PHE: Is the End in Sight?

During a recent Monitor Mondays broadcast, a listener, Rebecca, sent a question asking about the anticipated July 24 expiration of the federal public health emergency (PHE); specifically, she wanted to know about how much to worry about it.

My first reaction was that she was wrong, and that the public health emergency didn’t have an expiration date. I was quite confident that the emergency continued until U.S. Department of Health and Human Services (HHS) Secretary Alex Azar declared it over. In fact, I believed that the emergency had a wind-down period that continued after the Secretary declared it over.

My confidence was misplaced. The reality is that the emergency ends at the earlier date, either when the Secretary decides it’s over, or 90 days after its declaration. (The initial emergency was declared on Jan. 31, but applied retroactively to Jan. 27. It was then extended on April 26, which means it expires on July 24.) 

One would think that with cases rapidly increasing, the extension of the PHE would be obvious. Alas, news reports indicate that the administration is considering allowing it to expire (see, for example, this article). Given that there seems to be an attempt by some to pretend that the outbreak is over, there is certainly a risk that the emergency will not be extended.

But the focus of this article is mistakes. There is an important lesson about the value of actually looking at the law, rather than making assumptions about it. People often worry about hiring an out-of-state lawyer, assuming that a local lawyer will better understand state laws. I certainly understand that thought, but I want to share two stories to demonstrate that the risk of hiring an out-of-state lawyer may be much lower than you think. The stories also illustrate the peril of confidence.

In the first story, I come off looking pretty good. A client in Texas engaged me after the local hospital threw a bunch of physicians off the staff because of economic credentialing. Economic credentialing is when a hospital refuses to grant privileges to physicians who have a financial interest that competes with the hospital, such as owning an ambulatory surgery center or imaging equipment. In some states, it is legal for the hospital to terminate a physician from the staff solely because of that competition. In others, it’s not. After being engaged by the client in Texas, I did some research and discovered that Texas had a statute prohibiting economic credentialing. There were half a dozen Texas lawyers involved in the case, but none of them knew about that statute. I was pretty proud of myself. 

Alas, after the pride cometh the fall. It was just a few weeks later, when I was working for a client in my home state of Minnesota, that an out-of-state lawyer called my attention to a Minnesota law I had never heard of. Again, we often think of a local lawyer as knowing the law better, and there are certainly times this is true. There are a few quirky statutory provisions that an out-of-towner may not easily discover. But regular practice in an state can result in overconfidence. Someone coming in from out of town and with fresh eyes is more likely to do a careful review of the law. Such a review can be more expensive, but it can also be more fruitful. The skill of balancing the cost-benefit of exhaustive legal research is perhaps one of the most important traits you want in a lawyer. 

To recap, it is important to actually look at the law, rather than assume you know the answer. And it can be useful to engage a lawyer who has some humility. And don’t feel like you’re limited to engaging local lawyers. It’s a big country, with lots of talented legal minds. Seek out the best. 

Facebook
Twitter
LinkedIn

David M. Glaser, Esq.

David M. Glaser is a shareholder in Fredrikson & Byron's Health Law Group. David assists clinics, hospitals, and other health care entities negotiate the maze of healthcare regulations, providing advice about risk management, reimbursement, and business planning issues. He has considerable experience in healthcare regulation and litigation, including compliance, criminal and civil fraud investigations, and reimbursement disputes. David's goal is to explain the government's enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a member of the RACmonitor editorial board and is a popular guest on Monitor Mondays.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

AI, Audits, and the Future of the Revenue Cycle

Artificial intelligence is rapidly transforming healthcare revenue cycle operations, from coding and auditing to compliance and denials. Join industry leaders Pam Warren (MaineHealth) and Raemarie Jimenez (AAPC) for a live fireside chat exploring how AI is changing workflows, workforce roles, payer-provider dynamics, and compliance risk—and what organizations should be doing now to prepare.

June 17, 2026

Trending News

Featured Webcasts

Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules – Part 2

Medicare regulations are complex and even seasoned professionals struggle to apply them consistently. Due to overwhelming demand, Dr. Hirsch returns for Part 2 of Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules to answer even more of Medicare’s most misunderstood questions, covering inpatient status, observation, SNF access, Medicare Advantage denials, and more. Join Dr. Hirsch as he provides clear, referenced answers to real-world questions submitted by your peers, helping you navigate Medicare compliance with confidence and clarity.

June 18, 2026

Reengineering Utilization Management: Building an Adaptive Model for the New Payer Era

Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.

May 20, 2026

Compliance for the Inpatient Psychiatric Facility (IPF-PPS): Minimizing Federal Audit Findings by Strengthening Best Practices

Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.

April 9, 2026

Mastering MDM for Accurate Professional Fee Coding

In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.

March 31, 2026

Trending News

Celebrate Lab Week with MedLearn! Sign up to win one year of our Laboratory All Access Pass! Click here to learn more →

Have a Medicare regulation question you’d love Dr. Hirsch to answer? Now is your chance! CLICK HERE to learn more→

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

This Memorial Day, we honor those who gave all for our freedom. Take 20% off sitewide through May 29 with code MEMORIAL26 at checkout

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24