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Chapter 56
HEALTH CARE
Updated and Revised by
Howard Feller, Esq.
McGuireWoods LLP
Richmond, Virginia
The Section of Antitrust Law gratefully acknowledges Christine D. Mehfoud, Esq.,
Justin B. Nelsen, Esq., and Howard M. Ullman, Esq. for their work on this chapter in
prior editions.
Health Care 56-iii
CONTENTS
1. State Health Care Antitrust Statutes .............................................................. 1
a. Provider Collaboration Statutes ....................................................... 1
(1) Covered Entities and Activities ............................................. 2
(2) Responsible State Authority .................................................. 3
(3) Criteria for Granting Certificates ........................................... 4
(4) Public Hearings and Periodic Reporting................................ 4
b. Other State Statutes.......................................................................... 5
2. Substantive Antitrust Issues........................................................................... 7
a. Introduction...................................................................................... 7
(1) State Case Law....................................................................... 7
(2) Government Enforcement Actions......................................... 7
(3) Business Review Letters........................................................ 7
b. Horizontal Agreements Other Than Group Boycotts....................... 8
(1) Price Fixing............................................................................ 8
(a) State Case Law ............................................................ 8
(b) Government Enforcement Actions and Business
Review Letters............................................................. 9
(2) Market Division and Customer Allocation .......................... 11
(a) State Case Law .......................................................... 11
(b) Government Enforcement Actions and Business
Review Letters........................................................... 12
c. Group B oycotts.............................................................................. 13
(1) State Case Law..................................................................... 13
(2) Government Enforcement Actions and Business Review
Letters .................................................................................. 19
d. Vertical Restraints.......................................................................... 20
(1) State Case Law..................................................................... 20
(2) Government Enforcement Actions and Business Review
Letters .................................................................................. 22
e. Monopolization .............................................................................. 22
(1) State Case Law..................................................................... 22
(2) Government Enforcement Actions and Business Review
Letters .................................................................................. 26
f. Mergers .......................................................................................... 26
(1) State Case Law..................................................................... 26
(2) Government Enforcement Actions and Business Review
Letters .................................................................................. 27
g. Tying Arrangements ...................................................................... 29
(1) State Case Law..................................................................... 29
(2) Government Enforcement Actions and Business Review
Letters .................................................................................. 30
h. Other Issues.................................................................................... 31
(1) State Case Law..................................................................... 31
(2) Government Enforcement Actions and Business Review
Letters .................................................................................. 32

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