Regulatory

PE Control Over Acquired Practices Faces Legal Reckoning in California

A California state appellate court is set to hear arguments in a lawsuit brought by a fertility practice physician who said a private equity-backed management services organization fired him after he refused to dismiss an employee physician. According to the American Medical Association, this case could reshape how PE-backed firms structure their control over acquired […]

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New York’s Expanded Health Care Transaction Oversight Bill Fails for the Second Consecutive Year

On May 28, 2026, New York State (NYS) Governor Kathy Hochul signed legislation enacting the State Fiscal Year (SFY) 2026-2027 budget into law. The final enacted budget did not include amendments to New York’s health care transaction law (the Material Transaction Law), which Governor Hochul had previously proposed and which would have significantly expanded the

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The LEAD Model—Kidney Care’s Value-Based Care Journey LEADs Here

For more than a decade, nephrology practices have participated in Innovation Center kidney‑focused models—beginning with ESRD Seamless Care Organizations (“ESCOs”) under the Comprehensive ESRD Care (“CEC”) Model (2015-2021), followed by today’s Kidney Care Choices (“KCC”) Model (2022-2027). With KCC scheduled to end in December 2027, kidney care providers are approaching a critical transition point. The

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OHCA Publishes Draft Regulations Expanding Oversight of PE and MSO Transactions

On May 22, 2026, the California Office of Health Care Affordability (OHCA) released proposed draft regulations implementing Assembly Bill (AB) 1415 and significantly expanding California’s healthcare transaction notice regime. The draft regulations implement reporting obligations for management services organizations (MSOs), private equity groups, and hedge funds; expand OHCA’s oversight of healthcare real estate arrangements; and

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‘Wild West’ of Hospice Fraud Intensifies in Texas

Texas has been flagged by regulators as an area seeing increased fraudulent hospice activity. The program integrity issues have challenged the sustainability of legitimate providers. Texas is among the fraud hotbed states, joined by California, Arizona and Nevada. These states have seen hundreds of newly licensed hospice operators in recent years – far more than

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FTC Clears Ascension’s $3.9B AmSurg Purchase, but Requires Some ASC Divestitures

Ascension’s $3.9 billion plan to acquire ambulatory surgery management services company AmSurg has received a green light from the Federal Trade Commission, so long as the nonprofit health system divests a handful of facilities in markets the regulator said would otherwise be left with reduced competition. The proposed consent order between the FTC and Ascension

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With Home Care Proposal, Democrats Begin to Lay Out Long-Term Care Vision for 2028

Democratic senators’ newest long-term care proposal, including the unveiling of a Medicare home care option, is not just another spitballing exercise. It represents a way to lay out the party’s agenda for 2028 in the event it wins back Congress and the executive branch. This is according to Mollie Gurian, vice president of policy and

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CMS Releases Medicaid Work Requirements Guidance for States

The Trump administration on Monday released long-awaited Medicaid work requirements guidance for states, finalizing a rule that will affect healthcare access for millions of Americans — and create a roadmap for the beleagured state officials looking to operationalize Congress’ bedrock changes to the safety-net insurance program. The CMS’ new interim final rule includes key definitions

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New Connecticut Private Equity Law Bans Hospital Sale-Leasebacks

A newly enacted state law places an explicit, first-in-the-nation block on hospital sale-leasebacks—a tactic critics and legislators describe as a key vehicle for private equity funds to extract funds and bankrupt the health systems they controlled. On May 27, Connecticut Governor Ned Lamont signed into law a bill with several new restrictions on private equity’s

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