• Hospital industry groups are opposing CMS proposals that would expand site-neutral reimbursement and modify the 340B program, arguing the changes could undermine hospital finances and future facility investment. AHA and other provider groups argued that the policy fails to account for the higher Medicare burden, increased complexity and stricter licensing, accreditation and regulatory requirements that hospital outpatient departments face as compared to independent physician offices.
  • On a recent podcast interview, a Capital One health care real estate lending

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    Continue Reading Weekly Hospital Real Estate Briefing: CMS Site-Neutral Proposal Draws Pushback | FTC Signals Scrutiny of Hospital Deals | Providers Continue Retail-to-Healthcare Conversions

    Date and Time: November 12, 2026 8:00 amLocation: Holiday Inn & Suites Wausau-Rothschild 1000 Imperial Ave, Rothschild, WI 54474 Presenters: Sara J. Ackermann, Samuel J. S. Moheban, Mary Ellen Schill, Nicole L. Stangl, Morgan H. Sweeney <!–Morgan H. Sweeney–> <!–Presentation–>Join us on Thursday, November 12, at the Holiday Inn & Suites in Rothschild for our Annual Employment & Benefits Conference. The program runs from 7:30 a.m. – 1:30 p.m., with presentations beginning…
    Continue Reading Annual Employment & Benefits Conference 2026

    The U.S. Court of Appeals for the Second Circuit (the “Court”) recently ruled that a False Claims Act (“FCA”) relator can satisfy Rule 9(b) without identifying every false claim underlying an alleged fraudulent scheme—but left open whether Rule 9(b) applies to certain reverse FCA claims at all.
    In United States ex rel. Gallian v. AmerisourceBergen Corp., 2026 WL 2539817 (2d Cir. Aug. 28, 2026), the Court considered several FCA claims brought by a former reimbursement manager against her…
    Continue Reading Second Circuit Limits Rule 9(b) Pleading Requirements for Reverse False Claims Act Claims

    A family lawyer explains the Wisconsin Relocation Statute and the step-by-step process for obtaining approval to move with your child. 

    “Am I stuck living in the same town because of my legal custody and physical placement orders?”
    “I want to move out of Wisconsin…is that even allowed?”

    It is natural for parents to feel overwhelmed when considering a move. This is especially true when child custody and placement orders are involved. As a Wisconsin family law attorney, I…
    Continue Reading Can I Move Out of State With My Child After a Divorce?

    The U.S. Department of the Treasury (“Treasury”) and the IRS recently proposed regulations that would deny § 501(c)(3) tax-exempt status to private schools that maintain race-based admissions, scholarship or related programs. While the proposal is directed at educational institutions, the preamble contains important lessons for health care foundations and other charitable organizations managing donor-restricted funds.

    In discussing the potential impact of the rule, Treasury expressly acknowledges that donor-imposed restrictions may require modification. The preamble notes that where “a race-based…
    Continue Reading Health Care Philanthropy Update: Treasury’s Proposed Rule Offers Lessons for Foundations on Donor Intent and Endowment Management

    Complying with European privacy rules governing the transfer of personal information to the U.S. has always been challenging for U.S. companies. Now, a seemingly unrelated U.S. Supreme Court decision, Trump v. Slaughter, may create new uncertainty around the legal framework governing those transfers, raising fresh considerations for companies that do business in Europe.

    A History of EU-U.S. Personal Data Transfer Challenges
    For more than two decades, the U.S. and EU have struggled to establish a system that allows…
    Continue Reading The Future of EU-U.S. Data Transfers and GDPR Adequacy After Trump v. Slaughter

    The Legislature’s Joint Finance Committee met last week to approve a $4 million supplemental appropriation for the Wisconsin Department of Justice.

    The supplement supports grants to law enforcement agencies for data-sharing platforms under a new program created by 2025 Wisconsin Act 58. Act 58 created a short-term grant program for the acquisition and adoption of data-sharing platforms.

    According to the law, the platform must be able to “integrate data from common law enforcement systems on a real-time basis”…
    Continue Reading Joint Finance Committee Approves Additional $4 Million for Data Sharing among Law Enforcement

    The Wisconsin Division of Quality Assurance (“DQA” or the “agency”) recently issued Wisconsin – 26-001, which addresses surveyor access to provider records during assisted living surveys. The guidance applies to Adult Family Homes (“AFHs”), Community-Based Residential Facilities (“CBRFs”) and Residential Care Apartment Complexes (“RCACs”). DQA’s memo confirms that providers utilizing electronic record systems must provide surveyors with read-only login credentials, rather than limiting access to printed records or provider-generated electronic reports.

    The memo reflects DQA’s position that surveyors…
    Continue Reading Wisconsin Assisted Living Update: Wisconsin DQA Requires Surveyor Access to Electronic Health Records

    The problem. In thunar in xubuntu 24.04, the selected file name becomes impossible to read when the thunar window goes into the background (is no longer the front most window). You see the following: Adjusting the text selection and background appearance settings for thunar are not available via Settings Manager | Settings Editor. Luckily, thunar can easily be customized another way via css. The solution. To fix this unreadable text when thunar is in the background, add a file…
    Continue Reading Thunar background display fix for xubuntu

    On August 11, 2026, the Health Resources and Services Administration (“HRSA”) released its Health Center Program Scope of Project Policy Manual (“Scope Manual”), providing comprehensive guidance on what constitutes a health center’s approved scope of project under Section 330 of the Public Health Service Act. The Scope Manual became effective immediately upon release.

    Federally Qualified Health Centers (“FQHCs”) and “look-alikes” cannot add a delivery site, new service category or expanded target population without prior approval from HRSA via…
    Continue Reading HRSA’s New FQHC Scope of Project Manual Affects Provider-Patient Relationships, Arrangements with Other Providers and 340B Operations

    On September 2, 2026, the U.S. Department of Labor’s Office of Foreign Labor Certification announced that certain H-2A employers may become responsible for retroactive wage adjustments after the Department adopts a new methodology for calculating Adverse Effect Wage Rates.

    The announcement follows an August 26, 2026 order in United Farm Workers, et al. v. DOL, et al., No. 25-cv-01614-KES-EGC. The court held that the DOL’s October 2025 interim-final-rule methodology is unlawful but has left the rule and existing AEWRs…
    Continue Reading H-2A Employers Face Potential Backpay Exposure Under Court-Ordered AEWR Changes

    A guide to Wisconsin custody and placement laws, court-appointed professionals, and how your child’s wishes impact custody decisions.

    “Once my son turns 14, he’ll finally get to decide which parent he wants to live with. ”

    As a Wisconsin family law attorney, I’ve heard this assumption from countless clients navigating paternity, divorce, or post-divorce matters. Unfortunately, this is not true. Under Wisconsin law, children under the age of 18 never truly get to choose which parent they…
    Continue Reading When Can My Child Decide Where They Want to Live? 

    A growing trend in Illinois trucking litigation is placing motor carriers under increased legal and financial scrutiny. As plaintiffs increasingly pursue punitive damages against motor carriers, lawsuits are expanding beyond questions of driver negligence and into the company’s hiring, training, supervision, and safety practices.

    Why Are Punitive Damages Increasingly Common in Illinois Trucking Litigation?
    After Illinois Governor J.B. Pritzker signed into law a bill that allows the recovery of punitive damages in wrongful death and survival actions, the state…
    Continue Reading How Motor Carriers Can Mitigate Punitive Damage Exposure in Illinois Trucking Litigation

    “I am greatly interested in Roy and like him.”
    Lavinia Goodell, January 1876
    Lavinia Goodell had a reformer’s nature and throughout her life strove to help those in need, whether it desperate to extricate themselves from abusive marriages or young men who had run afoul of the law. Although Lavinia generally had good instincts about peoples’ nature, she sometimes expended energy trying to help someone who was simply beyond help. One of the most bitter disappointments of her life…
    Continue Reading ‘I am greatly interested in Roy and like him’

  • Corewell Health unveiled a $1.7B plan to build two hospital towers in Michigan: an 11-story, 780k-sf facility at Butterworth Hospital in Grand Rapids and an eight-story, 423k-sf tower at Beaumont Troy Hospital. The projects will add 360 private rooms and are expected to open in 2030.
  • Moody’s recently reported nonprofit and public hospital profitability softened in FY 2025, with median EBITDA margins falling from 6.2% to 5.9% and operating margins declining from 1.3% to 1.2%. Revenue grew 8.9%, narrowly

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    Continue Reading Weekly Hospital Real Estate Briefing: Nonprofit Hospital Margins Tighten | Corewell Unveils $1.7B Expansion | Hospital Land-Banking Continues

    The Indiana Court of Appeals (the “Court”) reversed a trial court’s temporary commitment order, holding the evidence did not clearly and convincingly establish the patient was gravely disabled. Although the evidence supported the patient suffered from mental illness and exhibited symptoms associated with a manic episode, the Court concluded the evidence did not demonstrate those symptoms resulted in an inability to function independently. In re Civil Commitment of E.R., No. 26A-MH-1878, 2026 WL 2427159 (Ind. Ct. App. Aug. …
    Continue Reading Indiana Court of Appeals Reverses Temporary Commitment Where Evidence Did Not Establish Grave Disability