July 20, 2023

Consent for Treatment of Minors in Idaho

By Kim Stanger

In Idaho, persons under the age of 18 (“minors”) may consent to their own healthcare in only limited circumstances.1

General Rule: Obtain Consent from Parent or Surrogate Decision Maker. Idaho Code § 39‑4503 sets forth the general standard for determining whether a person is competent to consent to their own healthcare:

Any person … who comprehends the need for, the nature of and the significant risks ordinarily inherent in any contemplated health care services is competent to consent thereto on his or her own behalf.

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July 19, 2023

The Idaho Medical Consent Act: Recent Amendments

By Kim Stanger

The Idaho legislature has amended Idaho’s Medical Consent Act.  The redlined changes are shown here.  Effective July 1, 2023, the rules for medical consents in Idaho are as follows:

1. Need for Informed Consent. As a general rule, a healthcare provider or entity must have informed consent from a competent patient or their authorized surrogate decision-maker to provide healthcare. Failure to obtain sufficiently informed consent may subject the provider to liability for civil, administrative, and potentially criminal penalties.  In addition to malpractice, assault, or other common causes of action, Idaho recognizes a specific tort cause of action for lack of informed consent.1 Continue reading

April 13, 2023

Idaho’s Amended Abortion Laws: Summary and Updated FAQs

By Kim Stanger

The Idaho legislature has amended Idaho’s abortion laws. This health law update briefly summarizes key changes and updates our FAQs to address the new developments.

Total Abortion Ban. The Idaho legislature addressed some of the concerns by providers but declined to add an exception based on the health of the mother. As amended effective July 1, 2023, Continue reading

March 31, 2023

Physicians and Other Healthcare Providers: Beware “Eat What You Kill” Compensation Models

By Kim Stanger

Physicians and other healthcare providers often structure their group compensation formulas on an “eat what you kill” basis, i.e., a provider is paid based on the services he or she performs in addition to items or services they order, prescribe, refer, sell, etc. Such formulas must be reviewed, structured, or revised appropriately to ensure compliance with federal fraud and abuse laws, including Stark, the Anti-Kickback Statute (AKS), and the Eliminating Kickbacks in Recovery Act (EKRA). Continue reading

March 20, 2023

Public Health Emergency Ends May 11, 2023: Check Your Readiness

By Kim Stanger

After three years, the federal public health emergency (PHE) will expire May 11, 2023.1 Most of the relaxed regulatory and payor standards will end on or within a few months after the deadline, including many relating to:

  • Federal subsidies for PHE-related services.
  • Medicare coverage and/or the amount of reimbursement for certain services, especially COVID-related care and telehealth services.
  • Medicaid coverage for COVID-related services.
  • Flexibility on standards relating to patient stays (e.g., use of skilled nursing facility (SNF) beds for patients who do not meet SNF criteria; critical access hospital (CAH) 25-bed and/or 96-hour length of stay requirements; etc.).
  • Facility safety, staffing, and operational standards.
  • Use of alternative or expansion sites to provide care (e.g., Hospitals Without Walls Programs; use of other sites to render hospital services; etc.).
  • Practitioner supervision requirements.
  • Charges and cost-sharing amounts for certain services, including COVID testing.
  • Prescribing controlled substances through telehealth services as otherwise governed by the Ryan Haight Act.
  • Use of non-HIPAA compliant modalities to conduct telehealth visits.
  • Stark, Anti-Kickback Statute, and Civil Monetary Penalties waivers concerning arrangements with physicians, patients, and other referral sources.
  • EMTALA guidelines concerning directing patients to other locations.
  • PREP Act liability protections.2

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January 17, 2023

Idaho Abortion Laws: Updated FAQs

By Kim Stanger

On January 5, 2023, the Idaho Supreme Court upheld Idaho’s near-total abortion ban (I.C. § 18-622), Idaho’s fetal heartbeat (“6-week”) abortion ban to the extent it is not superseded by the near-total abortion ban (I.C. § 18-8804), and Idaho’s Texas-style civil liability statute (I.C. § 18-8807).1 Anyone who performs an abortion of a clinically diagnosable pregnancy is guilty of a felony unless the abortion is necessary to save the life of the pregnant woman or in the case of rape or incest.2 The total abortion ban is currently subject to an important exception: on August 24, 2022, the United States District Court of Idaho entered a preliminary injunction blocking enforcement of the total abortion ban in cases in which the Emergency Medical Transport and Active Labor Act (EMTALA) would require hospital-affiliated providers to perform an abortion to protect the health of the mother.3 Given these developments, we have updated our answers to common questions concerning Idaho’s abortion laws. Continue reading

January 11, 2023

Idaho Abortion Laws: Idaho Supreme Court Upholds Laws but Offers Important Clarifications

By Kim Stanger

On January 5, 2023, the Idaho Supreme Court upheld Idaho’s near Total Abortion Ban (I.C. § 18-622), its 6-Week Abortion Ban (I.C. 18-8804 to -8805), and its related Civil Liability Law (I.C. § 18-8807). Planned Parenthood v. State of Idaho, No. 49615, 49817, 49899 (Idaho 1/5/23) (“Opinion”), available here. Those laws are discussed more fully in our client alert titled Idaho Abortion Laws: New Law and EMTALA Exception Now Effective. However, in its recent opinion, the Court included several important clarifications. Continue reading

December 15, 2022

Mandatory Disclosures for Healthcare Workers Under Idaho Law

By Kim Stanger

The HIPAA privacy rules allow healthcare providers to disclose protected health information to the extent another state or federal law or regulation requires it:

A covered entity may use or disclose protected health information to the extent that such use or disclosure is required by law and the use or disclosure complies with and is limited to the relevant requirements of such law.1

(45 C.F.R. § 164.512(a)(1)). Importantly, HIPAA only allows such disclosures if the other law requires the disclosure, not if the other law simply allows disclosures. (78 FR 5618). In cases where another law permits but does not require disclosure, HIPAA would preempt the other law and prohibit the disclosure unless another HIPAA exception applied. Continue reading