Industry Updates

  • This Week in 340B: October 28 – November 3, 2025
    by McDermott Will & Schulte on November 12, 2025 at 8:41 pm

    Find this week’s updates on 340B litigation to help you stay in the know on how 340B cases are developing across the country. Each week we comb through the dockets of more than 50 340B cases to provide you with a quick summary of relevant updates from the prior week in this industry-shaping body of litigation....By: McDermott Will & Schulte

  • Investing in Resilience: How Extreme Weather Is Reshaping Infrastructure Investment and Risk
    by Vinson & Elkins LLP on November 12, 2025 at 8:39 pm

    Across sectors and jurisdictions, the data point to a world facing more frequent and intense physical disruptions. Extreme heat, heavy rainfall, rising sea levels, and prolonged droughts are no longer regional anomalies; they are macroeconomic factors shaping markets, policy, and investment strategy. Originally Published by CorpGov - November 11, 2025....By: Vinson & Elkins LLP

  • Court Denies Plaintiff’s Motion for Partial Summary Judgment on Defendant’s Theory of Alternative Exposure
    by Goldberg Segalla on November 12, 2025 at 8:14 pm

    Jurisdiction: United States District Court for the Eastern District of Louisiana - Plaintiffs Erica Dandry Constanza and Monica Dandry Hallner allege decedent Michael P. Dandry Jr. developed mesothelioma from asbestos exposure while working for Huntington Ingalls Incorporated (Avondale)....By: Goldberg Segalla

  • Florida Mandates Timely Refunds of Patient Overpayments - What Healthcare Providers Need to Know
    by Hinshaw & Culbertson - Health Care on November 12, 2025 at 7:17 pm

    Effective January 1, 2026, new Florida legislation imposes strict requirements on healthcare facility licensees and practitioners to refund patient overpayments within a specified timeframe. The law introduces clear definitions, compliance obligations, and penalties for violations, aiming to enhance transparency and fairness in patient billing practices....By: Hinshaw & Culbertson - Health Care

  • Corrosion Exclusions - Differences Across the Atlantic
    by Zelle LLP on November 12, 2025 at 6:08 pm

    Corrosion exclusions are not interpreted in the same manner on both sides of the Atlantic Ocean. Generally speaking, in the U.K., corrosion exclusions only apply to exclude the claim where the corrosion event was a gradual process, often naturally occurring over a period of time. Sudden events involving corrosion often fall outside the exclusion and are covered....By: Zelle LLP

  • Troutman Pepper Locke Weekly Consumer Financial Services Newsletter – November 2025 # 2
    by Troutman Pepper Locke on November 12, 2025 at 5:28 pm

    To keep you informed of recent activities, below are several of the most significant federal and state events that have influenced the Consumer Financial Services industry over the past week. Federal Activities: On November 7, the Federal Deposit Insurance Corporation (FDIC) revised its Consumer Compliance Examination Manual to adopt a less frequent examination schedule for most FDIC‑supervised institutions, updating Section II‑12.1 to set examination cycles of 66 to 78 months, 54 to 66...By: Troutman Pepper Locke

  • Causation is disputed – that’s why Florida’s Second DCA is keeping the (bad) faith instruction
    by Freeman Mathis & Gary on November 12, 2025 at 5:23 pm

    On September 19, 2025, Florida’s Second District Court of Appeals affirmed a final judgment in favor of Florida Farm Bureau General Insurance Company (“FFB”) in an extra-contractual action. The case arose out of a fatal accident on May 28, 2016, where FFB insured the driver who, unfortunately, hit and killed a bicyclist, Mr. Hancock....By: Freeman Mathis & Gary

  • Key Questions When Mediating Environmental Disputes
    by Thompson Coburn LLP on November 12, 2025 at 5:16 pm

    The U.S. Environmental Protection Agency has proposed dramatic changes to environmental regulations in recent months, including its announcement, in March, of what it called the “biggest deregulatory action in U.S. history.” Such sweeping changes inevitably create uncertainty — and uncertainty affects the ability to assess risk. An unstable regulatory climate may give rise to additional disputes. Environmental disputes, by their nature, are generally complex and unique. However, almost...By: Thompson Coburn LLP

  • Six Tips for Defending Tort Claims
    by Gray Reed on November 12, 2025 at 6:17 am

    Defending against tort claims is a critical concern for construction and oil and gas companies, as these industries inherently involve high-risk operations both on the road and at the job site. From injuries / fatalities to environmental liabilities, businesses must be proactive in mitigating risks and protecting themselves from costly legal battles....By: Gray Reed

  • Eleventh Circuit Bars Insurer’s $449K Recovery, Finding Unjust Enrichment Inapplicable Where Insurance Contract Governs
    by Marshall Dennehey on November 11, 2025 at 11:41 pm

    MONY Life Ins. Co. v. Perez, 146 F.4th 1018 (11th Cir. 2025) - The insurer sought to recover nearly $449,000 it had paid to ophthalmologist Dr. Bernard Perez, alleging he misrepresented his disability and committed fraud. A jury initially sided with the insurer and awarded full restitution under an unjust enrichment theory....By: Marshall Dennehey

  • New Appellate Decision Highlights Importance of Medicaid Clinical Eligibility
    by Mandelbaum Barrett PC on November 11, 2025 at 11:41 pm

    When most people think about Medicaid, they focus on the financial component — income and asset limits that determine eligibility. For some Medicaid programs, however, the focus needs to be on both financial and clinical eligibility requirements. For example, older adults applying for Medicaid to cover the cost of long-term care need to place equal importance on establishing clinical eligibility. A recent appellate case has brought this issue into sharper focus, underscoring how critical it is...By: Mandelbaum Barrett PC

  • Healthcare Preview for the Week of: November 10, 2025
    by McDermott+ on November 11, 2025 at 9:11 pm

    On November 9, 2025, the Senate voted to proceed to consideration of a continuing resolution (CR) through January 30, 2026, that includes three full-year appropriations bills for fiscal year (FY) 2026 and additional provisions....By: McDermott+

  • Ambiguities Bite Back: Second Circuit Reaffirms Commitment to Construing Ambiguous Terms in Favor of Coverage
    by Lowenstein Sandler LLP on November 11, 2025 at 7:04 pm

    The Second Circuit’s recent decision affirming a $54.2 million recovery for CITGO signals the judiciary’s renewed commitment to a bedrock principle of insurance law: Ambiguous policy language must be construed in favor of coverage. This rule of construction recognizes that insurance policies are risk-transfer products underwritten and sold by insurance companies – not ordinary commercial contracts....By: Lowenstein Sandler LLP

  • Louisiana Federal Court Rejects Attempt to Avoid Arbitration, Holds That Arbitration Is Required Under Federal Law
    by Carlton Fields on November 11, 2025 at 6:32 pm

    The U.S. District Court for the Eastern District of Louisiana rejected an effort to avoid arbitration based on Louisiana law. The court held that federal law applied and required arbitration of claims against both domestic and foreign insurers because the issues related to each group of insurers were intertwined....By: Carlton Fields

  • Financial Inclusion: UK government’s Strategy looks to embed accessibility and support into products and services
    by Hogan Lovells on November 11, 2025 at 5:50 pm

    Financial inclusion remains a particular area of focus for both the FCA and the government, and on 5 November 2025 HM Treasury (HMT) published its awaited Financial Inclusion Strategy....By: Hogan Lovells

  • The Friday Five: Five ERISA Litigation Highlights - November 2025
    by Saul Ewing LLP on November 11, 2025 at 4:16 pm

    This month’s Friday Five covers recent decisions on supplementation of the administrative record, offset of dependent benefits, full and fair review of claim for benefits, and timing of benefits determination, as well as an update from a case discussed in the June Friday Five relating to an insured earnings calculation....By: Saul Ewing LLP

  • Minnesota’s New Paid Leave Law Is Here: What Employers Need to Do Before January 1, 2026
    by Foley & Lardner LLP on November 11, 2025 at 3:53 pm

    In 2023, Minnesota enacted legislation creating a statewide Paid Family and Medical Leave program (the “Program”), which is set to take effect on January 1, 2026. The law established a publicly administered insurance program that is funded through employer and employee payroll contributions. This change aligns Minnesota with a growing number of states implementing similar programs at the state level....By: Foley & Lardner LLP

  • Patients Over Profit Act: A Federal Inflection Point on Insurer-Provider Integration and What Comes Next
    by Sheppard Mullin Richter & Hampton LLP on November 11, 2025 at 3:46 pm

    For years, the conversation around health insurer consolidation and vertical integration has simmered through antitrust inquiries, oversight hearings, and policy papers. The Patients Over Profit Act (the “POP Act”), introduced in both chambers of Congress this fall, marks a decisive shift. Rather than regulating insurer-provider integration, the POP Act proposes to ban it outright....By: Sheppard Mullin Richter & Hampton LLP

  • FSRA Releases Revisions to the Proposed Regulatory Framework for Ontario Life and Health MGAs
    by Stikeman Elliott LLP on November 11, 2025 at 7:56 am

    On October 20, 2025, the Financial Services Regulatory Authority of Ontario (“FSRA”) published a substantially revised version of its Rule 2025-001 – Life and Health Managing General Agents (the "Rule”). FSRA stated that many of the changes in the revised Rule respond to stakeholder comments that the original version of the Rule contained ambiguities and imposed compliance obligations that were overly burdensome relative to the anticipated consumer protection benefits, particularly for small and...By: Stikeman Elliott LLP

  • Missouri Court of Appeals Finds No Duty to Defend or Indemnify in Class Action Involving Environmental Contamination Beginning in the 1960s
    by Robinson & Cole LLP on November 11, 2025 at 7:51 am

    A recent Missouri Court of Appeals decision provides helpful precedent for liability insurers facing legacy environmental claims and class actions. The court strictly construed the policy period, concluding that claims based on conduct or injury occurring after the expiration of the policy were not covered, even if the underlying contamination began earlier....By: Robinson & Cole LLP

  • California Court Requires Insurer to Defend Privacy Class Action Despite Coverage Exclusions
    by Morgan Lewis on November 11, 2025 at 4:38 am

    The US District Court for the Northern District of California recently held that an insurer had a duty to defend an online therapy company in a privacy class action, rejecting arguments that “related acts” and “prior knowledge” exclusions barred coverage. The decision clarifies that such exclusions may not apply when new claims allege distinct wrongful acts under a claims-made policy....By: Morgan Lewis

  • HOA Liability for Common Area Injuries in California
    by Maison Law on November 11, 2025 at 4:01 am

    A personal injury claim refers to a legal action brought by someone who has suffered an injury caused by another's negligence, recklessness, or willful misconduct. A large number of California's roughly 50,000 Homeowners Associations (HOAs), the private organizations responsible for governing residential communities, maintaining common areas, and generally enforcing rules, are frequently named in these types of claims....By: Maison Law

  • Health Care Week in Review | CMS Announces New Drug Payment Model; Negotiations to End Government Shutdown Continue
    by Alston & Bird on November 11, 2025 at 12:25 am

    Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news....By: Alston & Bird

  • Fed Finalizes Changes to the Supervisory Rating Framework for Large Bank Holding Companies and Supervised Insurance Organizations
    by Orrick, Herrington & Sutcliffe LLP on November 11, 2025 at 12:02 am

    On November 5, the Fed released its draft final notice and memo after it finalized revisions to the large financial institution rating system and the framework for the supervision of insurance organizations (Frameworks). The current Frameworks evaluate firms based on three components: (i) capital planning and positions; (ii) liquidity risk management and positions; and (iii) governance and controls. Each component receives a rating on a four-point non-numeric scale: broadly meets expectations;...By: Orrick, Herrington & Sutcliffe LLP

  • Health Care Fraud, Public Corruption in Focus in First Six Months of U.S. Attorney’s Service in Northern District of Illinois
    by Shook, Hardy & Bacon L.L.P. on November 10, 2025 at 9:42 pm

    Health care fraud, public corruption and other types of fraud have emerged as apparent top white collar enforcement priorities of the United States Attorney’s Office for the Northern District of Illinois under the leadership of U.S. Attorney Andrew Boutros....By: Shook, Hardy & Bacon L.L.P.

  • Healthcare Regulatory Check-Up Newsletter | September 2025 Recap
    by McDermott Will & Schulte on November 10, 2025 at 9:40 pm

    This issue of McDermott Will & Schulte’s Healthcare Regulatory Check-Up highlights regulatory activity for September 2025, including an update on the Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation (RHT) Program and a new prior authorization demonstration for certain cosmetic services provided in ambulatory surgical centers (ASCs)....By: McDermott Will & Schulte

  • [Video] Introducing Surplus Lines 360
    by Troutman Pepper Locke on November 10, 2025 at 9:10 pm

    Join Troutman Pepper Locke Partners John Emmanuel and Zachary Lerner as they kick off Surplus Lines 360, a series that demystifies the evolving landscape of surplus lines insurance. In this video, discover what surplus lines are (and are not), how eligibility works for both domestic and alien insurers, the regulatory dynamics between state and federal oversight, and the expanding reach of surplus lines into other coverage areas. Topics covered include: 0:25 – What surplus lines is not:...By: Troutman Pepper Locke

  • Fed Redefines “Well Managed” for Large Banks and Insurers Easing Growth Constraints and Shifting Enforcement Presumptions
    by Troutman Pepper Locke on November 10, 2025 at 6:11 pm

    On November 5, the Federal Reserve Board announced that it had finalized revisions to its Large Financial Institution (LFI) rating system and the Insurance Supervisory Framework that change when a firm is considered “well managed” and recalibrated the enforcement stance tied to weaker component ratings. Under the new approach, a firm with at least two component ratings of Broadly Meets Expectations or Conditionally Meets Expectations and no more than one Deficient-1 will be deemed “well...By: Troutman Pepper Locke

  • One Dip and Done: Summary Judgment as a Shield Against Costly Double Dipping Claims
    by Zelle LLP on November 10, 2025 at 5:53 pm

    In Frederich v. Trisura Specialty Ins. Co., the 5th Circuit affirmed the granting of Trisura’s Motion for Summary Judgment. That judgement was based on the insurer’s payment of an appraisal award plus interest....By: Zelle LLP

  • OIG Report Exposes “Ghost Networks” Across U.S.
    by Rivkin Radler LLP on November 10, 2025 at 5:37 pm

    The New York Attorney General’s Office imposition of a $250,000 penalty on MVP Health Care for maintaining an inaccurate mental health provider directory riddled with “ghost” providers. The problem, however, extends beyond New York. The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) recently issued a report revealing that many Medicare Advantage and Medicaid Managed Care plans suffer from the same problem: limited behavioral health networks and a high number of...By: Rivkin Radler LLP