fraud unit established by U.S. Attorney for Southern District of N.Y., 496
      – Consumer Information and Insurance Oversight Office established by HHS, 664
      – Deferred prosecution agreements and nonprosecution agreements
        – – Accountability, report, 66
        – – Third-party monitoring, DOJ guidance for prosecutors, 803
      – Exclusions and terminations
      – FCA
        – – “Aggressive” enforcement promised by DOJ official, 804
        – – Compliance burden, problems for defense counsel, 804
        – – “Falsity,” speakers debate differing views, 807
        – – Judgments in FY2010 of $2.5B, DOJ announcement, 1640
        – – Private qui tam provision, speaker questions fairness, 805
      – Fed. Contracts Compliance Program Office jurisdiction expanding to cover hospital and health care systems, 1093
      – Federal government contractors and subcontractors, BNA Insights, 513
      – Fraud prevention summit, HHS and DOJ increase efforts, 1240
      – Fraud strike forces
        – – Expansion in budget request, 173
        – – HEAT strike force goals, 489
        – – Nationwide crackdown, 90 persons charged, 1020
        – – Real-time access to CMS data, 490
        – – Testimony on effectiveness, 337
      – FY2011 budget seeks more anti-fraud funding, 173
      – Health care reform
        – – Effect of PPACA, Justice Dep't focus on competition, 898
        – – New entities, independent audits, 1102
        – – Oversight crucial, lawmakers say, 645
      – HHS Civil Rights Office, HIPAA security rule enforcement, 716
      – HHS Inspector Gen. recoveries of more than $3B expected for first half of 2010, 829; savings and potential recoveries for year of $26B, 1779
      – Horizontal merger guidelines
      – Individuals will be pursued as aggressively as companies, DOJ official, 1484
      – Insurance scams, Sebelius urges states to take action, 498
      – Part D oversight limited, testimony before Senate panel, 337
      – Payment error rate measurement program, final rule, 1140
      – Recapture audits to recover improper payments, federal agencies directed to expand use, 380
      – “Red flag” rules
      – Special Focus program for poor-performing nursing homes, states not consistent, report, 621
      – Stark law technical violations, warning from attorneys, 795
    ENVIRONMENTAL PROTECTION
      – N.Y., agreement to stop pharmaceutical waste discharges into watershed, 109
    EQUAL PAY
      – Nurse practitioners' pay bias claim based on PAs wage scale fails (Fed. Cir.), 20
    EQUAL PROTECTION
      – Florida
        – – New law to eliminate illegal “pill mills” (N.D. Fla.), 1396
        – – Noneconomic damages cap
          – – – Constitutionality upheld (M.D. Fla.), 1394
          – – – Retroactive application (Fla. Dist. Ct. App.), 350
      – Ga., lack of extension of time for incompetent persons to file malpractice claims not unconstitutional (11th Cir.), 315
      – La., license for nonpermanent alien resident practical nurse barred, state law upheld (E.D. La.), 1280
      – Md., noneconomic damages cap challenge (Md.), 589
      – Medical malpractice settlements, filing required notices no breach of doctor's constitutional rights (7th Cir.), 1164
      – N.Y., law barring pharmacist license for aliens unconstitutional (S.D. N.Y.), 1388
      – Part B fee schedule, failure to revise, Cal. counties may pursue claims (9th Cir.), 1435
    EQUIPMENT AND SUPPLIES
      – CON, out-of-state diagnostic equipment usage by cancer center (N.C. Ct. App.), 561
      – DME
      – Hospital bed collapse caused injuries, expert report required (Tex.), 1251
      – Licensed prescription drug firm providing oxygen under doctor's prescription, expert report required (Tex. App.), 815
      – Needles and sharps
    ERISA
      – Administrative services agreement no basis for providers' claims against sponsors of employee health plans (N.D.W. Va.), 1705
      – Autism applied behavior analysis therapy
        – – Denial of coverage (E.D. Mich.), 1748
        – – Therapist not eligible provider (D. Or.), 70
      – Balance billing for emergency room costs, state law breach alleged (S.D. Cal.), 1747
      – Chiropractors' claims against BCBS allowed, RICO claims fail (N.D. Ill.), 747; ERISA claims against WellPoint dismissed, 1432
      – Conflict of interest, requests for discovery after Glenn, BNA Insights, 1149
      – “Customary and reasonable” charges, administrator's speculation abuse of discretion (5th Cir.), 1212
      – Deferential review not barred by “single honest mistake” (U.S., judg rvs), 600
      – Discretionary clauses
        – – Mont. state insurance commissioner ban (U.S., rev sought), 229; review of filings, 602; (rev den), 717
        – – N.J., dismissal of putative class (D.N.J.), 1747
        – – State law bans, 229
      – Exhaustion of administrative remedies, class certification barred (8th Cir.), 533
      – “Experimental treatment” exclusion of coverage for child's bone cancer treatment, claim allowed (S.D. Ohio), 140
      – “Facility fee” for use of surgical suite associated with physician's office, excluded by health plans (D.N.J.), 1213
      – Failure to convert to individual policy, refusal to pay not abuse of discretion (4th Cir.), 872
      – Fair share laws, San Francisco ordinance requiring employee health care expenditures by local business, Solicitor General urges denial of review (U.S., brief filed), 771; (response brief filed), 832; (rev den), 901; summary judgment for city and county (N.D. Cal.), 1173
      – Fiduciary duty breach
        – – Administrator's failure to do enough to help participant, penalty (W.D. Wis.), 1354
        – – HMO participants not told coverage advice from call center representatives not binding (7th Cir.), 937; Sec'y of Labor files amicus brief, 1749
      – Formularies, Plavix as Tier 3 drug, insurer did not violate terms of plans (3d Cir.), 832
      – Health care workers' suit for unpaid meal breaks, no remedy (W.D. Pa.), 279
      – Hospital's fiduciary breach claims against plan administrator not covered by patient assignments (S.D. Tex.), 1652
      – “Internal criteria,” plan administrator should have disclosed but no penalty (C.D. Cal.), 831
      – Kagan nomination to Supreme Court, 675
      – “Likely harmed,” failings of summary plan description, plan liability (U.S., rev grant), 1307; (amicus briefs filed), 1520; (oral arg), 1649
      – Mont. law on premiums duplicative, preempted (D. Mont.), 1172; premiums of similarly-situated individuals, §702, 1433
      – Out-of-network services
        – – “Allowable amount” challenge (N.D. Ill.), 141
        – – Beneficiary not entitled to 100 percent of costs (5th Cir.), 567
        – – Surgical group, only quasi contract and unjust enrichment claims survive (E.D. Mo.), 339
      – Preauthorization requirements not complied with, no abuse in limiting nose surgery reimbursement (D. Haw.), 648
      – Preemption
        – – Assignment of benefits, emergency care facility has standing to sue insurers for treatments (S.D. Tex.), 278
        – – Dentists' state law claims alleging underpayments by insurer preempted (11th Cir.), 28
        – – D.C. statute regulating plans (D.C. Cir.), 981
        – – Federal common law unjust enrichment claims against providers (W.D. Wis.), 240; breach of contract claim preempted, 678
        – – Hospital state law promissory estoppel claim preempted (E.D. Ark.), 29
        – – Indian tribal plan may pursue state claims against administrator (10th Cir.), 500
        – – MEWAs, purchase of insurance by individual (M.D. Fla.), 179
        – – Misrepresentation of plan coverage state law suit allowed (S.D. Miss.), 71
        – – Pharmacy's state law claims alleging CareFirst failed to pay for blood-clotting factor (D. Md.), 938
        – – Preferred provider agreement terms, hospital's underpayment suit remanded to state court (D.N.J.), 30
        – – Primary care physician's suit against HMO not preempted (D. Nev.), 384
        – – Providers' underpayment claims against insurer (11th Cir.), 979
        – – Rescission suit belongs in state court (N.D. Cal.), 242
        – – R.I. BCBS suit against chiropractors preempted (D.R.I.), 1560
        – – SNF, state law claims against MA insurer not preempted (E.D. Wis.), 1651
        – – Underpayment for medical services, provider's breach of contract claim (D. Colo.), 1139
        – – Utah discretionary clause limitation preempted (10th Cir.), 69
      – Prompt pay, Ga. bill requiring third-party administrators of self-insured plans to comply vetoed as potential breach, 836
      – Residential mental health care for dependent's eating disorder, denial not abuse of discretion (N.D. Cal.), 383
      – Structural conflicts of interest
        – – Dual role administrators, standard of review and discovery issues, 125
        – – Limited discovery allowed (D. Neb.), 679
        – – Stem cell transplant denial, discovery (D. Neb.), 456
      – Substantial compliance, “sloppy” benefit denial no violation (N.D. Ill.), 982
      – Surgical assistants company may pursue some claims against health benefit plan administrators (S.D. Tex.), 276
      – Tex. bars discretionary clauses in all insurance policies, 1706
      – Trade association lacks standing to sue (11th Cir.), 28
      – Venue, fiduciary seeking declaratory judgment that it complied with disclosure requirements (E.D. Mo.), 1707
      – Wrongful discharge, physician at-will employee (D.D.C.), 1167
    ESRD
    ETHICS
      – Gifts
      – Reporting relationships focus of compliance plan changes, BNA Insights, 728
    ETHNIC DISCRIMINATION
    EUTHANASIA
    EVIDENCE
      – Allergic reaction to stents claim dismissed for lack of scientific proof (Wash. Ct. App.), 316
      – “Cat's paw” liability theory
        – – Discrimination, jury verdict in favor of African American paramedic upheld (7th Cir.), 1547
        – – LPN alleging racial bias by supervisors, no liability for parent company or temporary agency (11th Cir.), 563; (U.S., rev sought), 1307; (rev den), 1380
        – – Trial judge should have made threshold decision on sufficiency of proof (U.S., rev grant), 562; trial lawyers group may file amicus brief, 1165; cases pending as new term begins, 1307; (oral arg), 1511
      – Collateral source rule
        – – No bar to proof of hospital treatment write-offs in negligence case (Kan.), 814
        – – Proof of medical write-offs to calculate economic damages (Ohio), 691
      – Dentsply anticompetitive business practices summary judgment, plaintiffs' proof required (M.D. Pa.), 526; correction, 560
      – Disclosure of doctor's income, reverse discrimination suit, trial judge error harmless (4th Cir.), 1381
      – Expert testimony
      – “Gross negligence” burden of proof for malpractice claims against emergency and obstetrics care providers does not violate state constitution (Ga.), 390
      – Medical bills and proof of write-offs allowed to show value of medical services (Mass.), 1069
      – N.Y. procedure, documents not sufficient for dismissal of claims against peer review members (N.Y. App. Div.), 540
      – Peer review issues
        – – Inadvertent document production during discovery, waiver of federal and state privileges (D. Alaska), 1143
        – – Malice standard of proof (U.S., rev den), 286
      – Res ipsa loquitur
      – Spoliation
        – – Negligence by third party not recognized tort (Ariz.), 690
        – – Sanction (Ga. Ct. App.), 541
    EXCLUSIONS AND TERMINATIONS
      – Behavioral health care provider's employment of individuals excluded from participation, 336
      – Board member's exclusion preview of “things to come,” IG official says, 1694
      – Civil rights claim of dentist excluded from Medicare and Medicaid plan rejected (W.D. Pa.), 307
      – Drug company executives, OxyContin misbranding, 12-year bans upheld (D.D.C.), 1774
      – Enforcement gaps, response
        See LEGISLATION, FEDERAL, HR 6130
      – False enrollment application of medical center, recoupment not punitive (11th Cir.), 1218
      – Fla., home health agency ownership change denied, purchaser terminated from Medicare (Fla. Dist. Ct.), 1492
      – Former pharmaceutical company board member excluded from participation, 1638
      – Nursing home agrees to pay to settle allegations of hiring excluded persons, 1697
      – SNF agrees to pay for improper billing for services of excluded worker, 713
      – Special advisory bulletin on effects of exclusions, HHS Inspector Gen., 1593
    EXECUTIVE COMPENSATION
      – Challenges for nonprofit hospitals, BNA Insights, 622
      – Nonprofit corporate law developments in 2009, BNA Analysis & Perspective, 111
    EXEMPT ORGANIZATIONS
    EXHAUSTION OF REMEDIES
      – Bankruptcy, dismissal of trustee's suit against fiscal intermediary for not issuing timely Notice of Program Reimbursement (10th Cir.), 1141
      – COBRA extension, exhaustion required before suit against former employer for subsidy (D.D.C.), 647
      – Denial of Medicare claims, physician-target of fraud investigation failed to exhaust remedies (D.N.J.), 1033
      – ERISA, failure to exhaust administrative remedies bars class certification (8th Cir.), 533
      – Part D prescription drug benefits, dismissal of beneficiaries' suit against insurer (9th Cir.), 1285
      – Peer review, failure to exhaust remedies created by bylaws (Mass. App. Ct.), 1067
      – Plan administrator's failure to provide written notice of claim denial (5th Cir.), 1212
      – Public health worker, failure to exhaust remedies or claim retaliation (11th Cir.), 529
      – Test cheating dispute, fired workers failed to exhaust (5th Cir.), 528
      – Underpayments alleged, physician and ambulatory surgical practice must pursue appeals (D.N.J.), 1321
    EXPERIMENTAL TREATMENTS
      – Autism applied behavior analysis therapy
      – Exception, procedural irregularities (W.D. Wash.), 568
      – Exclusion of coverage for child's bone cancer treatment, claim allowed (S.D. Ohio), 140
      – Stent implant in child, claims dismissed (3d Cir.), 352
    EXPERT WITNESSES
      See also CAUSATION
      – Closing arguments, display of unofficial trial transcript of expert testimony (Tenn. Ct. App.), 1113
      – Concealment of medical condition alleged, expert testimony shows sufficient factual dispute (Tenn. Ct. App.), 508
      – Defective internal cardioverter defibrillator, physician standards of care (S.C. Ct. App.), 1290
      – Draft report used for settlement, physician's breach of contract claim against law firm and professional group allowed (E.D. Pa.), 1605
      – Expert signing pre-suit affidavit must be board-certified, waiver (N.J.), 1109
      – Failure to supervise, ordinary negligence not medical malpractice, no expert testimony required (N.C.), 543
      – Informed consent, subclavian bypass risk, expert proof not required (S.C.), 1288
      – Justice Dept. memos cited by prospective government expert witness must be produced in false claims suit (D. Idaho), 208
      – Locality rule
        – – Inapplicable, pediatric nurse practitioner testimony on uniform practice (La. Ct. App.), 1565
        – – Nationwide standard of care expert testimony insufficient (Ark. Ct. App.), 221
      – Md., procedure common to two specialties (D. Md.), 1663
      – New contradictory affidavit by expert may not bar summary judgment (Ohio), 1036
      – N.C., testimony on national nursing home standard of care (N.C. Ct. App.), 351
      – Nurses
        – – EMTALA, nurse may testify on certain issues (D. Me.), 1108
        – – Locality rule inapplicable, pediatric nurse practitioner testimony on uniform practice (La. Ct. App.), 1565
        – – Motor vehicle accident as cause of psychiatric injuries (M.D. Pa.), 816
        – – Wrongful death, testimony on postoperative care (Tenn. Ct. App.), 1331
      – Opinion retracted and state constitution issues, exclusion of expert evidence in childbirth medical malpractice (8th Cir.), 1144
      – Podiatrist license disciplinary action, subject may obtain expert's investigative records (Fla. Dist. Ct.), 1357
      – Pro-plaintiff bias alleged, exclusion improper (1st Cir.), 1110
      – Res ipsa loquitur
      – Speculation about injury from shoulder surgery, summary judgment for defendants (N.C. Ct. App.), 392
      – Stent implant in child, claims dismissed (3d Cir.), 352
      – Sterilization, testimony inadequate to support summary judgment (Tenn. Ct. App.), 353
      – Surgical sponge left in patient, expert proof not required for negligence suit (Tenn. Ct. App.), 1220
      – Texas, expert reports to establish standard of care
      – Treating physician as expert, hospital must disclose correspondence with plaintiff's attorney (Pa. Super. Ct.), 1353
      – Unreliability ruling erroneous (Tenn. Ct. App.), 1037
      – Vertebroplasty, radiologist may testify about standard of care applied to neurosurgeon (Mo.), 950
      – Va. law requiring active clinical practice, testimony on treatment for shingles pain allowed (E.D. Va.), 815
      – Wrong-site surgery law presumption, biopsy of wrong organ tissue (Del), 990
    EYE CARE
      – Cal. law barring opticians to provide services in same location as optometrists and ophthalmologists (E.D. Cal.), 694
      – Concealment of medical condition alleged, expert testimony shows sufficient factual dispute (Tenn. Ct. App.), 508
      – Noncompete clauses, buyout opportunity required (Tex. App.), 992
      – Novartis/Alcon Inc. merger, sale of cataract surgery drug to Bausch & Lomb (FTC), 1162
      – Vision Service Plan subsidiaries not tax exempt (S.D. Ohio), 917
      – Vitreoretinal surgery equipment makers settle antitrust disputes, 642

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