Advocacy & Compliance

Healthesystems’ Advocacy & Compliance experts are essential in the management of pharmacy and ancillary benefits for our clients. By tracking and influencing regulatory activity, our team stays ahead of evolving trends and identifies opportunities to advocate on behalf of our clients, their injured workers, and the broader industry.

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The Advocacy &  Compliance Team

Monitors and reports on proposed and pending regulatory changes that impact workers' comp, helping shape effective program strategies

Advocates for fair and balanced public policy through proactive engagement with regulators, customers, and other stakeholders throughout the rulemaking lifecycle

Supports operational compliance by providing guidance to internal stakeholders and external partners during the implementation of new regulatory changes

Regulatory Recap

A weekly e-newsletter informed by the Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers’ comp.

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Spotlight

Advocacy Opportunity

IAIABC’s 112th Convention: Recap

Key conversations focused on access to care, emerging technologies, GLP-1s, and topical analgesics.

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October 5, 2026

Spotlight

Technology

California Establishes Guardrails for AI Use in Legal and Dispute Resolution Proceedings

Among many rules, attorneys may not delegate the practice of law to generative AI and must protect confidential information.

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October 5, 2026

Spotlight

Claim Data Industry Data

Texas Publishes 2026 Network Report Card

The report analyzed 22 networks with a total of 219,941 network claims and 216,371 non-network claims, covering injuries from June 2023 and May 2025.

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October 5, 2026

Claim Data Industry Data

California Reviews Data from National Academy of Social Insurance

California’s $13.88 billion in benefit payments in 2023 was more than the combined total for New York, Florida, and Washington.

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October 5, 2026

Advocacy Opportunity Cost Containment

Oregon to Hold Rulemaking Advisory Meeting

The November 3rd meeting will provide the public a chance to comment on fee schedule rules and other regulations.

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October 5, 2026

Claim Data Mental Health

WCRI Publishes Mental Health Claims Report

Frequency for mental health claims was higher among longer-tenure workers, higher-wage earners, women, and those in clerical and professional occupations.

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October 5, 2026

Claim Data

WCRI Reviews Changes in Claims Composition

This report focuses on changes in industry and differences by age, gender, worker tenure, and injury type.

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October 5, 2026

Claim Data Treatment Guidelines

Texas Finalizes Topical Analgesic Plan-Based Audit Plan

The audit plan was finalized after reviewing stakeholder comments received during a public feedback period.

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September 28, 2026

Claim Costs Claim Data

California Medical Cost Trends: An Overview of CWCI’s Recent Webinar

The main drivers of cost increases have shifted to medical-legal services, CT claims, interpreter services, home health, and unlisted physician services.

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September 28, 2026

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Further resources you may be interested in

Additional articles and updates from Healthesystems related to policy shaping workers’ comp.

NCCI Publishes Legislative and Regulatory Trends Report

Trending topics include worker classification, portable benefits, mental injuries, single-payer insurance, marijuana, and psychedelics.

Updates from the IAIABC’s 112th Convention

In addition to recapping roundtable discussions, the event saw Sandy Shtab, Healthesystems VP of Industry and State Relations, receive the IAIABC President’s Award.