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Sixth Circuit Rejects Hospitals’ Attempt to Expand Insurers’ Payment Obligations for Emergency Care

Sixth Circuit Rejects Hospitals’ Attempt to Expand Insurers’ Payment Obligations for Emergency Care

In AMISUB (SFH), Inc. v. Cigna Health & Life Ins. Co., No. 23-5714, ---F.4th----, 2025 WL 1806073 (6th Cir. July 1, 2025), the Sixth Circuit affirmed the dismissal of a…

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Sixth Circuit Clarifies Insurer vs. Fiduciary Capacity in ERISA Dispute

In Bluecross Blueshield of Tennessee, Inc. v. Nicolopoulos, No. 24-5307, 2025 WL 1338242 (6th Cir. May 8, 2025), the Sixth Circuit Court of Appeals addressed an issue central to the…

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Tenth Circuit Holds Oklahoma’s Patient’s Right to Pharmacy Choice Act Is Preempted by Federal Law

In Pharm. Care Mgmt. Ass’n v. Mulready, No. 22-6074, __F.4th__, 2023 WL 5218138 (10th Cir. Aug. 15, 2023), Plaintiff-Appellant Pharmaceutical Care Management Association (PCMA), a trade association representing pharmacy benefit…

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Eighth Circuit Holds ERISA Does Not Preempt North Dakota Laws Regulating Pharmacy Benefits Managers

Pharm. Care Mgmt. Ass’n v. Wehbi, No. 18-2926, __F.4th__, 2021 WL 5355916 (8th Cir. Nov. 17, 2021) (Before Smith, Chief Judge, Gruender and Benton, Circuit Judges). On remand from the…

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ERISA Watch – July 2, 2015

This week's notable decision is none other than King v. Burwell, No. 14-114, 2015 WL 2473448, at *6 (U.S. June 25, 2015), also known as the "SCOTUScare" decision thanks to…

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ERISA Watch – July 24, 2014

ERISA Watch - July 24, 2014 Below is Roberts Disability Law, P.C.'s summary of this past week's notable ERISA decisions. Court Finds Prophylactic Measure Constitutes Medical Treatment In Kutten v.…

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