T. Mills Fleming - HunterMaclean

Experience

Mills Fleming chairs HunterMaclean’s health care practice group. Mills is a past president of the Georgia Academy of Healthcare Attorneys and a member of the American Health Lawyers Association as well as the Health Law Section of the State Bar of Georgia. His practice concentrates on the general representation of health care systems, specialized regulatory support to health care entities, and specialized projects involving compliance planning, physician contracting, qui tam/FCA investigations, health care industry restructuring, physician contracting, tax-exempt entities and intermediate sanctions, reimbursement, fraud and abuse, managed care, and health care policy. He also assists clients with compliance self-assessments and remedial actions, hospital board governance, Stark Law compliance assessments, and the development of multi-provider joint ventures.

Mills is included in the most recent editions of The Best Lawyers in America. He writes and speaks frequently on health care law issues and is co-editor of the Georgia Hospital Association’s Hospital Law Manual, 5th edition (2005 and 2011). He also wrote an article on the final HIPAA privacy rules for the American Bar Association’s American Law Institute and has presented at several of the Georgia Academy of Healthcare Attorneys’ annual meetings.

Mills’ practice also focuses on immigration and nationality law; he began practicing in this area in 1990. His practice includes extensive visa work handling both temporary and permanent visa cases, J-1 waivers, and hospital-physician visa issues as well as advice regarding compliance with the I-9, discrimination, and document abuse provisions of the Immigration Reform and Control Act of 1986. Mills is a member of the American Immigration Lawyers Association, the ABA-affiliated association for attorneys practicing immigration law. He is a frequent lecturer and presenter on immigration topics, and he advises employers regarding best practices in employment-related topics.

Mills graduated from the University of Florida with a B.A. in 1986 and a J.D. in 1989. He began his legal career at HunterMaclean, served for three years as general counsel with a large hospital system, and returned to HunterMaclean in 1995. He is admitted to practice in the U.S. District Court for the Southern District of Georgia and the Supreme Court of the State of Georgia.

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Representative Engagements

Recognition/Approvals by Federal and State Governmental Agencies (e.g., the U.S. Department of Justice (USDOJ), the Internal Revenue Service (IRS) and the Office of the Attorney General-State of Georgia, respectively)

“In the Matter of the Sale of Hutcheson Medical Center to Hutcheson Acquisition Sub, LLC, a Subsidiary ValorBridge Partners, LLC” – No. 2016-01 (April 29, 2016)(Attorney General for the State of Georgia’s approving the sale of a non-profit hospital to a for-profit entity in compliance with the Georgia Hospital Acquisition Act and Georgia Hospital Authorities Law) (Link)
IRS Determination Letter that a hospital foundation is a Type I supporting organization under Internal Revenue Code Section 509(a)(3) (November 30, 2010)
“U.S. Department of Justice – Business Review Letter.” U.S. Department of Justice, No. 09-1 (September 4, 2009)(approving joint pricing collaboration between two competing health care systems) (Link 1, Link 2)
Certification of Compliance Agreement between the Office of Inspector General of the Department of Health and Human Services and a health system (February 11, 2008) (Link)
IRS Private Letter Ruling, PLR 200211051, 2001 PLR Lexis 1971 (December 20, 2001)(approving a large health care system’s corporate restructuring) (Link)
IRS Private Letter Ruling (April 30, 1998)(unpublished)(approving a tax exempt entity’s physician compensation/gainsharing proposal)
Smith v. Memorial Medical Center, Inc., et al., 208 Ga. App. 26 (430 SE2d 57) (1993)

Other Representative Engagements, Litigation, and Transactions

Represented a non-profit hospital in federal court litigation involving, among other things, the specific application of the Georgia Hospital Acquisition Act and Georgia Hospital Authorities Law (U.S. District Court, Northern District of Georgia and the 11^th Circuit Court of Appeals).
Represented the Chapter 11 trustee for a bankrupt hospital in the sale of the hospital and the hospital’s nursing home (U.S. Bankruptcy Court, Northern District of Georgia).
Represented a major health care system in criminal and civil fraud and abuse and tax fraud investigation and litigation by the USDOJ alleging violations of the federal Stark law and the federal Anti-Kickback Statute and the use of the physician employment exception (U.S. District Court, Southern District of Georgia).
Represented a health care executive in USDOJ investigation and litigation of False Claims Act violations (U.S. District Court, Southern District of Georgia) (Link).
Represented a major health care system in USDOJ investigation of alleged federal Stark law, federal Anti-Kickback Statute, and False Claims Act violations relating to physician compensation, fair market value and commercial reasonableness issues (U.S. District Court, Southern District of Georgia).
Represented a large homebuilder in a federal Fair Housing Act lawsuit brought by a local fair housing council and the USDOJ (U.S. District Court, Southern District of Georgia).
Represented an international nurse recruiting company in its sale to a publicly traded entity.
Represented various court-appointed criminal defendants who were indicted for an assortment of crimes including human trafficking, gun trafficking and drug trafficking (U.S. District Court, Southern District of Georgia).
Represented hospitals in medical malpractice defense litigation and various insurance companies in general defense litigation.
Represented a major health care system in a managed care/revenue cycle dispute.
Obtained tax-exempt status for a cancer treatment and research non-profit corporation.
Negotiated an affiliation agreement between a major health care system and a university-based medical school.
Negotiated sale of a large health system’s home health care services to a publicly traded entity.
Obtained successful termination of provider agreement between the Centers for Medicare & Medicaid Services (CMS) and a health system under the provisions of 42 C.F.R. 489.52(b)(3).
Structured a corporate reorganization of a major health care system and obtained an IRS private letter ruling for the transaction.
Negotiated the sale of a hospital-based outpatient surgery center to a hospital-physician joint venture ambulatory surgery center (ASC) and obtained the first-ever letter of non-reviewability for this type of transaction from the Georgia Department of Community Health.
Served as health care system counsel for several $150+ million tax-exempt bond financings and refinancings.
Represented large health care system in the filing of federal Anti-kickback Statute advisory opinion requests with DHHS’s Office of Inspector General.
Negotiated a Shared Services Agreement between a major health system and multi-state health care provider.
Represented laboratory services provider in defense of tortious interference claims in Georgia (U.S. District Court, Northern District of Georgia) and South Carolina (Court of Common Pleas, South Carolina).
Negotiated the sale of a hospital-based air and ground ambulance service.
Negotiated a bond insurer’s waiver of a major health care system’s rate covenant default.
Served as health care system counsel for Community Needs Assessment and IRC Section 501(r) compliance.
Represented a non-profit hospital in intergovernmental agreement negotiations with a county government and a county hospital authority for the provision of indigent care.
Negotiated various telemedicine contracts between a major health system and numerous regional hospitals.
Represented a major health care system in executive management agreement negotiations.
Advised non-profit hospital boards of directors and management on governance requirements, corporate bylaws, and compliance.
Negotiated a joint pricing collaborative between two major health care systems and obtained USDOJ approval for the transaction.
Served as a major health care system’s counsel for $50 million taxable and tax-exempt financing for the health system’s electronic medical record hardware and software purchase.
Served as hospital counsel for public access requests under Georgia’s Open Meetings and Open Records Act.
Represented a major health care system in the sale of its inpatient rehabilitation service line to a for-profit joint venture with a national health care provider.
Represented a major health care system in negotiating multi-million dollar lines of credit arrangements.
Represented a large health care system against a municipality in negotiating payments for services rendered to inmates and prisoner detainees.
Represented Swedish-based biofuel manufacturer for immigration matters.
Negotiated the sale of a hospital-based urgent care operation to a joint venture owned by a health care system and a regional health care provider.
Represented a non-profit hospital in intercompany service agreement negotiations.
Represented a major health care system in an internal audit for tax-exempt bond compliance.
Served as special counsel for a non-profit hospital which filed for Chapter 11 bankruptcy protection.
Represented several multi-national corporations for business immigration matters including a South African-based heavy equipment manufacturer, a Japanese-based food ingredient manufacturer, a Turkish-based textile manufacturer, a Turkish-based jet engine manufacturer and a Finnish-based global chemicals company.
Represented a major health care system in negotiating revenue cycle agreements.
Successfully obtained IRS approval for major health care system’s private foundation’s reclassification under IRC § 509(a)(3) as a Type I supporting organization.
Represented a non-profit hospital, which had been destroyed by a tornado, in federal disaster relief negotiations with FEMA.
Represented hospitals and physicians in “Interested Government Agency/Conrad State 30” J-1 visa waiver requests which require the review and approval of (1) the Georgia Department of Community Health/State Office of Rural Health, (2) the U.S. State Department and (3) the USCIS.
Represented employers in defending Title VII/EEOC filings.
Represented a national bank against a large health system which had filed for Chapter 11 bankruptcy protection.
Represented Finnish-based multi-national shipping engine manufacturer in immigration matters and compliance with the federal Export Administration Regulations.
Advised health systems on Patient Protection and Affordable Care Act, HIPAA and HITECH compliance.
Advised multi-national companies on U.S. immigration policies and procedures and I-9 compliance.
Represented a U.S. manufacturer in USICE I-9 investigation.
Served as immigration counsel for international music festival.

Recognition

T. Mills Fleming

visitsuperlawyers.com

Best Lawyers in America: Health Care Law, Immigration Law; 2003-2019

Best Lawyers is the oldest and most highly-respected peer review guide to the legal profession worldwide. A listing in Best Lawyers is widely regarded by both clients and legal professionals as a significant honor, conferred on a lawyer by his or her peers.

Georgia Super Lawyers: Health Care Law, 2006-2018

Super Lawyers is a rating service of outstanding lawyers from more than 70 practice areas who have attained a high-degree of peer recognition and professional achievement. The selection process is multi-phased and includes independent research, peer nominations and peer evaluations.

Georgia Trend Magazine Legal Elite: 2012 & 2017

Georgia Trend Magazine’s annual listing of Georgia’s top attorneys, selected by their peers. The list includes eight practice areas: business law; personal injury litigation; criminal law; labor and employment; taxes, estates and trusts; bankruptcy and creditors’ rights; family law; and general practice/trial law.

Justice Robert Benham Award for Community Service: 2016

Mills Fleming was honored by the State Bar of Georgia and the Chief Justice’s Commission on Professionalism with the 17th Annual Justice Robert Benham Award for Community Service on February 23, 2016. The award recognizes judges and lawyers from the ten judicial districts across Georgia who have made outstanding contributions in the area of community service.

Chambers USA, America’s Leading Lawyers for Business: Health Care Law, 2014-2015

Chambers USA ranks the leading firms and lawyers in an extensive range of practice areas throughout America.

Martindale-Hubbell: AV Rated

The Martindale-Hubbell® PEER REVIEW RATINGS™ are an objective indicator of a lawyer’s high ethical standards and professional ability, generated from evaluations of lawyers by other members of the bar and the judiciary in the United States and Canada.

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Publications & Presentations

Publications

Georgia Looks to Ease Regulations on Struggling Rural Hospitals

HunterMaclean attorney T. Mills Fleming was quoted in this article by Chris Marr, published in BNA’s Health Care Daily Report on May 3, 2018.

Opioid-Dispensing Pharmacists to Pay $5M Penalty to Community

HunterMaclean attorney T. Mills Fleming was quoted in this article by Chris Marr, published in BNA’s Health Care Daily Report on October 31, 2017.

Implementation of Executive Order 13780 by the Department of State and the Department of Homeland Security

In his article for Business in Savannah, immigration attorney Mills Fleming provides a primer for navigating the recent travel ban orders.

Non-profit Hospital Reorganizations

Chapter by T. Mills Fleming published in Georgia Hospital Law Manual for 2005, 2011, and 2017.

A Prescription for Struggling Hospitals

In this article for the Daily Report, health care attorney Mills Fleming discusses the difficulties facing hospitals and how hospital managers can deal with them.

Mills Fleming Op Ed: Supreme Court Vacancy Creates Uncertain Future

Mills Fleming discusses the vacancy in the Supreme Court in this Op Ed for the Savannah Morning News.

Community Health Needs Assessment Requirements for Tax-Exempt Hospitals

This member briefing for the American Health Lawyers Association (AHLA) discusses Internal Revenue Code § 501(r) and the provisions of the Final Rule. The Final Rule imposes specific obligations on hospitals and provides clarity with respect to the IRS’ expectations and enforcement priorities.

Mills Fleming Op Ed: A standing ovation for the performing arts in Savannah

As former board chair of the Lucas Theatre, HunterMaclean attorney Mills Fleming has seen the building progress from a forgotten gem to a centerpiece for the arts. He shares his experiences in this Op Ed for the Savannah Morning News.

Mills Fleming Op Ed: A 275-year-old solution to saving Savannah's youth

Mills Fleming responds to Jan Skutch’s article on saving Savannah’s youth with Bethesda success story.

New Health Care Exchanges to Impact Employers, Hospitals

HunterMaclean partner Mills Fleming explores the complexities of health care exchanges and their potential impact on employers as well as medical providers.

New Government Scrutiny Demands New Strategies for Health Care Clients

Chapter by T. Mills Fleming published in 2011 in Health Care Law Enforcement and Compliance.

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Georgia Immigration Reform Effective July 1

By T. Mills Fleming, published on June 1, 2011, in Business in Savannah.

When Georgia’s Governor Nathan Deal signed House Bill 87 into law earlier this month, he helped shape the ongoing national debate about immigration reform and affected the way Georgia employers can be prosecuted for knowingly hiring undocumented residents.

The new legislation officially takes effect on July 1 at which time Georgia will become the third state in the U.S. to pass its own immigration reform measures. Although immigration enforcement is typically the responsibility of federal authorities, many states argue that the federal government has not done enough to secure our nation’s borders and to protect America from the financial burden of a seemingly endless sea of illegal immigration. Alabama and South Carolina are considering similar immigration bills that could pass later this year.

Mills Fleming Op Ed: The Local Impact of Health Care Reform

T. Mills Fleming discusses the impact of the Patient Protection and Affordable Care Act in this Op Ed for the Savannah Morning News.

Immigration Officials Increase I-9 Audits and Enforcement on Employers

By T. Mills Fleming, published on February 24, 2010, in Business in Savannah.

Immigration law may not be at the forefront of the political landscape, but that doesn’t mean you should be lulled into a false sense of security.

On the contrary, immigration officials lately have begun conducting more Form I-9 audits and have refocused their prosecution on employers rather than illegal immigrants. Employers who do not carefully check their employees’ identity and eligibility status could face up to 10 years in prison or a fine of up to $1,100 per violation because a false statement on an I-9 form is considered felony perjury.

USDOJ - Business Review Letter approving joint collaboration between two competing health care systems

By T. Mills Fleming, published on September 4, 2009.

Program Helps ID Illegal Hires

By T. Mills Fleming, published on July 29, 2009, in Business in Savannah.

The Final HIPAA Rules

By T. Mills Fleming, published in the August 2003 issue of The Practical Lawyer.

Foreign Nationals: Patriot Act Brings Changes to Working in U.S.

By T. Mills Fleming, published in the Savannah Morning News on February 9, 2003.

New Federal Rules on Patient Privacy Could Mean Big Changes for Health Care Providers and Employers

By T. Mills Fleming, published in the Savannah Morning News as a three-part series of articles on September 1, September 15, and October 6, 2002.

Hospital Medical Records

Chapter by T. Mills Fleming published in 2001 in Georgia Hospital Law Manual (4th edition).

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Health System Restructuring, IRS Private Letter Ruling

By T. Mills Fleming, published on December 20, 2001, in PLR 200211051, (12/20/01).

Solving the Labor Shortage Dilemma

By T. Mills Fleming, published in the Savannah Morning News on July 8, 2000.

Physician Compensation/Gain Sharing, IRS Private Letter Ruling

By T. Mills Fleming; unpublished; dated April 30, 1998 .

Hospital Medical Records

Chapter by T. Mills Fleming published in 1997 in Georgia Hospital Law Manual (3rd edition).

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Presentations

Evolution and Impact of Foreign Physician Immigration on Medical Care in America

Presented by T. Mills Fleming at the Georgia Hospital Association-Georgia Society for Healthcare Physician Services & Recruitment’s
2017 Annual Conference on July 23-25, 2018.

Stark, Anti-kickback Statute and False Claims Act Primer for Physician Recruiters

Presented by T. Mills Fleming at the Georgia Hospital Association-Georgia Society for Healthcare Physician Services & Recruitment’s
2017 Annual Conference on July 23-25, 2018.

Physician Contracts - Stark and Anti-Kickback Regulations

Presented by T. Mills Fleming at the ASPR Annual Conference in Chicago, Illinois, on April 21-25, 2018.

Compliance Guidance Oversight for Health Care Governing Boards

Presented by T. Mills Fleming to a large health system’s senior management and board members on February 15, 2018.

Contracts – What Every Health Care Materials Manager Needs to Know

Presented by T. Mills Fleming at the GSHMM 2017 Annual Conference on November 3, 2017.

Connecting the Dots: Measuring the Effectiveness of a Compliance Program

Presented by T. Mills Fleming at the 2017 Georgia Hospital Association-Compliance Officer’s Roundtable on September 7, 2017.

Affordable Care Act Replacement: More Changes for Health Care

Presented by T. Mills Fleming at the Georgia Society for Healthcare Physician Services & Recruitment’s 2017 Annual Conference on August 16-18, 2017.

Healthcare Legal Matters

T. Mills Fleming served as a panelist for this presentation at the American Bankruptcy Institute’s Annual Southeast Bankruptcy Conference in Hilton Head, South Carolina, on July 27-30, 2017.

Physician Contracts - Stark and Anti-Kickback Regulations

Presented by T. Mills Fleming at the ASPR Annual Conference in San Diego, California, on April 29-May 3, 2017.

The Changing Landscape of Immigration Law: A Panel Discussion of Recent Changes in Immigration Policy

T. Mills Fleming participated in this panel discussion at Georgia Southern University in Statesboro, Georgia, on April 4, 2017.

Visa Processing and the Conrad 30 Program for Foreign National Physicians

Co-presented by T. Mills Fleming and the Georgia Department of Community Health’s State Office of Rural Health at the Georgia Society for Healthcare Physician Services & Recruitment’s 2016 Annual Conference on July 22, 2016, at the Ritz-Carlton/Reynolds Plantation, Lake Oconee, Georgia.

Navigating the Bermuda Triangle of Stark, the Anti-kickback Statute and the False Claims Act

Presented by T. Mills Fleming at the Georgia Society for Healthcare Physician Services & Recruitment’s 2016 Annual Conference on July 22, 2016, at the Ritz-Carlton/Reynolds Plantation, Lake Oconee, Georgia.

Immigration Law

Presented by T. Mills Fleming at the SEALA 2016 Annual Seminar on May 13, 2016.

Physician Contracts - Stark and Anti-Kickback Regulations

Presented by T. Mills Fleming at the 2016 ASPR Annual Conference in New Orleans, Louisiana, on May 15, 2016.

Health Care, Immigration and Physicians

Presented by T. Mills Fleming at the Annual Meeting of the American College of Osteopathic Internists on May 7, 2016.

Hospital Contracts and Stark Law Implications

Presented by T. Mills Fleming at the Medial Group Management Association’s Annual Meeting on May 3, 2016.

How a case involving unlawful presence became a topic of interest for the U.S. Supreme Court: U.S. v. Texas and the balance of power between the executive and legislative branches of government

Presented by T. Mills Fleming at South University in Savannah, Georgia, on April 20, 2016.

Physician Contracts – Stark and Anti-Kickback Statute Regulations

Presented by T. Mills Fleming at the 2015 ASPR Annual Conference in Orlando, Florida, on May 17, 2015.

Fraud and Abuse Primer for Physician Recruiters – Anti-Kickback Statute/Stark/False Claims Act

Presented by T. Mills Fleming as an ASPR webinar on March 25, 2015.

Hospital-Physician Compensation Relationships: Community Need, Fair Market Value and Commercial Reasonableness Considerations

Presented by T. Mills Fleming to major health system’s Board of Directors in 2014.

Health Law Update

Presented by T. Mills Fleming at the Georgia Society of Healthcare Materials Management Annual Meeting in 2010.

Hospital and Health Care Compliance: New Rules We Need to Know

Presented by T. Mills Fleming to a health system’s Board of Directors in 2010.

Whistleblowers, Form 990 and Tax-Exempt Bond Compliance

Presented by T. Mills Fleming to major health system’s Board of Directors in 2009.

Employed Physician Fair Market Value Compensation Opinion Summary and Analysis

Presented by T. Mills Fleming to major health system’s board of directors in 2009.

Form 990, Tax Exempt Bonds and a Stark Reality: New Rules We Need to Know

Presented by T. Mills Fleming to major health system’s Board of Directors in 2008.

A Stark Reality: New Rules We Need to Know – Stark III and Beyond

Presented by T. Mills Fleming to the Atlanta Chapter of the Association of Healthcare Internal Auditors in Atlanta, Georgia, in 2008.

Health Law Update and Contract Boilerplates: Are You Getting What You Deserve or What You Negotiate?

Presented by T. Mills Fleming at the Georgia Society of Healthcare Materials Management Annual Meeting in 2008.

New Frontiers for Stark: Fair Market Value and Commercial Reasonableness for Physician Employees

Presented by T. Mills Fleming at the Georgia Academy of Healthcare Attorneys-Health Law Update and Annual Meeting in Atlanta, Georgia, in 2008.

Legal Update: Stark II-Phase III, Section 409A, ERISA Plan Fiduciaries and Other Current Topics for Healthcare Internal Auditors

Presented by T. Mills Fleming to the Atlanta Chapter of the Association of Healthcare Internal Auditors in Atlanta, Georgia, in 2008.

Fair Market Value for Physician Practice Acquisitions and Physician Employment: A View from the Rear View Mirror

Presented by T. Mills Fleming at the Georgia Academy of Healthcare Attorneys-Health Law Update and Annual Meeting in Atlanta, Georgia, in 2008.

Post-Issuance Compliance for Tax-Exempt Bonds

Presented by T. Mills Fleming to major health system’s Board of Directors in 2008.

Recent Stark Law Developments

Presented by T. Mills Fleming at the Physician’s Viewpoint Network’s Annual Meeting in 2007.

Form I-9 Verification and Compliance

Presented by T. Mills Fleming to major health system’s Board of Directors in 2007.

Immigration Law Update

Presented by T. Mills Fleming at the Savannah Bar Association’s Hot Topics Seminar in 2007.

Contract Boilerplates: Are You Getting What You Deserve or What You Negotiate?

Presented by T. Mills Fleming at the Georgia Hospital Association’s Society of Healthcare Materials Management Annual Meeting in 2007.

Nonprofit Hospital Reorganizations

Presented by T. Mills Fleming at a Georgia Hospital Association webinar in 2006.

Healthcare Price Transparency

Presented by T. Mills Fleming at the Georgia Society of Healthcare Materials Management Annual Meeting in 2006.

Immigration Consequences of Criminal Activity

Presented by T. Mills Fleming at the Savannah Bar Association’s Hot Topics Seminar in 2006.

Purchasing Rules for Healthcare Material Managers: Rebates, GPOs and Other Incentives

Presented by T. Mills Fleming at the Georgia Hospital Association’s Society for Healthcare Materials Management Annual Meeting in 2005.

The Future of Health Care

T. Mills Fleming participated in this panel discussion at the Georgia Association of Health Underwriters – Annual Convention on July 22-24, 2005.

Georgia Rules and Regulations for Corporate Governance

Presented by T. Mills Fleming at the Georgia Academy of Healthcare Attorneys-Health Law Update and Annual Meeting in Atlanta, Georgia, in 2004.

Fraud and Abuse Developments: Stark II, Phase II

Presented by T. Mills Fleming to major health system’s board of directors in 2004.

Immigration in a Post 9/11 World

Presented by T. Mills Fleming at the SEALA Conference and Annual Meeting in 2004.

Overview of U.S. Immigration Law

Presented by T. Mills Fleming to Global Shipping Engine Manufacturer in Annapolis, Maryland, in 2003.

Undocumented Aliens: Finding a Place to Stand After September 11

Presented by T. Mills Fleming at the ICJE Annual Seminar in St. Simons Island, Georgia, in 2002.

Nuts and Bolts of Immigration Law

Presented by T. Mills Fleming at the East Georgia College Foundation, Georgia Rural Economic Development Center in 2001.

Immigration Basics: What Every Health Care Provider Needs to Know

Presented by T. Mills Fleming at the Georgia Academy of Healthcare Attorneys 2001 Healthcare Law Update and Annual Meeting in Atlanta, Georgia, on May 4, 2001.

When Worlds Collide: Ethical Considerations in Law and Medicine - A patient’s Right to Choose?

Presented by T. Mills Fleming at the Meadows Regional Medical Center’s Hot Topics in the Practice of Medicine Multispecialty Symposium in Vidalia, Georgia, on April 21, 2001.

Undocumented Alien Claims: Finding a Place to Stand

Presented at the ICLE Workers’ Compensation Judges Annual Seminar in Jekyll Island, Georgia, on April 2, 2001, by T. Mills Fleming.

The United States’ immigration policies have changed dramatically over the last 200 years from being a virtual open door to now being a tightly controlled and highly regulated set of rules and regulations. The first law limiting immigration was the Alien Act of 1798 wherein the president was authorized to expel any alien he deemed dangerous. From that time until the later part of the 19th century, Congress passed very little laws restricting immigrant flow to the U.S.

Beginning in 1875 Congress passed several immigration reform measures beginning with a statute providing for the exclusion of convicts and prostitutes. That law was followed by the Chinese Exclusion Act of 1882 which provided for the exclusion of persons from China – and was not repealed until 1943. Congress passed other laws to exclude cheap foreign labor and in 1888 provided for the deportation of aliens entering in violation of these contract labor laws.

Physician Contracting: Knowing the Nuts and Bolts to Keep You from Getting Nailed

Presented by T. Mills Fleming to the University of Florida College of Medicine’s Department of Anesthesiology in Gainesville, Florida, on February 6, 2001.

Changing Relationships with Competitors: To Be or Not to Be Competitive

Presented by T. Mills Fleming to the Georgia Society of Healthcare Planning and Marketing in Atlanta, Georgia, on March 2, 1995.

Whose Right Is It Anyway: A Physician’s Guide to Georgia Law on Living Wills, Do Not Resuscitate Orders and Durable Power of Attorney for Health Care

Presented by T. Mills Fleming at the Memorial Health University Medical Center Research Day Competition in Savannah, Georgia, on May 5, 1993.

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News

23 HunterMaclean Attorneys Listed in The Best Lawyers in America© 2019

HunterMaclean is pleased to announce that 23 attorneys from the firm were recently selected for inclusion in The Best Lawyers in America^© 2019. Best Lawyers is an annual publication that recognizes attorneys for outstanding achievements in their area of practice.

Eighteen HunterMaclean Attorneys Recognized as 2018 Super Lawyers and Rising Stars

HunterMaclean was recently honored with the selection of thirteen HunterMaclean attorneys as 2018 Georgia Super Lawyers and five attorneys as 2018 Rising Stars.

Nine HunterMaclean Attorneys Honored as 2017 Georgia Trend Legal Elite

HunterMaclean is honored to announce that nine attorneys were recently recognized as 2017 Legal Elite by Georgia Trend.

HunterMaclean is pleased to announce that 23 attorneys from the firm were recently selected for inclusion in The Best Lawyers in America^© 2018. Best Lawyers recognizes attorneys for significant achievements in their area of practice.

Thirteen HunterMaclean Attorneys Recognized as 2017 Super Lawyers and Rising Stars

HunterMaclean was recently honored with the selection of eight HunterMaclean attorneys as 2017 Georgia Super Lawyers and five attorneys as 2017 Rising Stars. Attorneys are selected based upon peer review, professional achievements, and independent research.

HunterMaclean is pleased to announce that 21 attorneys were recently selected for inclusion in The Best Lawyers in America^© 2017. Best Lawyers, which is published annually in almost 70 countries, recognizes attorneys for outstanding achievements in their area of practice.

Fifteen HunterMaclean Attorneys Recognized as 2016 Super Lawyers and Rising Stars

Ten HunterMaclean attorneys were recently selected as 2016 Georgia Super Lawyers and five attorneys as 2016 Rising Stars. The prestigious Super Lawyers honor, awarded annually, represents the top five percent of attorneys in each state in the nation.

Savannah Morning News: Savannah attorney T. Mills Fleming recognized by State Bar of Georgia for community service efforts

HunterMaclean partner Mills Fleming has received the Georgia State Bar’s 17th Annual Justice Robert Benham Award for Community Service for the state’s District 1. Jan Skutch from the Savannah Morning News covers the story.

HunterMaclean Partner T. Mills Fleming Recognized With Justice Robert Benham Award for Community Service

The Chief Justice’s Commission on Professionalism and the State Bar of Georgia will honor HunterMaclean attorney Mills Fleming with the 17^th Annual Justice Robert Benham Award for Community Service.

HunterMaclean, a leading business law firm with offices in Savannah and Brunswick, is pleased to announce that 20 attorneys from the firm were selected for inclusion in The Best Lawyers in America© 2016.

HunterMaclean Law Firm Ranked in Prestigious Chambers USA Guide 2015

HunterMaclean has been ranked in the Chambers USA Guide 2015, an exclusive annual listing of top law firms and lawyers in the United States. Chambers & Partners is widely considered the authority on rankings in the legal profession across the world.

GA Super Lawyers: Midnight in the Theater of Good Acoustics: A Savannah Story

Amy Kates of Super Lawyers Magazine interviews HunterMaclean attorney Mills Fleming about his history with the Lucas Theatre. As board chairman of the Lucas in the 90s, Mills helped transform the theater from an abandoned building into a community asset.

Thirteen HunterMaclean Attorneys Honored as 2015 Georgia Super Lawyers and Rising Stars

HunterMaclean attorneys were recently honored as 2015 Georgia Super Lawyers and Rising Stars. The prestigious Georgia Super Lawyer honor is awarded annually to the top five percent of attorneys in the state.

HunterMaclean Attorneys Selected For The Best Lawyers in America® 2015

HunterMaclean is pleased to announce that 22 lawyers from the firm were recently selected by their peers for inclusion in The Best Lawyers in America® 2015.

HunterMaclean Law Firm Ranked in Chambers USA Guide 2014

HunterMaclean is pleased to announce that it has been ranked in the Chambers USA Guide 2014, an exclusive annual listing of top law firms and lawyers in the U.S. Chambers and Partners is widely considered the authority on lawyer and firm rankings in the legal profession across the world.

Fifteen HunterMaclean Attorneys Honored as 2014 Georgia Super Lawyers and Rising Stars

Atlanta magazine just announced the top attorneys in the state of Georgia, and 15 attorneys at HunterMaclean were named either Georgia Super Lawyers or Rising Stars.

25 HunterMaclean Attorneys Selected for The Best Lawyers in America® 2014

HunterMaclean is pleased to announce that 25 lawyers from the firm were recently selected by their peers for inclusion in The Best Lawyers in America® 2014.

Health care attorney Mills Fleming speaks to WTOC about the Supreme Court DOMA decision

Health care attorney Mills Fleming spoke with WTOC about the impact of the Supreme Court ruling on the Defense of Marriage Act (DOMA).

Attorney Mills Fleming Elected Board Chairman for Bethesda Academy

HunterMaclean partner Mills Fleming was recently elected chairman of the board for the Bethesda Academy. Mills previously served as vice chair of the board. Bethesda Academy is dedicated to transforming the lives of young men.

HunterMaclean Attorneys Honored as Georgia Super Lawyers, Rising Stars

Nine HunterMaclean attorneys were recently recognized as Georgia Super Lawyers. Two of the firm’s partners were also named Rising Stars.

Record Number of HunterMaclean Attorneys Selected for Georgia Trend’s 2012 “Legal Elite” Issue

Georgia Trend honored 14 HunterMaclean attorneys in the magazine’s annual “Legal Elite” issue, which recognizes the top attorneys in the state of Georgia.

28 HunterMaclean Attorneys Among 'Best'

HunterMaclean, a business law firm with offices in Savannah and Brunswick, has announced that 28 lawyers from the firm were selected for inclusion in The Best Lawyers in America 2013.

Health Care Shakeout Begins

Savannah Morning News turns to health care attorney Mills Fleming for expert opinion on how the landmark Supreme Court ruling will affect Georgians.

10 HunterMaclean Attorneys Honored as Georgia Super Lawyers

Ten HunterMaclean attorneys have been selected as 2012 Georgia Super Lawyers. Atlanta Magazine will honor the firm’s attorneys in the March 2012 issue.

The prestigious Georgia Super Lawyer honor is awarded annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research.

Record Number of HunterMaclean Attorneys Selected for The Best Lawyers in America for 2012

HunterMaclean, a leading business law firm with offices in Savannah and Brunswick, is pleased to announce that Best Lawyers in America, the oldest and most respected peer-review publication in the legal profession, recently honored a record 23 HunterMaclean attorneys by including them on this prestigious list of leading lawyers.

“We are delighted to have a record number of attorneys from our firm featured on this year’s Best Lawyers in America list,” said Frank S. Macgill, HunterMaclean’s managing partner. “This honor reflects hard work on the part of the firm’s partners and associates.”

HunterMaclean Partner T. Mills Fleming Publishes Chapter in Health Care Law Enforcement and Compliance, Co-Authors Chapter in The Georgia Hospital Law Manual

HunterMaclean, a leading business law firm with offices in Savannah and Brunswick, is pleased to announce that partner T. Mills Fleming, chair of the firm’s Health Care Practice Group, recently authored a chapter in Health Care Law Enforcement and Compliance: Leading Lawyers on Understanding Recent Trends in Health Care Enforcement, Updating Compliance Programs and Developing Client Strategies.

Fleming contributed a chapter titled “New Government Scrutiny Demands New Strategies for Health Care Clients,” which explores the impact of recent health care laws and regulations on hospitals, health care facilities and medical practitioners.

Savannah's Mills Fleming has passion for culture, law

After taking the reins as chair of the Telfair Museum’s board of directors, HunterMaclean attorney Mills Fleming is interviewed by the Savannah Morning News, discussing everything from the Constitution to his favorite movies.

10 HunterMaclean Attorneys Honored as Georgia Super Lawyers for 2011

Atlanta Magazine recently recognized 10 HunterMaclean attorneys as Georgia Super Lawyers in its March 2011 issue.

The prestigious Georgia Super Lawyers honor is given annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research by Law & Politics, a magazine which published the first list of Super Lawyers 20 years ago.

Record Number of HunterMaclean Attorneys Selected for The Best Lawyers in America for 2011

The Best Lawyers in America® for 2011, a confidential peer-review survey, recently honored a record 28 HunterMaclean attorneys by including them on this prestigious list of leading lawyers. Last year, 20 attorneys at HunterMaclean earned this top honor.

“We’re delighted to have a record number of attorneys from our firm featured on this year’s Best Lawyers in America list,” said Frank S. Macgill, HunterMaclean’s managing partner. “Our attorneys work hard for our clients and it shows.”

Nine HunterMaclean Attorneys Honored as Georgia Super Lawyers for 2010

Atlanta Magazine recently named nine HunterMaclean attorneys as Georgia Super Lawyers in its March 2010 issue. The prestigious Georgia Super Lawyershonor is given annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research by Law & Politics, a magazine which published the first list of Super Lawyers 19 years ago.

Mills Fleming Obtains Favorable Healthcare Antitrust Letter Ruling from USDOJ

Mills Fleming, chair of HunterMaclean’s healthcare practice group, obtained a favorable letter ruling from the U.S. Department of Justice’s Antitrust Division relating to a unique hospital joint purchasing agreement.

The USDOJ’s ruling, released publically on September 4, said that the Department “will not challenge a proposal by Memorial Health, Inc. and St. Joseph’s/Candler Health System to enter a exclusive joint purchasing agreement with respect to the purchase of certain medical and surgical supplies.”

Record Number of HunterMaclean Attorneys Selected for The Best Lawyers in America for 2010

The Best Lawyers in America for 2010, a confidential peer-review survey, recently honored a record 20 HunterMaclean attorneys by including them on this prestigious list of leading lawyers. Last year, 18 attorneys at HunterMaclean earned this top honor.

“We are delighted to have a record number of attorneys from our firm featured on this year’s Best Lawyers in America list,” said John M. Tatum, HunterMaclean’s managing partner. “Our attorneys work hard for our clients and it shows.”

11 HunterMaclean Attorneys named 2009 Georgia Super Lawyers

Atlanta Magazine recently named 11 HunterMaclean attorneys as Georgia Super Lawyers in its March 2009 issue. The prestigious Georgia Super Lawyers honor is given annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research by Law & Politics, a magazine which published the first list of Super Lawyers 18 years ago.

Eighteen HunterMaclean Attorneys Named 2009 Best Lawyers in America

Eighteen leading attorneys with HunterMaclean were recently named to The Best Lawyers in America listing for 2009, a confidential peer-review survey, breaking the firm record set for 2008, when 16 attorneys earned this top honor.

Record Number of HunterMaclean Attorneys Selected for The Best Lawyers in America for 2008

Sixteen top attorneys with HunterMaclean were recently named to The Best Lawyers in America listing for 2008, a confidential peer-review survey.

Congratulations to HunterMaclean's 2008 Super Lawyers

Atlanta Magazine recently named 11 HunterMaclean attorneys as Georgia Super Lawyers in its March 2008 issue. The prestigious Georgia Super Lawyers honor is given annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research by Law & Politics, a magazine which published the first list of Super Lawyers 17 years ago

Atlanta Magazine Names 11 HunterMaclean Attorneys to Prestigious Georgia Super Lawyers List

Atlanta Magazine recently named 11 HunterMaclean attorneys as Georgia Super Lawyers in its March 2007 issue. The Georgia Super Lawyers honor is given annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research by Law & Politics, a magazine which published the first list of Super Lawyers 16 years ago.

HunterMaclean’s attorneys were selected after ballots were sent to Georgia lawyers who have been licensed in the state for five years or more. Listed in the Georgia Super Lawyers 2007 publication as well as in a special edition of Atlanta Magazine, the attorneys are organized by their primary areas of practice.

Atlanta Magazine Names Nine HunterMaclean Attorneys to Prestigious Georgia Super Lawyers List

Atlanta Magazine has named nine HunterMaclean attorneys as Georgia Super Lawyers in its March 2006 issue. The Georgia Super Lawyershonor is given annually to the top five percent of attorneys in the state, as chosen by their peers and through independent research by Law & Politics, a magazine which published the first list of Super Lawyers 15 years ago.

HunterMaclean’s attorneys were selected after ballots were sent to Georgia lawyers who have been licensed in the state for five years or more. Listed in the Georgia Super Lawyers 2006 publication as well as in a special edition of Atlanta Magazine, the attorneys are organized by their primary areas of practice.

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Spotlight

Creative Financing: Firm Secures Multi-Million New Markets Tax Credit for Health System

Firm partners Ben Hartman and Adam Kirk spearheaded a landmark multi-million-dollar New Markets Tax Credit Program deal for Southeast Georgia Health System, one of HunterMaclean’s clients. The deal will lead to significant savings for the Health System’s new Medical Office Building and Community Care Center.

The Architecture of Business: Attorneys Guide Telfair Through Expansion

HunterMaclean helped lay the groundwork for the Telfair Museum of Art to build the new Jepson Center, a sleek, contemporary building on Telfair Square in downtown Savannah. The Jepson successfully bridges the city’s historic architecture with its vibrant future, serving as a centerpiece of Savannah’s cultural community.