There are widespread expectations that the Supreme Court, following an oral argument last week, may rule that part of the law that created the CFPB is unconstitutional. As a result, many business executives, in particular, have been asking their lawyers about the likely impact of such a ruling. These questions have included ones like: Could
Value-Based Purchasing and the False Claims Act: Tenth Circuit Finds Falsified Quality Data Immaterial Under Escobar
Last month, the Tenth Circuit upheld a grant of summary judgment in U.S. ex rel. Janssen v. Lawrence Memorial Hospital, 2020 WL 594508 (10th Cir. Feb. 7, 2020), applying the “rigorous” and “demanding” standard of materiality for False Claims Act (“FCA”) cases established by the Supreme Court in Escobar. In Janssen, the…
Small Businesses Are Not Safe from Big HIPAA Liability
In the first published enforcement action of 2020, a gastroenterology practice in Ogden, Utah, has agreed to pay a $100,000 settlement to the U.S. Department of Health and Human Services Office for Civil Rights (“OCR”) for alleged violations of the Health Insurance Portability and Accountability Act (“HIPAA”) Security Rule.
According to the Resolution Agreement entered into between Steven A Porter, M.D., P.C. (the “Practice”) and OCR, the Practice reported a breach to OCR in 2013 due to conduct by a business associate of the Practice. While investigating the breach, OCR determined that the Practice had not implemented appropriate policies and procedures to address security violations, failed to conduct a security risk analysis, and did not have reasonable and appropriate security measures in place. Further, the Practice had used an electronic health records vendor for several years without entering into an appropriate business associate agreement.
In addition to the $100,000 payment, the Practice is required to submit to a Corrective Action Plan for a two-year period. The Corrective Action Plan requires the Practice to take a series of broad measures in furtherance of HIPAA compliance, detailed below.
3rd Circuit Case of First Impression Clarifies Lower Threshold for FCA Actions
Government contractors should take note of a March 4, 2020, ruling by the 3rd U.S. Circuit Court of Appeals (Court) that lowers the jurisdictional threshold for establishing a claim under the False Claims Act (FCA).
The 3rd Circuit’s decision in Druding v. Care Alternatives revived an FCA claim that the U.S. District Court for the…
Fintech Company Avoids Murky Regulatory Landscape by being the First U.S. Fintech Company to Acquire a Regulated Bank
For the first time, a U.S. fintech company is acquiring a regulated U.S. bank, which will give it access to a stable and cheaper source of funding – as well as a national bank charter.
On February 18th, LendingClub, one of the largest providers of personal loans in the U.S., announced that it will pay…
Federal Court Upholds CMS’ Use of Extrapolation to Claw-Back Improper Payments
A recent federal court decision should serve as an important reminder to providers that the Centers for Medicare and Medicaid Services (“CMS”) and its contractors have substantial authority to audit provider Medicare claims and to broadly apply extrapolation to calculate overpayments. In Palm Valley Health Care, Inc. v. Azar, No. 18-41067, 2020 BL 14097…
Industry Insight: The CCPA’s Elusive “Reasonable Security” Safe Harbor
“[P]rivacy legislation should have some kind of safe harbor provision in it so that companies understand that if they take certain steps, what they are doing is consistent with the law.” Karen Zacharia, Chief Privacy Officer at Verizon
The California Consumer Privacy Act (CCPA) provides unparalleled rights for California residents with regard to data privacy. The CCPA contains an expansive definition of “personal information” and establishes completely new data privacy entitlements for California consumers, including rights to access, delete and opt-out of the sale of personal information. In addition, the CCPA provides new statutory damages and consumer private rights of action in the event of a data breach.
FINRA 2.0: FINRA Releases Its 2020 Risk Monitoring and Examination Priorities
FINRA’s examination program has undergone its most significant reorganization in decades. As stated in a press release, Oct. 1, 2018, FINRA’s goal for the reorganization was to “consolidate its Examination and Risk Monitoring Programs, integrating three separate programs into a single, unified program to drive more effective oversight and greater consistency, eliminate duplication and…
SEC 2020 National Exam Program Examination Priorities
On January 7, 2020, the Securities and Exchange Commission’s Office of Compliance Inspections and Examinations (OCIE) released its 2020 examination priorities. OCIE is prioritizing practices, products, and services that it believes present heightened risks to investors or market integrity. The examination priorities are organized around seven themes, many of which build on OCIE’s priorities…
Trends in Student Data Privacy
Across the country, school districts use technology to facilitate learning and assist in classroom management. From tracking grades and communicating with parents to monitoring bathroom breaks, technology is everywhere in our schools. But as technology becomes more prevalent in the classroom, what does that mean for student data privacy?
Federal Laws Governing Student Data Privacy
There are several federal laws that govern student data privacy. The Family Educational Rights and Privacy Act (FERPA) protects student educational records and requires the consent of parents or students age 18 or older to consent to the release of education records. The Protection of Pupil Rights Amendment (PPRA) requires parental consent for any federally funded student survey or evaluation that requires the student to provide sensitive information. Lastly, the Children’s Online Privacy Protection Act (COPPA) regulates companies collecting data about kids under the age of thirteen. Under the law, educational products may not require parental consent, and instead, schools can consent on behalf of parents. Importantly, the Federal Trade Commission (FTC) is considering updating COPPA’s regulations. The FTC requested comments on the rule in July and held a workshop in October.