vorys health care reform team

Our Practice

Health Care Operations


Vorys health care attorneys are trusted and experienced professionals who counsel clients on the legal and regulatory issues facing the health care industry.  Whether the matter involves the day to day operations of a health care facility or issues associated with regulatory compliance,  corporate compliance, fraud and abuse, or payor and reimbursement arrangements, our attorneys are fully equipped to address client health care needs.  Our attorneys understand the complex and constantly changing landscape of health care and the need to provide timely, practical, and concise solutions to the challenges facing our health care clients. Learn more.

Employee Benefits


The attorneys in our employee benefits and executive compensation group assist our clients in establishing benefit plans and maintaining such plans in compliance with all applicable rules and regulations.  Benefit programs are subject to increasingly complex legal requirements imposed by both federal and state law. The attorneys in our employee benefits and executive compensation group also have represented clients before federal regulatory agencies, such as the Internal Revenue Service, the Department of Labor and the Pension Benefit Guaranty Corporation, and in both federal and state courts. Learn more.

Vorys Health Care Advisors


Vorys Health Care Advisors (VHCA) have a unique combination of Medicaid, public policy, financial and clinical experience. These health care consultants help stakeholders meet the challenges of a complex, rapidly changing state and federal health care environment. VHCA health care consultants have expertise in Medicaid policy, health care service delivery and payment systems, services for children, behavioral health care, developmental disabilities, aging and community-based services. Learn more.

Where Reforms Stand

The Vorys Health Care Reform team is helping our clients prepare for and implement changes related to federal health care reform.

Members of the U.S. House of Representatives and the U.S. Senate have been discussing reforms to the U.S. health care system for decades.  In 2009, the Affordable Care Act (ACA) was passed and implementation of it began.

In 2017, President Trump took office and indicated a strong willingness to overhaul the U.S. health care system.  Several pieces of legislation have been introduced and rule changes have been proposed.  Our team will provide frequent alerts and updates on these changes as they are considered by the different branches of government.

vorys health care reform

The Impact on Health & Welfare Plans in the New Year based on the Fifth Circuit’s ACA Ruling and the Further Consolidated Appropriations Act, 2020

12/31/19

On December 18, 2019, the U.S. Court of Appeals for the Fifth Circuit held in Texas v. U.S. that the provision in the Affordable Care Act (ACA) that requires individuals to maintain health insurance or pay a “shared responsibility payment” (i.e., the individual mandate) is unconstitutional.  The Fifth Circuit found that the central attributes that once saved the individual mandate as a valid exercise of Congress’ taxing authority no longer existed after Congress set the shared responsibility payment to zero effective January 1, 2019. Read more.

District Court Holds ACA Unconstitutional – But That’s Not The Final Word On The Issue

12/18/18

On December 14, 2018, a District Court in Texas held that the Affordable Care Act (ACA) is unconstitutional. Texas v. United States, No. 4:18-cv-00167 (N.D. Tex. 12/14/2018). While the case makes its way through the appeal process, group health plan sponsors should continue to comply with the ACA. Read more

vorys health care reform
vorys health care reform