Federal Regulations
Clinical Laboratory Improvement Amendments (CLIA)
False Claims Act (Auditors: MACs, RACs, ZPICs) & Stark Laws
Health Insurance Portability and Accountability Act (HIPAA)
Health Information Technology for Economic and Clinical Health (HITECH) Act
Occupational Safety & Health Administration (OSHA)
Patient Brokering (Fee Splitting & Corporate Practice of Medicine)
Pathology Services Restrictions (actually state law based)
Laboratory Client Billing Restrictions (typically state law based)
Health Maintenance Organization Act of 1973 (Incentivized states to pass similar HMO legislation – watch out for “prepaid”)
Federal Legislative Efforts
Summaries are available from the Direct Primary Care Coalition, current items of interest include:
Health Savings Accounts (changing the inaccurate IRS stance that DPC payments are not eligible for HSA dollars)
Pilot Projects (changing Medicare opt out rules, permitting Medicare to fund DPC for Medicare patients)