On Demand Audio

The Status of the Affordable Care Act and Future Implications for the Healthcare Marketplace

(382 reviews)

Produced on April 08, 2019

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Course Information

Time 1h 31m
Difficulty Intermediate
Topics covered in this course: Health Care

Course Description

In December, a Texas federal district court ruled the Affordable Care Act (“ACA”) to be unconstitutional. That ruling has been pending appeal to the Fifth Circuit, which will likely not hear the case until this summer. The foundation for the Texas court’s ruling was laid down in 2017, when the ACA’s penalty for not buying insurance was repealed. In the meantime, the Trump administration has been taking actions intended to modify and reduce in some ways the ACA’s operations in practice. Moreover, with the House under the control of the Democrats, bills have been introduced that seek to reverse some of the Trump administration’s operational changes and even expand Medicare to allow people over 50 to buy Medicare plans on the health insurance market. With all of this activity, there is uncertainty as to what the future will bring for the healthcare industry. In light of the uncertainties, everyone is wondering what the impact will be on the short and long term strategic plans of healthcare providers, insurance plans, and even state governments.

In this presentation, healthcare expert Steven Chananie, partner at Sheppard Mullin, will review the recent legal, administrative, and political activity, the potential change scenarios and their implications for the healthcare marketplace.  He will go beyond the uncertainties and provide a conceptual framework for thinking about and analyzing the changing landscape, so that stakeholders can better understand developments as they happen in the weeks and months to come, and subsequently, be better prepared to respond and modify their own strategic plans in prudent and thoughtful ways.

Learning Objectives:

  1. Study the legal underpinnings of the Texas ruling declaring the ACA unlawful, as well as understand the impact of the Trump administration’s actions and the implications of the Democrats’ bills in the House
  2. Examine how the legal, administrative, and political activities might impact the healthcare industry
  3. Develop a conceptual framework for how to approach and respond to a changing healthcare landscape

Credit Information

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Steven Chananie

Sheppard, Mullin, Richter & Hampton LLP

Steven Chananie is a partner in the Corporate Practice Group in the firm's New York office, focusing on healthcare issues.

Areas of Practice

Mr. Chananie has represented numerous healthcare providers, advising them on regulatory and fraud and abuse issues in the structuring of complex healthcare transactions and arrangements; guiding them in the resolution of potential compliance problems; and assisting them in implementing or modifying their compliance programs. Mr. Chananie has also defended numerous clients against civil government actions and investigations, including in False Claims Act cases, threatened Anti-Kickback prosecutions, and various state and federal audits. He brings his knowledge of government enforcement efforts — along with his technical legal expertise and his practical understanding of how healthcare providers operate in the real world — to his guidance on regulatory and compliance matters. 

His clients include academic medical centers, hospital systems, faculty practice plans, laboratories (both independent and hospital- based), physician practices, ambulatory surgery centers, nursing homes, and home health agencies. 

Mr. Chananie has lectured nationwide on compliance, regulatory, defense and related issues.

Prior to entering private practice, Mr. Chananie was Chief of Appeals at the Queens County District Attorney’s Office (1993 - 1996), Counsel to Field Operations and chief appellate counsel at the New York State Organized Crime Task Force (1987 - 1993), and an Assistant District Attorney at the Manhattan District Attorney’s Office (1983 - 1987). While at the Manhattan District Attorney’s Office, he took a leave of absence to clerk for former Chief Judge Judith Kaye on the New York State Court of Appeals. Mr. Chananie has also taught Appellate Advocacy and Criminal Procedure as an adjunct professor at Brooklyn and Pace Law Schools.


Kristin W.

Because this topic is changing regularly based on the current political polarization, the program is already a bit outdated and could use a refresh. Still, understanding the healthcare and insurance industry modifications and what we might expect in the near future is an important program and the presenter is clearly knowledgeable on this subject.

Rachel S.

Really enjoyed the discussion. Very enlightening.

Susana F.

Excellent speaker, excellent presentation of material. Thank you!

Robert C.

very good. Would highly recommend.

alison g.

very concise overview

Tommy M.

Very informative. I enjoyed the added insight of the political forces at work on the issues.

Chris K.

Outstanding summary of basically where we stand, currently, and the various ideas and options under discussion nationally, re health care.

Kena C.

Presenter did a nice job.

Rebekah D.

Thank you

Amy B.

Great handling of a complex topic. I’m much better informed!

Aileen L.

Really informative!

Malcolm W.

Very informative and up to date. Well delivered in an easily understood format.

carole s.

he's excellent!

Geoffrey K.

Very good program. Presenter is very knowledgeable and materials were very helpful.

Valerie C.

A very informative presentation.

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