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From Research to Revenue: Coverage and Reimbursement for Life Sciences Products – When Parallel Review Is Right for You, Contributed by Demetrios L. Kouzoukas, Anna D. Kraus and Katherine Sauser, Covington & Burling
Drug and device manufacturers now have two procedural options when seeking formal approval and coverage for their products under Medicare. Under the traditional framework, the manufacturer first submits a new drug application to the Food & Drug Administration (FDA) for approval, then seeks a Medicare coverage determination from the Centers for Medicare & Medicaid Services [...]
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HHS Seeks to Delegate Key "Essential Health Benefits" Coverage Decision to States, Contributed by Adam J. Falcone and Susannah Vance, Feldesman Tucker Leifer Fidell LLP
On December 16, 2011, the Center for Consumer Information and Insurance Oversight (CCIIO) within the U.S. Department of Health and Human Services (HHS) issued an informal bulletin in which CCIIO outlined the approach that HHS plans to take in future federal regulations on the scope of the “essential health benefits.” Under the Affordable Care Act [...]
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Supreme Court Contemplates Patent Obviousness and Equivalents, Contributed by Erika H. Arner and Justin R. Lowery, Finnegan, Henderson, Farabow, Garrett & Dunner, LLP
Over the last decade, the Supreme Court has shown an increased interest in patent law, taking up cases to answer fundamental questions such as the types of inventions eligible for patents in Bilski v. Kappos,1 the international reach of U.S. patents in Microsoft v. AT&T,2 and the deference that should be accorded issued patents at [...]
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Preparing for the Next Compliance Battleground: Eliminating Trafficking, Forced Labor, Child Labor, and Slavery from Global Supply Chains, Contributed by T. Markus Funk, Perkins Coie
A fresh wave of legislation designed to foster and promote what its backers alternatively describe as responsible corporate citizenship or corporate social responsibility is cresting on U.S. businesses’ shores—and this time the aim is to combat the world’s most serious forms of labor exploitation. But unlike, say, the Foreign Corrupt Practices Act1 or the Dodd-Frank [...]
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Thoughts on the Validity of DOE Loan Guarantees, Contributed by Herbert A. Glaser, Gilbert D. Porter and Micaela Garcia-Ribeyro, Haynes and Boone, LLP
In November of last year, CAlifornians for Renewable Energy (CARE), a self-described “advocate for environmentally- and community-sensitive energy projects,” filed a lawsuit in Washington, D.C. federal court against the U.S. Department of Energy (DOE).1 They allege that up to $13.76 billion in alternative energy loan guarantees issued under Section 1705 (the Section 1705 Guarantees) of the Energy [...]
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Reminder From Delaware Court of Chancery: Limited Liability Company Managers Have Corporate-Type Fiduciary Duties to Investors in the Absence of Contractual Limitations, Contributed by Barry A. Brooks, Kevin C. Logue and Leslie E. Kersey, Paul Hastings LLP
In its January 27, 2012 decision in Auriga Capital Corp. et al v. Gatz Properties LLC et al,1 the Delaware Court of Chancery reiterated well established law to the effect that, absent disclaimer or agreement to the contrary, limited liability company managers, officers and directors are charged with the equitable fiduciary duties of care and [...]
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Political Activity and the Board Room: Limiting Corporate Political Expenditures Through Disclosure, Corporate Law, and Shareholder Proposals, Contributed by Ronald M. Jacobs and Alexandra Megaris, Venable LLP
We are now two years out from the Supreme Court’s landmark decision, Citizens United v. Federal Election Comm’n,1 and well into the 2012 Presidential campaign. With two full years of experience, we now have a sense of what a world with unlimited personal and corporate giving looks like. We first provide brief background on the [...]
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Group Health Plan Sponsors Should Prepare for Possible HIPAA Audits, Contributed by Laura Miller Andrew and Kate Bongiovanni, Smith, Gambrell & Russell, LLP
The Health Information Technology for Economic and Clinical Health Act (the HITECH Act) requires the U.S. Department of Health and Human Services (HHS) to provide for periodic audits to ensure that covered entities (health care providers, health plans and health care clearinghouses) and business associates are complying with the Health Insurance Portability and Accountability Act [...]
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Against Convergence: Mounting a Legal Challenge to FASB's Adoption of International Accounting Standards, Contributed by Adam I. Stein, Douglas H. Hallward-Driemeier, and Julian I. Helisek, Ropes & Gray LLP
By the close of 2011, the Securities and Exchange Commission (SEC or Commission) was to have announced its decision regarding the adoption of international accounting standards for public company financial recordkeeping and reporting. But in December, it punted; SEC staff needed “a few additional months.”1 Someday, maybe soon, we’ll find out if the nearly decade-long [...]
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The Consumer Financial Protection Bureau's Whistleblower Program: How It Works and What It Means for Financial Services Companies, Contributed by Benjamin Saul, Sasha Leonhardt, and Kristopher Knabe, BuckleySandler LLP
Whistleblowers are “often the best source of information about waste, fraud, and abuse….” –President Barack Obama1 On December 15, 2011, the Consumer Financial Protection Bureau (Bureau or CFPB) issued a bulletin announcing its program to collect whistleblower information and law enforcement tips, stating that it “welcomes information from current or former employees of potential violators, [...]
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Tax Treatment of Dividend Equivalent Payments under New Temporary and Proposed IRS Regulations, Contributed by Andrew Short and David Makso, Paul Hastings LLP
On January 19, 2012, the IRS released temporary regulations (Temporary Regulations)1 and proposed regulations (Proposed Regulations)2 addressing the treatment of dividend equivalent payments for purposes of Section 871(m) of the Internal Revenue Code of 1986, as amended. These rules were highly anticipated by taxpayers who expected much needed guidance in the area of financial instruments, [...]
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Harmonising European Securities Laws, Contributed by Kris Rogers, Lawrence Graham LLP
Securities, such as equity securities and debt securities, are usually held in book-entry form rather than traditional paper certificates. Securities in book-entry form are transferred through accounts kept by account providers (or a number of account providers) who act on behalf of an ultimate beneficial owner. The European Commission calls this the “holding chain,” and [...]
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Hedge Fund Managers Beware: Unless Claims are Assigned, Managers Do Not Have Standing to Sue for Their Funds, Contributed by Leslie M. Kelleher, Caplin & Drysdale
Well-publicized fraud scandals, including Bernie Madoff’s $20-billion Ponzi scheme and the Bayou Capital case, to mention only a few, have led to increased regulation of hedge funds.1 But hedge funds are more likely to have been the victims than the perpetrators of fraudulent schemes. Indeed, some of the largest creditors in the Madoff bankruptcy are [...]
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NCAA Sports: No Death Penalty Under the Antitrust Laws, Contributed by Philip D. Bartz and Nicholas S. Sloey, Bryan Cave LLP
College football has been riddled over the past year with scandals, rule violations, and the movement of teams from one conference to another. Media coverage has been quite negative, and the National Collegiate Athletic Association (NCAA) often is cast as the villain. Well-regarded economist Andy Schwarz has attacked the NCAA’s amateurism model.1 Taylor Branch, a [...]
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Heads, I Win; Tails, You Lose: The Dilemma of Conflicting Disparate-Impact and Disparate-Treatment Claims in the Wake of Ricci v. DeStefano, Contributed by Fraser A. McAlpine, Hunton & Williams LLP
In its decision in Ricci v. DeStefano, 129 S. Ct. 2658 (2009), the Supreme Court sought to resolve a conflict between the “twin pillars of Title VII,” the Act’s disparate-impact and disparate-treatment provisions. Ricci involved a promotional examination administered by the City of New Haven. After candidates took the examination, the City refused to certify [...]
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Minimizing FCPA Risk on Two Fronts: Through Corporate Policy and Corporate Culture, Contributed by Alexandre H. Rene, Stephen L. Braga, and Anthony C. Biagioli, Ropes & Gray LLP
A common and justifiable refrain met the Securities & Exchange Commission (SEC)’s new whistleblower rules providing significant incentives for employees to disclose Foreign Corrupt Practices Act (FCPA), among other, violations to the SEC—that the rules would challenge internal corporate compliance programs to prevent, detect, and remediate FCPA and other violations. The resulting advice has been [...]
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How Should Corporate Boards and General Counsels Deal with Cyber Risks?, Contributed by Stewart Baker, Steptoe & Johnson LLP
The drumbeat of concern about cybersecurity is almost deafening today. And it should be. Many companies have been robbed blind, losing most of their competitive secrets to unseen intruders on their networks. Political leaders are demanding greater corporate disclosure of cyber-risks, and the Securities and Exchange Commission has released guidance1 that will force more detailed [...]
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"Your Opinion Matters To Us" – The Continued Value of Patent Counsel Opinions in a Post-America Invents Act Era, Contributed by Edmund J. Haughey and Stephen Yam, Fitzpatrick, Cella, Harper & Scinto
The perceived necessity of patent counsel opinions has plummeted ever since the Federal Circuit’s 2004 decision in Knorr-Bremse Systeme Fuer Nutzfahrzeuge GmbH v. Dana Corp.,1 which held that no adverse inference of willful infringement of a patent may be drawn either from the failure to obtain legal advice or the invocation of the attorney-client privilege [...]
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A Basic Question: Is Materiality the Better Standard for Class Certification in Securities Fraud Lawsuits?, Contributed by Jennifer B. Poppe and Alithea Z. Sullivan, Vinson & Elkins LLP
The growing disagreement among federal courts over the timing for proving materiality in securities-fraud class actions highlights how unworkable the fraud-on-the-market (FOTM) inquiry currently is. In Basic Inc. v. Levinson,1 the U.S. Supreme Court held that a purported class of shareholders may take advantage of the FOTM presumption of reliance if it can make certain [...]
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Patent Prosecution Strategies for Life Sciences Companies Under the AIA, Contributed by Eldora L. Ellison, Ph.D. and Judith U. Kim, Sterne, Kessler, Goldstein & Fox
The America Invents Act (“AIA”), signed into law on September 16, 2011, presents new challenges and strategy considerations for inventors, and biotechnology and pharmaceutical companies that seek to obtain ― or preclude others from obtaining ― patents in the United States. Notably, beginning with patent applications having an effective filing date (“EFD”) on or after [...]
