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A significant part of the Healthesystems vision is to create a more integrated experience for our customers

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.

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 Tracking

To track relevant regulatory trends across the nation, access our interactive map.
Go to Map

Regulatory Recap

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

Maryland Proposes Pharmacy Fee Schedule with Actual Acquisition Cost

If enacted, this fee schedule would replace the current usual and customary charges, going into effect October 1, 2025.
Read More →
January 20, 2025

California Report Finds Dermatological Agents Rank Highest in Drug Spend

According to claim data from the CWCI, in 2024 dermatological agents made up 12.6% of prescriptions and 18.9% of drug spend.
Read More →
January 20, 2025

Montana May Recognize Physical Therapists as Treating Physicians

If Senate Bill 109 is passed, physical therapists would have the same rights as treating physicians, letting them deliver and coordinate care.
Read More →
January 20, 2025

Illinois Proposes PTSD Presumptions for First Responders

One bill would create the presumption, while another would shift the burden of proof to the employing entity and any party attacking the presumption.
Read More →
January 20, 2025

Psychedelic Bills in Colorado, New Hampshire, New York, Virginia, and Washington

Five different states are proposing legislation for psychedelic therapy or legalized use for the treatment of PTSD and other mental illnesses.
Read More →
January 20, 2025

Illinois Bill Aims to Limit Custom Compound Reimbursements

If passed, the bill would limit reimbursements to a one-time, seven-day supply if no commercial equivalent exists.
Read More →
January 20, 2025

Virginia Considers Making Repetitive Trauma an Occupational Illness

The bill would apply when repetitive and sustained physical stress have occurred over a period of time.
Read More →
January 20, 2025

Connecticut Could Expand List of Qualifying Incidents for PTSD Presumption

Senate Bill 228 would allow for PTSD coverage in first responders outside of incidents involving death, loss of a body part, or loss of body function.
Read More →
January 13, 2025

Florida Panel to Issue Policy Recommendation for Fee Schedule

The three-member panel will recommend to legislators that the DWC be allowed to update fee schedules without legislative approval.
Read More →
January 13, 2025
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 Further resources you may be interested in

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

New York Enacts Mental Injury Presumption for All Workers

All workers will now have the right to file a claim for mental injuries, based upon extraordinary work-related stress incurred on the job.
Read More

Texas Considers Making Infertility an Occupational Illness for First Responders

A proposed bill would apply to male and female reproductive systems for firefighters and EMTs.
Read More

The Most Engaging RxInformer Articles from 2024

We checked the stats and reviewed our readers’ favorite articles from RxInformer magazine to bring you a list of our most engaging content from 2024.
Read More

Think Globally, Act Locally: Advocating for Administrative Simplification

Collaboration between national and regionally based stakeholders is one way to work towards improving the workers’ compensation system.
Read More

Minnesota Invites the Public to Complete a PTSD Survey

As part of a legislative-mandated study on work-related PTSD, the survey could influence regulator objectives for 2025.
Read More

Could Psychedelic Injections Help with Mental Illness While Avoiding Hallucinogenic Effects?

A recent study involving the compound DOI showed promising results in mice.
Read More
1 2 3 … 39

 Interactive Map

To interact with this map, use the drop-downs to select a topic and type, then click the Display button. You can then roll over and click on individual states for more detailed information. This map represents legislation proposed during the most recent legislative cycle, typically spanning two years in most states. All current regulations are displayed up to present.
The content above is representative of topics Healthesystems proactively monitors and reports on. While not all topics are directly applicable to workers' compensation claims, some may have potential to impact workers' compensation in the future.
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