CMS Relaxes Certain Telemedicine Requirements, but not New Jersey, yet
CMS has relaxed certain telemedicine requirements, including the requirements pertaining to a provider needing to be licensed in the state where services are rendered, as it relates to reimbursement by Medicare, Medicaid and other federal healthcare programs. Notwithstanding the CMS waiver action, it is important for providers to be aware that CMS does not have […]
Health Law Section Report – January and February 2020
Here are the most recent health care related regulatory developments as published in the New Jersey Register in January and February 2020: On January 6, 2020, at 52 N.J.R. 10(a), the Board of Nursing issued a rule proposal to amend N.J.A.C. 13:37 Subchapter 1, relating to nursing programs. The proposed amendments would require nursing program […]
Health Law Section Report – September-December 2019
On September 16, 2019, at 51 N.J.R. 1462(a), the Department of Human Services, Division of Medical Assistance and Health Services, published an adoption of a correction to an error in the text of the definition of “nurse delegation” in the definitions set forth in N.J.A.C. 10:60-1.2. During the comment period, Disability Rights New Jersey (DRNJ) […]
Pharmaceutical Importations
Recent articles have now indicated that the current Administration will permit the importation of drugs from Canada and possibly other locations. In the analysis in various papers, the issue of assuring that these drugs are compliant with the Federal Drug Administration has been raised. I refer back to my most recent article (and my prior […]
Most Favored Nations
Based upon reporting, it appears that the Trump Administration will be issuing an Executive Order adopting the concept of “Most Favored Nations” as it applies to pharmaceuticals. See my prior blogs: https://njhealthcareblog.com/2019/06/18/prescriptions-from-outside-the-us/ https://njhealthcareblog.com/2018/12/19/pharmaceuticals/ https://njhealthcareblog.com/2018/11/08/pharmaceutical-pricing-update-to-may-17-2018-blog/ http://njhealthcareblog.com/2018/05/17/pharmaceutical-pricing/ It appears also that there are arguments now being made opposing this concept. The objections focus on reduced profits for […]
Recent Telemedicine and Telehealth Regulations
We gratefully acknowledge the valuable assistance provided by Craig Ismaili, third year law student at Washington University, in the preparation of this blog post. Nearly two years after the passage of the New Jersey Telemedicine Law (N.J.S.A. 45:1-60-64), the various licensing New Jersey state licensing boards have finally begun proposing regulations to implement the statute. […]
Prescriptions From Outside the US
The State of Florida has passed legislation authorizing the residents of the State of Florida to be able to order and receive prescription medicine from locations outside of the United States. What is undisputed is the fact that many prescriptions are cheaper in many other countries, if not all other countries, than they are […]
Single Payor Health Care System
This is a continuation of our attempt to analyze the various single payor health care proposals that are being made during this election cycle. A possible model, irrespective of how it is characterized or described, is the single payor model used by the Veterans Administration (hereinafter “VA”). That is a possible model because it uses […]
What is a Medicare Advantage?
According to the Henry K. Kaiser Foundation, 33% of all Medicare beneficiaries are enrolled in a Medicare Advantage Plan. https://www.kff.org/tag/medicare-advantage/. A previous blog post [http://njhealthcareblog.com/2019/03/13/health-care-issues-2020-election/] authored by Frank Ciesla provides a summary of the different Medicare plans. This blog post will give you a sense of Medicare Advantage. Medicare Part C Coverage is called “Medicare […]
Health Care Issues: 2020 Election
Health care was one of the most important issues, if not the most important issue, in the 2018 election campaign. It already looks like it will be a major issue, and possibly the biggest issue, in the 2020 elections. Candidates have already announced their intentions for exploring a run for President. We intend to have […]
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