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Articles by Gary Bruce
One Big Beautiful Bill Act
Is the Cost of Cutting Healthcare Just Too High? Since the passage of H.R. 1 in July of 2025, healthcare organizations have been bracing for the effects of lower Medicaid revenues. The Congressional Budget Office (“CBO”) estimates that, over its 10-year lifespan, the bill will reduce federal Medicaid spending by about $911 billion and increase the number of uninsured people by about 10 million.
What Alabama Drivers Should Know Before Talking to an Insurance Adjuster After a Crash
By Gary O. Bruce, Founder, Law Offices of Gary Bruce Last reviewed: September 2026 A car accident can turn your day upside down in seconds. Your car is damaged, your body hurts, and your phone starts ringing before you even get home. On the other end is often an insurance Adjuster, and that first call can shape the rest of your claim. Alabama law makes this moment even more important, because one careless word can cost you money you deserve.
Alaska Healthcare Legislative Recap 2026
The 34th Alaska Legislature’s 2026 Regular Session ended on May 20, 2026. The legislature passed numerous laws affecting Alaska healthcare entities and providers. This article covers some of the highlights. Senate Bill 89 – Eliminating the Requirement of In-Person Supervision of PAs We previously discussed SB 89, also known as the “Physician Assistant Scope of Practice” Bill.
Time is of the Essence for Hospitals Affected by the New Provider-Based Billing Rules | JD Supra
Earlier this year, Congress passed the Consolidated Appropriations Act ("CAA"), which imposes two new requirements on hospitals that operate off-campus, provider-based clinics. These hospitals must now: Obtain separate national provider identification ("NPI") numbers for each of their provider based clinics; and Submit an attestation of compliance for each of their provider-based clinics.
Time is of the Essence for Hospitals Affected by the New Provider-Based Billing Rules
Time is of the Essence for Hospitals Affected by the New Provider-Based Billing Rules Copyright © 2026 The respective authors. Distributed by JD Supra, LLC. All rights reserved. Earlier this year, Congress passed the Consolidated Appropriations Act ("CAA"), which imposes two new requirements on hospitals that operate off-campus, provider-based clinics. These hospitals must now:
New Legislation Set to Affect Physician Assistants Working in Alaska
Physician assistants in Alaska may soon have greater autonomy to provide healthcare services after the passage of Senate Bill 89, which has been referred to as the Physician Assistant Scope of Practice Modernization Bill. This new legislation seeks to bring Alaska into greater alignment with Oregon, Washington, and other states that have loosened physician supervision requirements for physician assistants in recent years.
New Legislation Set to Affect Physician Assistants Working in Alaska
Physician assistants in Alaska may soon have greater autonomy to provide healthcare services after the passage of Senate Bill 89, which has been referred to as the Physician Assistant Scope of Practice Modernization Bill. This new legislation seeks...
A Closer Look At the Rural Health Transformation Program
Since our last update in January, all states have been deemed approved for RHTP funding. Today, we are taking a closer look at how this affects OR, WA, and AK. On July 4, 2025, President Trump signed into law the bill he has dubbed, the “One Big Beautiful Bill” or “OBBB.” This legislation passed the Senate by means of a tie-breaking vote cast by Vice President, JD Vance.
Healthcare Industry: Legislative Updates 2026
Oregon’s and Washington’s legislative sessions both wrapped up earlier this month with lawmakers passing measures that will considerably impact patients and healthcare in the region. Many bills were clear attempts to slow or prevent changes proposed or mandated by the federal government.
Healthcare Industry: Legislative Updates 2026
Oregon's and Washington's legislative sessions both wrapped up earlier this month with lawmakers passing measures that will considerably impact patients and healthcare in the region. Many bills were clear attempts to slow or prevent changes proposed...
The Rural Health Transformation Program | JD Supra
On December 29, 2025, the Centers for Medicare & Medicaid Services (“CMS”) announced that Oregon will be receiving $197 million under the Rural Health Transformation Program (“RHTP”) for 2026.[1] This amount is slightly less than the $200 million average amount awarded to each state by the federal program, and considerably less than the $281 million promised to the leading awardee, Texas.[2] The disparities in the RHTP’s first round of disbursements become even more stark when considered on a...
Oregon Workplace Violence Prevention and Protection Bill: Would SB 537 Cause More Pain Than It Alleviates? | JD Supra
The Oregon Senate is considering a bill that would impose new and expanded workplace violence prevention, response, and reporting obligations upon hospitals, ambulatory surgery centers, home health agencies, and home hospice programs. Supporters of SB 537 argue that the proposed legislation is necessary to combat a growing epidemic of workplace violence in health care.
How Might Oregon and Washington healthcare providers be effected by proposed Medicaid cuts? | JD Supra
On February 25, House Republicans narrowly passed a budget resolution that requires the House Energy and Commerce Committee to find $880 billion in spending cuts over the next 10 years.
Working With Patients Who May Be Undocumented Immigrants in an Era of Increased Immigration Law Enforcement Activity | JD Supra
On his first day in office, President Trump made good on several campaign promises by issuing various immigration-related executive orders.
Living PHearlessly With Soul Mate by Side
Gary Bruce (right) co-leads the Pulmonary Hypertension Association Dallas Support Group with his wife Debra Hines-Bruce, whom he met at a PHA conference. He initially shared his story in the 2023 PHA Annual Report. ‘I feel like it’s my job to learn everything I can and help others take back that control.’ By Gary Bruce When I was diagnosed with PH in 2015, I felt lost and scared. I found my community when I joined a PHA support group.
Supreme Court decision overturning Chevron could have huge implications for health care | JD Supra
The recent U.S. Supreme Court decision overturning the Chevron Doctrine, which curtailed the power of the federal agencies to interpret the laws they administer, could prove to be disruptive in the health care realm, said two attorneys with Schwabe in Portland. “It could be very far-reaching, and we expect to see a lot of lawsuits,” said Jon French, a shareholder at Schwabe who focus on the health care.
Chevron’s End Means Uncertainty and Opportunity for the Healthcare Industry | JD Supra
“Chevron1 is overruled.” The U.S. Supreme Court’s June 28 decision in Loper Bright Enterprises v. Raimondo and its companion case, Relentless v. Department of Commerce2, will have enormous effects on the healthcare sector. For the past 40 years, the “Chevron Doctrine” has required courts to defer to administrative agencies for interpreting ambiguities in the statutes they administer—effectively allowing the agencies to fill in the gaps, even where a court might arrive at a different interpretation.
Is Now the Right Time For Your Health Care Merger? | JD Supra
Health care leaders intent on growing their businesses in the Pacific Northwest through mergers and acquisitions have difficult timing decisions to make. On the one hand, many larger health systems and hospitals have just now started to rebound from the financial and emotional wreckage of the COVID-19 pandemic.[1] The temptation might therefore be to maintain the status quo for a while, enjoying a rare opportunity to rest and take full breaths after years of treading water.
New Rules Aim to Treat Substance Abuse Records Like Other HIPAA-Protected Health Information | JD Supra
The rules will take effect on April 16. For years, health systems and health care providers have struggled to make sense of the rules that govern the use and disclosure of substance use disorder (SUD) treatment records. In particular, providers questioned how to restrict access to SUD treatment records to comply adequately with the rules, which are codified in 42 CFR Part 2, while allowing enough access to ensure that patients received proper and comprehensive treatment.
Are We Really Prepared for the Next Pandemic? | JD Supra
Schwabe’s recently published report, “State of Healthcare in the Pacific Northwest,” offers reason for optimism. It notes that over 40% of the healthcare workers in Oregon and Washington who responded to the firm’s survey believe that their institutions are better prepared for the next pandemic.
Opinion: Oregon Is Among A Minority Of States Not In The Nurse Licensure Compact. Should It Be?
Despite unprecedented and ongoing nurse staffing challenges, Oregon remains one of 14 states that does not currently participate in the multistate Nurse Licensure Compact (NLC). Two states, Ohio and Pennsylvania, have passed NLC legislation and expect to have their reciprocal licensing programs up and running soon. Seven other states have NLC legislation under review.
Surprise Medical Bills in the Crosshairs: Supreme Court Decision Places Additional Obligations on Health Care Providers | JD Supra
On May 16, 2022, the Colorado Supreme Court issued an opinion that serves as a cautionary tale for health care providers hoping to bill patients at chargemaster rates. The court’s decision in French v. Centura Health turned on the meaning of the phrase “all charges of the Hospital,” as set forth in the hospital service agreement (HSA) signed by Ms. French.
Physician Assistants Will Have Increased Autonomy and Independence Under Proposed Rules | JD Supra
On May 23, 2022, the Oregon Medical Board (OMB) is hosting a public hearing on rules that propose major changes to the way physician assistants (PAs) practice in Oregon. The rules were written in response to House Bill 3036, which supporters have dubbed the “Physician Assistant Modernization Bill.” More broadly, the rules were written in response to mounting concerns about health care access and equity, especially for rural and minority populations.
New Non-Discrimination Law Leaves Many Open Questions | JD Supra
On July 19, 2021, Governor Kate Brown signed a bill that is intended to combat discrimination in health care. SB 567 prohibits health care providers in Oregon from denying medical treatment, or limiting the amount of medical resources allocated, to patients based on their race, color, national origin, sex, sexual orientation, gender identity, age, or disability. SB 567 has been the subject of considerable debate.
New Bill Pumps the Breaks on Health Care Consolidation in Oregon - Update | JD Supra
The Equal Access to Care Act affects certain health care entities that are interested in consummating a “material change transaction.” It is headed to the governor for signature and is not a law as of this date. July 28, 2021 On July 27, 2021, Governor Kate Brown signed into law a bill that will make it more difficult for health care entities in Oregon to consummate mergers and similar transactions.
New Bill Pumps the Breaks on Health Care Consolidation in Oregon | JD Supra
The Equal Access to Care Act affects certain health care entities that are interested in consummating a “material change transaction.” It is headed to the governor for signature and is not a law as of this date. Before adjourning its 2021 session, the Oregon legislature passed an act that will make it more difficult for health care systems, insurers, and other health care entities to merge with, acquire, or otherwise join forces with their industry counterparts.
Telehealth Services Will Transform Access And Quality Of Healthcare
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Telehealth Services Will Transform Access and Quality of Healthcare | JD Supra
There may never be a better time for your medical practice to start developing its telemedicine portfolio. Recently, the federal government has made it easier for healthcare providers to provide and bill for telemedicine services. While some of these changes are temporary, applying only while the COVID-19 public health emergency persists, other changes are permanent.
Jenkins, Gary Bruce - HDR | Hickory Daily Record : Obituaries
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Jenkins, Gary Bruce - Morganton.com | The News Herald: Obituaries
Thank you for reading 10 free articles on our site. You can come back at the end of your 30-day period for another 10 free articles, or you can purchase a subscription and continue to enjoy valuable local news and information. If you need help, please contact our office at 828-437-2161. You need an online service to view this article in its entirety. Need an account? Create one now.
The Firm: The Inside Story of the Stasi
This is surely the most detailed micro-analysis of the East German security service recently added to the existing flood of material on the subject. To get down into the inner workings of “the Firm,” as its employees liked to call it, Bruce focused on two of the organization’s 217 district offices, Gransee and Perleberg, rather out-of-the-way areas of no particular significance.
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