Anthem Blue Cross Blue Shield's decision denying coverage for a law firm employee's son to continue receiving residential mental health treatment was arbitrary and capricious, the Sixth Circuit ruled Thursday, saying the insurer needs to carry out a "full and fair review of the requested coverage."
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FRIDAY, JANUARY 23, 2026 Law360 iOS App Law360 Android App Follow Law360 on Facebook Follow Law360 on LinkedIn Follow Law360 on Twitter

TOP NEWS

6th Circ. Revives Law Firm Worker's Anthem Coverage Fight

By Lauren Berg

Anthem Blue Cross Blue Shield's decision denying coverage for a law firm employee's son to continue receiving residential mental health treatment was arbitrary and capricious, the Sixth Circuit ruled Thursday, saying the insurer needs to carry out a "full and fair review of the requested coverage."

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Feds Given More Time To Revisit School Grant Cancellations

By Rachel Riley

A Washington federal judge agreed Thursday to extend a deadline for the Trump administration to make fresh determinations as to 138 public school mental health grants that the court has found were illegally canceled, but admonished the federal government for previously understating how long those reassessments would take.   

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Judge Expands Block On Trump's Grant Restrictions

By Isaac Monterose

A Washington federal judge agreed to broaden a preliminary injunction against the Trump administration over its political restrictions for using over $12 billion worth of federal grants, expanding the block to cover additional plaintiffs who were added to the suit.

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Docs Ask NJ Justices To Send Allstate RICO Case To Arbitration

By Carla Baranauckas

Medical providers facing a racketeering suit from Allstate units pressed the New Jersey Supreme Court on Thursday to compel the insurers to arbitrate even large-scale fraud and racketeering claims tied to personal injury protection benefits under the state's no-fault statute, as the justices questioned whether that was feasible.

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DC Circ. Presses Feds To Justify Military Trans Ban

By Madeline Lyskawa

A D.C. Circuit judge pressed the government on Thursday to justify a policy that effectively bars transgender people from serving in the military, questioning why Secretary of Defense Pete Hegseth imposed a more stringent policy than the first Trump administration did. 

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POLICY & REGULATION

As Lawmakers Scrutinize Costs, Insurers Point To Hospitals

By Yeji Jesse Lee

Facing a barrage of questions from lawmakers on Capitol Hill about rising costs, the heads of the biggest health insurance companies in the U.S. sought to blame providers and other parts of a complex industry.

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House Report Claims Evidence of CVS Antitrust Violations

By Bryan Koenig

House Judiciary Committee staffers said Wednesday that they'd uncovered "a pattern of anticompetitive activity" in CVS Health tactics aimed at coercing independent pharmacies into avoiding working with online services the company saw as a threat to its own pharmacy and pharmacy benefit manager businesses.

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ECJ Backs VAT Exemption For Spanish Cleaning Co-Ops

By Josh White

Spain can't automatically bar cleaning cooperatives from receiving a value-added tax exemption for services provided to educational and healthcare institutions, the European Union's top court ruled Thursday.

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ENFORCEMENT & COMPLIANCE

10th Amtrak Worker Cops To Role In $11M Fraud Scheme

By P.J. D'Annunzio

A former Amtrak employee has admitted to participating in a scheme that prosecutors claim defrauded the rail carrier out of $11 million in health benefits, making him the 10th defendant in a year to plead guilty in the case, the U.S. attorney's office in New Jersey said on Thursday.

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LITIGATION

3rd Circ. Says Medical Pot Contract May Violate Federal Law

By P.J. D'Annunzio

The Third Circuit on Thursday vacated a medical cannabis company's win in a lawsuit filed by a consultant claiming that it had stolen his trade secrets for growing marijuana samples, finding it couldn't decide the appeal because the parties' contract might have violated federal drug law.

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Supplement Cos. Challenge FDA Health Claim Denials

By Gianna Ferrarin

A group of health supplement companies hit the U.S. Food and Drug Administration with a suit in D.C. federal court Wednesday alleging regulators wrongly denied them approval to make over 100 distinct claims concerning the health benefits of their products.

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Colo. Hospital Faces Suit Over Halt To Gender-Affirming Care

By Rachel Konieczny

Patients of Children's Hospital Colorado filed a proposed class action in Colorado state court alleging the healthcare provider is discriminating against them through its suspension of gender-affirming medical care for patients under the age of 18 amid recent federal government mandates.

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Care Co. Says 3rd Circ. Ignored Loper Bright In Backing DOL

By Benjamin Morse

A home health company urged the Third Circuit to rethink its decision upholding a $1 million judgment against it after finding that the U.S. Department of Labor could strip third-party employers of an overtime exemption, saying the decision flouted the U.S. Supreme Court's Loper Bright ruling.

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Ex-Surgeon Prevails Over Insurers In Lifetime Disability Fight

By Kellie Mejdrich

A Michigan federal judge handed a disabled surgeon a win against two insurance companies Thursday in his suit seeking total disability benefits for life, siding with the ex-worker's argument that the insurers erred in determining that his condition was caused by sickness instead of injury and cutting off benefits.

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Geico Says Cos. Owe $26M For Fraudulent No-Fault Claims

By Hope Patti

A group of Geico auto insurers told a Florida federal court Thursday that they are entitled to recoup $26 million from healthcare companies that they allege submitted thousands of fraudulent no-fault insurance claims for various services that were "medically unnecessary, illusory, unlawful, and otherwise nonreimbursable."

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Medical Cannabis Co. Says Data Breach Didn't Lead To Injury

By Mike Curley

An Ohio medical cannabis company has said a consolidated class action in federal court should be dismissed as it doesn't allege any of the plaintiffs' data was accessed in a data breach or that the breach could be linked to any real damage.

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Hologic Faces Del. Class Suit Over $18.3B Sale Disclosures

By Jeff Montgomery

Citing alleged failures to make news about litigation settlements public ahead of a proposed $18.3 billion company sale, a pension fund stockholder of women's health-focused tech company Hologic Inc. has sued for a Delaware Court of Chancery hold on the deal pending disclosures or damages awards.

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Drugmakers May Dodge Disgorgement In States' Antitrust Suit

By Brian Steele

A Connecticut federal judge probed the limits of his equitable powers Thursday in a sprawling generic drug antitrust enforcement action, expressing doubt that he could order the drugmaker defendants to hand over their profits while also awarding multiplied damages and imposing civil penalties.

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FDA Action Shouldn't Halt Amazon Labeling Suit, Plaintiffs Say

By Ben Adlin

Shoppers accusing Amazon of failing to make required disclosures on dietary supplement product pages told a Washington federal judge there's no need to pause their proposed class action amid possible rulemaking by the U.S. Food and Drug Administration, arguing that the supposed rule change wouldn't negate the suit's claims under California law.

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Yale Hospital Wants Infant Death Verdict Reduced By $30M

By Aaron Keller

Yale University and Yale New Haven Hospital on Thursday asked a Connecticut judge to reduce a $32 million infant death verdict to just $2 million, saying damages for the loss of enjoyment of life cannot be awarded in addition to damages for the infant's death itself.

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EXPERT ANALYSIS

Regulatory Uncertainty Ahead For Organ Transplant System

Pending court cases against a Centers for Medicare and Medicaid Services final rule that introduced a competition-centric model for assessing organ procurement organizations' performance will significantly influence the path forward for such organizations and transplant hospitals, say attorneys at Crowell & Moring.

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Key False Claims Act Trends From The Last Year

The False Claims Act remains a powerful enforcement tool after some record verdicts and settlements in 2025, and while traditional fraud areas remain a priority, new initiatives are raising questions about its expanding application, says Veronica Nannis at Joseph Greenwald.

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What To Know About DOL's New FLSA, FMLA Opinion Letters

The U.S. Department of Labor kicked off 2026 by releasing several opinion letters addressing employee classification, incentive bonuses and intermittent leave, reminding employers that common practices can create significant risk if they are handled inconsistently or without careful documentation, say attorneys at Woods Rogers.

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Opinion

It's Too Soon To Remove Suicide Warnings From GLP-1 Drugs

The U.S. Food and Drug Administration's decision this month to order removal of warnings about the risk of suicidal thoughts from GLP-1 weight-loss drugs is premature — and from a safety and legal standpoint, the downside of acting too soon could be profound, says Sean Domnick at Rafferty Domnick.

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Series

Hosting Exchange Students Makes Me A Better Lawyer

Opening my home to foreign exchange students makes me a better lawyer not just because prioritizing visiting high schoolers forces me to hone my organization and time management skills but also because sharing the study-abroad experience with newcomers and locals reconnects me to my community, says Alison Lippa at Nicolaides Fink.

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LEGAL INDUSTRY

Roundup

UK Litigation Roundup: Here's What You Missed In London

By Max Austin

This past week in London saw Travelers Insurance hit with a claim from a property buyer over a payout tied to collapsed law firm Axiom Ince, Swedish music group Pophouse Entertainment clash with the production company that helped it create the ABBA Voyage experience, and biotech company Vertex Pharmaceuticals sue rival entity ToolGen for patent infringement.

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Analysis

More Push In The 'Push-Pull' As DOJ Targets 'Gamesmanship'

By Bryan Koenig

The U.S. Department of Justice continues to build its task force targeting "gamesmanship" that it says BigLaw attorneys for major companies, especially technology platforms, are using to obstruct antitrust investigations — an effort that has been welcomed by some practitioners and questioned by others.

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5 Arrests Made In Shooting Of Indiana Judge, Wife

By Lynn LaRowe

Five people have been charged in connection with the shooting of an Indiana Superior Court Judge and his wife at their home Sunday following an investigation involving state law enforcement in Indiana and Kentucky and federal agencies.

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Shook Hardy Adds 2 E-Discovery-Focused Partners

By Matt Perez

Shook Hardy & Bacon LLP has hired two e-discovery experts as partners for its complex litigation strategic counseling practice in Washington, D.C., and New York City.

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Dems Push For Another Round Of Jack Smith Testimony

By Courtney Bublé

Following former special counsel Jack Smith's congressional appearance, Democrats are looking for him to return once he is able to speak about the second volume of his report on President Donald Trump's retention of classified documents after he left office.

Letter attached | Read full article » | Save to favorites »

Law360's Legal Lions Of The Week

By Kevin Penton

Williams & Connolly LLP leads this week's edition of Law360 Legal Lions, after the U.S. Supreme Court held in a unanimous opinion that restitution is a criminal punishment subject to the Constitution's ban on increasing punishment retroactively.

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DOJ Alumni Back Maurene Comey In Effort To Keep Suit Alive

By Rose Krebs

U.S. Department of Justice alumni and a group that includes attorneys, law professors and former judges have filed briefs supporting former Manhattan federal prosecutor Maurene Comey's call for a New York federal court to reject the DOJ's bid to dismiss a suit over her firing.

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How Attorneys Can Balance Careers With Caring For Parents

By Kevin Penton

As baby boomers get older and develop more intense healthcare needs, attorneys in the prime of their careers are increasingly pressed to also provide care to their elderly parents.

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GC Cheat Sheet: The Hottest Corporate News Of The Week

By Sue Reisinger

The EEOC voted to retract major harassment and discrimination protections as civil rights advocates protested. And Goldman Sachs denied rumors it was easing out its prominent chief legal officer despite the lingering stigma over her association with the late sex offender Jeffrey Epstein.

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Embezzler's Legal Malpractice Claims Too Late, Court Says

By Julie Manganis

A convicted embezzler who accused her attorneys of botching her defenses in criminal and civil cases cannot rely on a longer six-year statute of repose for breach of contract claims to overcome her delay in filing a legal malpractice case, an intermediate Massachusetts appellate court said Friday.

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Promo that reads 2025 Practice Groups of the Year

COMPANIES IN TODAY'S NEWS

A.P. Moller-Maersk

Aetna Inc.

Affordable Care LLC

Allergan PLC

Amazon.com Inc.

Amedisys Inc.

American Bar Association

American Federation of Teachers

American Psychiatric Association

Amneal Pharmaceuticals Inc.

Apple Inc.

Aurobindo Pharma Ltd.

Bausch Health Cos. Inc.

Blue Shield of California

Burke Inc.

ByteDance Ltd.

CVS Health Corp.

Campaign Legal Center

Children's Hospital Colorado

Compass Minerals International, Inc.

Crawford & Co.

Dell Technologies Inc.

Deutsche Bank AG

Duke University

Elevance Health Inc.

Eli Lilly & Co.

Epic Games Inc.

Epiq Systems Inc.

Esperion Therapeutics Inc.

Executive Health Resources Inc.

Fougera Pharmaceuticals Inc.

Frontier Communications Parent Inc.

G&W Laboratories Inc.

Geico Corp.

Gilead Sciences Inc.

Glenmark Pharmaceuticals Ltd.

Google LLC

Hologic Inc.

Illumina Inc.

Instagram Inc.

Investments Ltd.

JND Legal Administration Co.

Johns Hopkins University

Johnson & Johnson

KKR & Co. Inc.

Lannett Company, Inc

Law Finance Group Management Co.

LifeLink Foundation

Lighthouse eDiscovery Inc.

LinkedIn Corp.

Lonza Group Ltd.

Lupin Ltd.

Mallinckrodt PLC

Manchester United

Mars Inc.

MasterCard Inc.

Merck & Co. Inc.

Meta Platforms Inc.

Microsoft Corp.

Mitsubishi Corp.

Moelis & Co.

National Association for the Advancement of Colored People

National Education Association

Novo Nordisk A S

Omnicare Inc.

Oracle Corp.

Otsuka Holdings Co. Ltd.

Perrigo Co. PLC

Pfizer Inc.

Public Rights Project

RTX Corp.

Rite Aid Corp.

Sandoz International GmbH

Snap Inc.

Solicitors Regulation Authority Ltd.

Sun Pharmaceutical Industries Ltd.

Supervalu Inc.

TPG Capital LP

Teva Pharmaceutical Industries Ltd.

The Cigna Group

The Goldman Sachs Group Inc.

Therium Capital Management Ltd.

TikTok Inc.

U.S. Chamber of Commerce

UBS Group AG

UnitedHealth Group Inc.

University of Virginia

Unum Group

Verizon Communications Inc.

Vertex Pharmaceuticals Inc.

Viatris Inc.

Wockhardt USA LLC

Yale University

LAW FIRMS IN TODAY'S NEWS

Addleshaw Goddard

Allen Hansen

Anderson & Kreiger

Arnold & Porter

Bailey Duquette

Baker Botts

Boies Schiller

Carmody Torrance Sandak & Hennessey LLP

Clarick Gueron

Clyde & Co

Competition Law Partners

Cooch & Taylor

Covington & Burling

Crowell & Moring

Cuneo Gilbert

DLA Piper

Davis Polk

Day Pitney

Dechert LLP

Devonshires Solicitors

Druces LLP

Dwyer LLC

Emord & Associates

Enyo Law

FBT Gibbons

Fennemore

Fox Rothschild

Garnett Powell

Gibson Dunn

Greenberg Traurig

Harris Beach Murtha Cullina PLLC

Hinckley Allen

Hogan Lovells

Irwin Mitchell

J.J. Conway Law

Jackson Lewis PC

Joseph Greenwald & Laake

Just Food Law PLLC

Kasowitz LLP

Kelley Drye

Kennedys Law LLP

King & Spalding

Kirkland & Ellis

Koskoff Koskoff

Kropf Moseley

Lanier Law Firm

Latham & Watkins

Law Lyman

Law Office of Austin B. Johns

Levin Rojas

Lewis Silkin

Mandelbaum Barrett

Margolis Edelstein

Markovits Stock

Meritz Reddy

Milbank LLP

Miller Johnson Snell

Mishcon de Reya

Morgan Lewis

Morris Nichols

Morrison & Foerster

Nicolaides Fink

Norton Rose

Offit Kurman

Pacifica Law Group

Pashman Stein

Paul Weiss

Peabody & Arnold

Perkins Coie

Pierson Ferdinand LLP

Pinsent Masons

Proskauer Rose

Rafferty Domnick

Reynolds Porter

Rivkin Radler

Ropes & Gray

Shook Hardy

Skadden Arps

Smith Gambrell

Sperling Kenny

Spratt Endicott

Stockman O'Connor

Stoll Keenon

Sullivan & Cromwell

Thompson Burton

Troutman

Vinson & Elkins

Wachtell Lipton

Walker Morris LLP

Webb Law Firm

Wharton Law

Wiggin & Dana

Williams & Connolly

WilmerHale

Winston & Strawn

Wolf Haldenstein

Wolf Popper

Woods Rogers

GOVERNMENT AGENCIES IN TODAY'S NEWS

Bureau of Labor Statistics

Centers for Medicare & Medicaid Services

Commodity Futures Trading Commission

Companies House

Delaware Court of Chancery

Equal Employment Opportunity Commission

European Commission

European Union

Executive Office of the President

Federal Bureau of Investigation

Federal Reserve System

Federal Trade Commission

Food and Drug Administration

House Committee on Energy and Commerce

Indiana Supreme Court

National Railroad Passenger Corp.

New Jersey Legislature

New Jersey Supreme Court

Texas Supreme Court

U.S. Attorney's Office for the District of New Jersey

U.S. Attorney's Office for the Northern District of New York

U.S. Attorney's Office for the Western District of Washington

U.S. Court of Appeals for the District of Columbia Circuit

U.S. Court of Appeals for the Eleventh Circuit

U.S. Court of Appeals for the Second Circuit

U.S. Court of Appeals for the Seventh Circuit

U.S. Court of Appeals for the Sixth Circuit

U.S. Court of Appeals for the Third Circuit

U.S. Department of Education

U.S. Department of Health and Human Services

U.S. Department of Homeland Security

U.S. Department of Housing and Urban Development

U.S. Department of Justice

U.S. Department of Labor

U.S. District Court for the Central District of California

U.S. District Court for the Central District of Illinois

U.S. District Court for the District of Columbia

U.S. District Court for the District of Connecticut

U.S. District Court for the District of Maryland

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

U.S. District Court for the Eastern District of North Carolina

U.S. District Court for the Eastern District of Pennsylvania

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

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

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

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

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

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

U.S. District Court of the District of New Hampshire

U.S. Securities and Exchange Commission

U.S. Supreme Court

UK High Court

UK Intellectual Property Office (IPO)

United States District Court for the District of Colorado

United States District Court for the Northern District of Ohio