Health Care & Life Sciences
Sections
overview
Industry Support
Industry Involvement
representative matters
Relevant Practices
team
insights
contact us
Overview
Health care organizations operate in one of the most complex and rapidly evolving regulatory environments in the country. Health care providers are navigating constant change as compliance standards shift, new regulations emerge, and technological advancements reshape healthcare operations, all while ensuring they provide the best possible care for their patients.
At Rupp Pfalzgraf, we provide innovative and forward-thinking legal counsel to help health care organizations not just keep up with the evolving industry, but position themselves to lead within it. Our multidisciplinary team combines both transactional and litigation experience to serve organizations across the health services industry, from hospitals and long-term care facilities to physician, dental, and veterinary practices.
In the health care industry, legal issues arise quickly and require immediate action. Our Health Law team brings thorough knowledge of health care regulations and processes to help our clients resolve complex issues before they escalate. We advise on a range of matters, including Medicare and Medicaid audits, HIPAA compliance, the Medicaid application process, and guardianship appointments. Our attorneys are also experienced in conducting special proceedings on behalf of hospitals, nursing homes, and assisted living facilities involving involuntary discharge and health care decision making. These are often sensitive, high-stakes situations that require sound judgment and responsive counsel, and our team is experienced in handling them with both urgency and care.
In the field of veterinary medicine, our Veterinary Law & Ethics attorneys are recognized as leaders in the industry with decades of experience exclusively in veterinary law. We represent veterinarians, veterinary practices, and animal care professionals across the country, and guide clients through the full spectrum of legal matters they face as practice owners. Our attorneys have extensive nationwide experience in veterinary practice mergers and acquisitions, closing transactions in nearly every state. We manage more than 35 complex transactions annually and have successfully closed deals with virtually every aggregator in the market.
Our health care clients benefit from the depth of a full-service firm, supported by attorneys who collaborate across multiple practice areas, including Business Law, Labor & Employment, AI Law, and Project Development. We provide counsel on the full spectrum of corporate matters, such as governance, transactions, regulatory compliance, and long-term strategic decisions, while also advising on the workforce challenges that arise in highly regulated environments. As technology advances and becomes integrated into day-to-day operations, we help clients understand how artificial intelligence and other emerging tools intersect with their existing legal and compliance obligations, including HIPAA and data privacy. For organizations undertaking facility development or redevelopment, our Project Development team has extensive experience advising hospital systems and medical campuses on complex projects from start to finish.
With experience representing clients across New York State and nationwide, our firm brings a broad industry perspective to every engagement. We understand the operational realities healthcare providers face and the urgency with which issues must be addressed. Our role is not simply to solve problems as they arise, but to equip health services organizations with the long-term strategy, foresight, and comprehensive support they need to continue delivering the highest standards of care in an ever-changing industry.
How We Support the Healthcare and Life Sciences Industry
- Representation of healthcare providers through Medicaid and Medicare audits, including recovery of funds, appeals, and reimbursement issues
- Compliance matters involving payer relationships and managed care arrangements
- HIPAA privacy and security compliance
- Corporate formation and governance for physician practice groups
- Contract review for physician practices
- Licensing and credentialing matters
- Succession planning for physician practices
- Article 81 guardianship proceedings involving incapacitated adults
- Surrogate’s Court 17-A guardianship proceedings
- Disputes involving health care proxies and powers of attorney
- Conducting special proceedings on behalf of health care institutions involving health care decision making, orders for medical and life-sustaining treatment over objection, involuntary discharge, disputed authority, and Mental Hygiene Law matters
- Medicaid application assistance for chronic care, assisted living, ALP, and community programs
- Medicaid fair hearings and appeals
- Advising veterinary practices on mergers & acquisitions, including representing veterinary practice sellers in transactions with corporate aggregators
- Structuring associate DVM ownership transitions for veterinary practices
- Business entity formation and selection for veterinary practices
- Employment agreements, non-compete and non-solicitation agreements for veterinarians and practice staff
- Purchase, sale, and lease agreement negotiation and drafting for veterinary practice real estate
- Organizational documents, including operating agreements and shareholders agreements addressing capitalization, management and control provisions, transfer restrictions, and exit rights
- Regulatory compliance and filings with state and federal agencies
- Representing health care organizations in mergers, acquisitions, and asset purchases
- Cyber security and data privacy
- Labor & employment support, including workplace policies and employee agreements, conducting internal investigations, compliance audits, and training for management
- Defense of employers before the New York State Division of Human Rights, the U.S. Equal Employment Opportunity Commission, the Occupational Safety and Health Administration, and the National Labor Relations Board, among other administrative agencies
- Defending employers against discrimination, harassment, and retaliation claims
- Advising hospitals and medical campuses on complex development projects, including brownfield redevelopment
- Advising health care organizations on the legal and compliance implications of adopting artificial intelligence
- Legal certification that AI tools and systems align with applicable health care regulatory frameworks, including HIPAA
- Developing AI governance programs, internal policies, and documentation standards for health care organizations deploying AI in clinical or administrative operations
Industry Involvement
- Veterinary Law & Ethics practice group leaders Frank Muggia and Stuart Smith have attended and presented at numerous leading veterinary industry conferences, including the North American Veterinary Community (VMX), Western Veterinary Conference (WVC), American Veterinary Medical Association Convention (AVMA), Southwestern Veterinary Symposium (SVS), and Midwest Veterinary Conference (MVC).
Representative Matters
- Led the Environmental Impact Statement and Entitlement Process for the development of a major medical campus in Western New York, including two hospitals, a long-term care facility, an office building, and two car parking garages servicing the campus
- Represented one of Western New York’s largest healthcare institutions in corporate governance matters, creditor enforcement actions, and multi-party disputes involving patient records, CLIA certification, and operational control of medical practices
Relevant Practices
Health Law
Business Law
Veterinary Law & Ethics
Labor & Employment
AI Law, Compliance & Emerging Technology
Project Development, Land Use & Energy
Team
Batt-J

Jamie
Batt
Partner
Buffalo, NY
Burge-B

Benjamin
Burge
Partner
Buffalo, NY
Cantil-J

Jonathan
Cantil
Partner
Buffalo, NY
Cercone-M

Marco
Cercone
Partner
Buffalo, NY
Cook-CJ

CJ
Cook
Partner
Buffalo, NY
Bozeman, MT
Hallak-D

Daniel
Hallak
Partner
Long Island, NY
Honan-J

Jacob J.
Honan
Associate
Buffalo, NY
Kos-S

Steven
Kos
Partner
Buffalo, NY

