Please click here to see Koehler Fitzgerald's December 2018 Out-of-Network Newsletter, in which we discuss the recent case, Texas, et al. v. United States of America, et al., (U.S.D.C. N.D. Texas No. 4:18-cv-00167-O), in which the Court held that the ACA is unconstitutional. The Newsletter also discusses the Centers for Medicare & Medicaid Services proposed rules that would establish an international drug price reference index for certain medicare Part B drugs.