Kaiser Permanente's health coverage arm must pay more than $82 million to Pomona Valley Hospital Medical Center to cover unreimbursed emergency medical services, a California state judge ordered Tuesday, after a state appeals court backed a jury's verdict concerning payment for roughly 4,000 disputed medical service claims.
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THURSDAY, JUNE 25, 2026 Law360 iOS App Law360 Android App Follow Law360 on Facebook Follow Law360 on LinkedIn Follow Law360 on Twitter

TOP NEWS

Kaiser Owes LA County Hospital $82M In Out-Of-Network Suit

By Rae Ann Varona

Kaiser Permanente's health coverage arm must pay more than $82 million to Pomona Valley Hospital Medical Center to cover unreimbursed emergency medical services, a California state judge ordered Tuesday, after a state appeals court backed a jury's verdict concerning payment for roughly 4,000 disputed medical service claims.

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Judge Flags Flaws In Rule Capping Health Student Loans

By Jared Foretek

A D.C. federal judge appeared to agree with health worker organizations challenging new federal student loan caps that there were problems with how the U.S. Department of Education defined "professional degrees" in a recent rulemaking, but suggested that "taking over the job" of the department would be inappropriate.

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Analysis

No Slowdown: A Midyear Look At FDA Ad Enforcement

By Dan McKay

An FDA drug ad enforcement surge that began last year continued in the first half of 2026. Experts say the agency is looking hard at the overall impression an ad makes, including in broad emotional appeals to consumers.

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Feds Tout AI's Role In $6.5B Healthcare Fraud Crackdown

By Dan McKay

Federal authorities said Tuesday that artificial intelligence and sophisticated data analysis helped them detect and prosecute healthcare fraud as part of a national crackdown that resulted in charges against 455 defendants.

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ENFORCEMENT & COMPLIANCE

Claritev Says It Wasn't Target Of Criminal Antitrust Probe

By Matthew Perlman

Healthcare data firm Claritev said the U.S. Department of Justice is ending a grand jury investigation of potential antitrust violations in the health insurance space and is not targeting the company with a criminal probe.

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LITIGATION

Conn. Justices Won't Hear Insurer's IVF Fraud Coverage Case

By Brian Steele

The Connecticut Supreme Court has turned away an insurance company's appeal of a decision that said it can't rely on two policy exclusions to deny professional liability coverage to a fertility doctor accused of fathering two children by secretly impregnating patients with his own sperm.

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Texas Woman Says ERs Violated EMTALA Amid Miscarriage

By Gianna Ferrarin

A Texas woman urged the U.S. Centers for Medicare & Medicaid Services to investigate two providers over their alleged violations of the Emergency Medical Treatment and Labor Act, or EMTALA, when she sought treatment for a miscarriage, arguing her case "is not an isolated incident."

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UnitedHealth Trims But Can't Escape 401(k) Forfeiture Suit

By Kellie Mejdrich

UnitedHealth Group won dismissal of some claims in a proposed class action alleging the company mismanaged its employee 401(k) and profit sharing plan by misallocating forfeitures, but couldn't escape allegations that the way the company spent the funds breached fiduciary duties and caused transactions prohibited by federal benefits law.

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Insurer Says Late Notice Bars Wrongful Death Suit Coverage

By Danielle Ferguson

An insurer for a New Jersey facility for people with disabilities told a federal court Monday that it does not owe coverage in an underlying wrongful death suit because the group home did not inform the insurer of the claim until two years after the suit was filed.

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NY-Presbyterian Tees Bid To Ax Union Funds' Antitrust Row

By Emily Brill

Three union benefit funds lack standing in their lawsuit accusing New York-Presbyterian Hospital of using anticompetitive tactics when negotiating with health insurance companies, the hospital told a New York federal judge, saying the negotiations are between it and the insurers.

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Planned Parenthood Sent Patient Data To Google, Suit Says

By Danielle Ferguson

Planned Parenthood and regional affiliates were hit with a proposed class action alleging they use hidden tracking tools on their website and patient portals to transmit sensitive sexual and reproductive health information to third-party companies such as Google and Meta without consent. 

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BANKRUPTCY

Gene Therapy Developer Sangamo Hits Ch. 11 With Sale Plans

By Clara Geoghegan

Sangamo Therapeutics Inc. filed for bankruptcy protection in Delaware on Tuesday with offers to sell parts of its genetic therapy development programs to Eli Lilly and Co. and Astellas Pharma Inc.

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EXPERT ANALYSIS

Opinion

FTC's Clinical Trial Requirement Threatens Food Claim Rules

The Federal Trade Commission's general requirement for randomized controlled trials for most health-benefit claims, recently embraced by the National Advertising Review Board, lacks legal basis and endangers the existing statutory framework Congress created for marketing food and dietary supplements versus drugs, say attorneys at Keller & Heckman.

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Drawing A Line Between Settlement Pressure And Extortion

U.S. v. Luo, pending in the U.S. District Court for the Southern District of New York, may force courts to address anew when settlement negotiations become criminal extortion, particularly in the age of easily fabricated digital evidence, says attorney Denis Kiely.

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LEGAL INDUSTRY

How 3 Courts Are Approaching AI Adoption

By Emily Sawicki

The rules surrounding artificial intelligence experimentation in courts run the gamut from court systems offering proprietary tools and training to unwritten policies that essentially amount to don't ask, don't tell.

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Analysis

With Data And AI, Whistleblowers Set Off An FCA Tidal Wave

By Phillip Bantz

Whistleblowers are increasingly using artificial intelligence to comb through public data in search of potential False Claims Act cases, unleashing a flood of new complaints that are shaking up white collar defense and government enforcement efforts while subjecting more companies to potentially false allegations, experts say.

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Conn. Justices Threaten Sanctions For AI Errors

By Andrea Keckley

The Connecticut Supreme Court has threatened to sanction GLG Law LLC and one of its attorneys for submitting documents in two cases "that misrepresented the law through the use of generative artificial intelligence," according to a Tuesday order that summoned them to appear in court next month.

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Atty DQ Over Inadvertent Doc Disclosure Overturned

By Y. Peter Kang

A California state appeals court has upended the disqualification of defense counsel in a sexual battery suit, saying documents undermining the case that were accidentally produced via a Dropbox link were not privileged.

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DOJ Nominee Questioned About Deleted Social Media Posts

By Courtney Bublé

A nominee for a top U.S. Department of Justice position, who is a real estate attorney turned tech entrepreneur, came under fire on Wednesday for past social media posts that he's now deleted.

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Booker, Cassidy Press DOJ On Trump Immunity Deal

By Courtney Bublé

Sens. Bill Cassidy, R-La., and Cory Booker, D-N.J., wrote to acting Attorney General Todd Blanche on Wednesday expressing "serious concerns" about the alleged immunity for President Donald Trump, his family and businesses in the controversial settlement he reached with the IRS.

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COMPANIES IN TODAY'S NEWS

23andMe Inc.

Aetna Inc.

Agri Stats Inc.

Allied World Assurance Co. Holdings Ltd.

American Association of Nurse Practitioners

American Express Co.

Astellas Pharma Inc.

Bayer AG

Baylor Scott & White Health LLC

Biogen Inc.

Chicago Bar Association

Claritev

Community Options Inc.

Connecticut Legal Services

Democracy Forward Foundation

Eli Lilly & Co.

Fortress Investment Group LLC

Gawker Media LLC

Gerson Lehrman Group Inc.

Google LLC

Integris

Jones Lang LaSalle Inc.

Kaiser Permanente

Kite Pharma Inc.

Milwaukee Bucks

National Center for Missing & Exploited Children

New Jersey State Bar Association

NewYork-Presbyterian Hospital

Nike Inc.

Pennzoil

Pfizer Inc.

Pinterest Inc.

Planned Parenthood Federation of America Inc.

Pom Wonderful LLC

Quincy Bioscience

RealPage Inc.

Sangamo Therapeutics Inc.

Scott & White Healthcare

The New York Times Co.

TikTok Inc.

United Food & Commercial Workers International Union

UnitedHealth Group Inc.

Wells Fargo & Co.

LAW FIRMS IN TODAY'S NEWS

Arnall Golden

Callahan & Blaine

Cooley LLP

Cooney Scully

Crowell & Moring

Cullen Law Firm PLLC

Cummins & Bonestroo

DiCello Levitt

Dorsey & Whitney

Evangelista Worley

Fairmark Partners LLP

Farella Braun

Garwin Gerstein

Hach Rose Schirripa

Hogan Lovells

K&L Law Group

Keller & Heckman

Keller Rohrback

Kellogg Hansen

Kennedys Law LLP

King & Spalding

Labaton Keller

Lieff Cabraser

Lynch Carpenter

McDermott Will & Schulte

Morgan Lewis

Moskow Law Group

Paul Weiss

Proskauer Rose

Reed Smith

Richards Layton

Sterlington PLLC

Susman Godfrey

Walcheske & Luzi

Womble Bond

Woods Rogers

Zimmerman Reed

GOVERNMENT AGENCIES IN TODAY'S NEWS

Centers for Medicare & Medicaid Services

Federal Bureau of Investigation

Federal Trade Commission

Food and Drug Administration

Homeland Security Investigations

Internal Revenue Service

New Jersey Court

Office of Justice Programs

Office of Juvenile Justice and Delinquency Prevention

Texas Health and Human Services Commission

U.S. Bankruptcy Court for the District of Delaware

U.S. Court of Appeals for the First Circuit

U.S. Court of Appeals for the Second Circuit

U.S. Customs and Border Protection

U.S. Department of Education

U.S. Department of Homeland Security

U.S. Department of Justice

U.S. District & Bankruptcy Courts of Southern District of Texas

U.S. District Court for the District of Columbia

U.S. District Court for the District of Minnesota

U.S. District Court for the District of New Jersey

U.S. District Court for the Eastern District of New York

U.S. District Court for the Middle District of Florida

U.S. District Court for the Northern District of Georgia

U.S. District Court for the Southern District of New York

U.S. District Court for the Western District of Texas

U.S. Securities and Exchange Commission

U.S. Senate

U.S. Supreme Court

United States District Court for the District of Colorado

United States District Court for the District of Wyoming

United States District Court for the Northern District of Ohio