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Page references are to the casebook, HEALTH LAW, by Barry R. Furrow et al. (5th ed., West 2004). 

The handout packet will be available sometime the week of August 15 in the faculty reception area and on the Web in Adobe PDF (Portable Document Format). PDF requires a free Adobe Acrobat reader, which is available here. 

I will try to stick to the schedule, of course, but stuff happens.  In that case, please read 15-20 pp. ahead of where we last left off, unless I announce something different in class.

1 1-27 1. Introduction to Health Law & Policy
     I.  Defining Sickness
     II. Quality in Health Care
          A. Defining Quality
          B. Assessing Quality
          C. Improving Quality		 Sometime the first week of class, please read Historical Overview of U.S. Health Care System (handout)
2 27-57; Pub. L. No. 109-41, July 29, 2005 (S. 544) (handout)      III. Errors
          A. Medical Iatrogenesis
          B. The Extent of Medical Misadventures
          C. Remedying Quality Problems
               1. Origins of Clinical Standards of Practice
               2. Strategies for Reducing Error		 Which of the Institute of Medicine's recommendations are addressed by S. 544?
3 57-75                3. Regulatory Approaches to Medical Errors
     IV. Distributive Justice - Human Organ
          Transplantation
          A. Introduction
          B. Rationing of Scarce Human Organs		 Prepare to discuss problem #1, p. 64
4 75-86, 1325-34           C. Increasing the Supply of Organs for
              Transplantation: The Impact of Legal
              Restraints		  
5 87-112      V. Public Health  
6 114-35 2. Quality Control Regulation: Licensing
    of Health Care Professionals
     I. Discipline
     II. Alternative and Complementary
         Medicine		  
7 135-51      III.  Unlicensed Providers
     IV.  Scope of Practice Regulation		 Prepare to discuss problem, p. 149
8 152-66, 172-78, 181-84 3. Quality Control Regulation of Health
    Care Institutions
     I.  Introduction
     II. Regulatory Systems		  
9 332-51 5. Professional-Patient Relationship
     ***
     II. Confidentiality***
          B. HIPAA		 Prepare to discuss problem, p. 351
10 356-69, 387-400, 410-412      III. Informed Consent  
11 1344-47, 1362-79      IV. Informed Consent: Right to Die -
          Competent Patients		  
12 413-36 6. Liability of Health Care Institutions
     I. From Immunity to Vicarious Liability		  
13 436-62, 465-71      II. Hospital Direct Liability  
14 495-527 7. Health Care Cost and Access: The
    Policy Context		 Prepare to discuss problem, p. 526
15 528-34, 538-47 8. Access to Health Care: The Obligation
    to Provide Care
     I. Common Law Approaches
     II. Statutory Exceptions to the Common
         Law
          A. EMTALA		  
16 In re Baby K (handout); 547-52, 555-65           B. Civil rights laws Finish EMTALA discussion; prepare to discuss problem, p. 550; catch up
17 566-80, 602-06 9. Private Health Insurance and Managed
    Care: State Regulation and Liability
     I.  Insurance and Managed Care: Some
         Basic Concepts
     II.  Contract Liability of Private Insurers
          and Managed Care Organizations***		  
18 608-43      IV.  Regulation of Private Health
           Insurance Under State Law
     V.  State Regulation of Managed Care
          A.  Introduction
          B.  State Law Regulating MCO
               Networks
          C.  Utilization Controls
          D.  Provider Incentives
          E.  Quality Regulation
     VI.  Perspectives on Managed Care
           Regulation
     VII.  What Follows Managed Care?
            Consumer-Directed Health Care
            and Defined-Contribution Health
            Plans		  
19 644-46, 654-59, n.8; 699-703, 713-17

Optional: HIPAA/COBRA summary (handout)

 10. Regulation of Insurance and Managed
Care: The Federal Role
     I. Introduction* * *
     III.  Federal Initiatives to Expand Private
          Insurance Coverage:
          A. The Health Insurance Portability
               Act of 1996 & the Consolidated
               Omnibus Reconciliation Act of
               1995		 Prepare to discuss problem, pp. 717
20 731-50 11. Public Health Care Programs: Medicare and Medicaid
     I.  Introduction
     II.  Medicare
          A.  Eligibility
          B.  Benefits
          C.  Payment for Services
               1.  Introduction
               2. Medicare Prospective Payment
                   Under Diagnosis-Related Groups  		Recommended: The Kaiser Family Foundation has produced an excellent video -- "Medicare + Medicaid at 40" (19 mins.) -- and has also made available extended video interviews (7-9 mins. each) with some of the principals who were Present at the Creation.
21 750-53; Balance Billing (handout); 42 U.S.C. § 1395a (handout)                3.  Medicare Payment of
                    Physicians
22 772-87, 793-804      III.  Medicaid
          A. Eligibility
          B. Benefits * * *
          D. Program Administration &
              Financing  		 
23 810-36 12. Professional Relationships in Health Care Enterprises
     Introduction
     I.  Staff Privileges and Hospital-Physician
         Contracts
     II.  Managed Care Contracts
24 836-58      III. Employment and Labor Law
25 867-70, 899-906, Flynn Brothers (handout) 13. The Structure of the Health Care Enterprise
     I. Introduction
     II. Forms of Business Enterprise and
        Their Consequences
          A. Choice of Entity* * *
          D.  Professionalism and the Corporate
               Practice of Medicine Doctrine		  
26 920-33      IV.  Tax-Exempt Health Care
           Organizations
          A.  Charitable Purposes: Hospitals* * *
27 Texas Charity Care (handout) Prepare to discuss questions on worksheet
28 945-61           D.  Joint Ventures Between Tax-
               Exempt and For-Profit
               Organizations         
29 961-75           E.  Inurement, Private Benefit and
               Excess Benefit Transactions:
               Relationships Between Physicians
               and Tax-Exempt Health Care
              Organizations
          F.  Excess Benefit Transactions:
               Protecting Hospitals and Other
               Tax-Exempt Organizations from
               Exploitation by Insiders		  
30 976-91 14. Fraud and Abuse
     I.  False Claims
          A.  Governmental Enforcement
31 991-1006           B.  Qui Tam Actions
32 1006-09      II.  Medicare and Medicaid Fraud and
          Abuse
          A.  The Statute: 42 U.S.C. § 1320a-7b
          B.  Problems: Advising Under the
               Fraud and Abuse Laws		 Esp. 42 U.S.C. § 1320a-7b(b); be prepared to discuss problems on 1008-09
33 1009-24           C.  Penalties for Fraud and Abuse
          D.  Treatment of Referral Fees Under
               Fraud and Abuse Laws         
34 1024-33           E.  Statutory Exceptions, Safe
               Harbors and Fraud Alerts
35 1033-43      III. The Stark Law: A Transactional
         Approach to Self-Referrals
          A.  Scope of the Prohibition
          B.  Exceptions		 Prepare to discuss problem, p. 1037
36 1043-45      IV.  Note on State Statutes and
           Alternative Approaches to Referrals
           and Fee Splitting		 Finish discussion of Stark; prepare to discuss problem, p. 1039
37 1046-60 15. Antitrust
     Introduction
     I. Cartels and Professionalism
          A.  Classic Cartels
38 1060-77           B.  Collective Activities with
               Justifications
39 1077-1105      II.  Health Care Enterprises, Integration
         and Financing
          A.  Provider-Controlled Networks and
               Health Plans		 Focus esp. on DOJ-FTC statements of enforcement policy (p. 1086) & note on p. 1101
40 1349-62, 1471-82 19. Life and Death Decisions* * *
     II.  The U.S. Constitution & the "Right to
          Die"* * *
     VI. Physician-Assisted Death
          A. The Constitutional Framework		  
41 1482-1504           B. Legislation to Support Physician-
              Assisted Death		  
42 Skim Gonzales v. Raich (handout); read  Oregon v. Ashcroft (handout)

Optional: oral argument transcript in Gonzales v. Oregon, U.S., No. 04-623

      VII. Regulation of End-of-Life Care Who gets to decide what constitutes "the practice of medicine"? And who should have the final say about the lawfulness of physician-assisted suicide: the states or the Congress and the Department of Justice?

 

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 Last updated: 26 November 2005