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

Technology

Florida Advances AI Oversight in Insurance and Work Comp Claims

Florida House Bill 527 is moving quickly in the face of a March 13th deadline.

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March 9, 2026

Spotlight

Advocacy Opportunity Cost Containment

Florida Appeals Court Rules in Favor of Carriers and Employers on Physician-Dispensed Drugs

While injured workers have an absolute choice over their pharmacist, physicians are not considered pharmacists and therefore not entitled to reimbursement.

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March 2, 2026

Spotlight

Cost Containment Treatment Guidelines

Hawaii Amends Bill to Target Physician Dispensing

Originally meant to address compound medications, the bill has been expanded to create limitations for physician dispensing.

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February 23, 2026

Technology

Washington State Pursues Electronic Claim Communications

The Washington Department of Labor could soon utilize electronic communications for workers’ comp claims, instead of snail mail.

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March 9, 2026

Advocacy Opportunity Worker Classification

Department of Labor Proposes Changes to Worker Classification Rule

Interested stakeholders can submit comments on the proposal until April 28th.

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March 9, 2026

Cost Containment Treatment Guidelines

Louisiana Considers Changes to Treatment Guidelines and Fee Schedule

One bill proposes the use of the ODG guidelines, while another bill would establish a fee schedule similar to neighboring states.

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March 9, 2026

Billing & Payments Claims Procedures

Hawaii Seeks to Clarify Medical Payment Timelines

The bill would standardize timelines, notice requirements, and dispute resolution processes.

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March 9, 2026

Mental Health Presumptions

PTSD Updates Across the Country

New Jersey could create a task force for pandemic-related PTSD, while Virginia and Connecticut could expand mental health presumptions.

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March 2, 2026

Worker Classification

West Virginia Proposes Using Federal Standards for Worker Classification

Senate Bill 1073 would eliminate state rules and replace them with federal IRS standards on the matter.

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March 2, 2026

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Further resources you may be interested in

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

Eighth Annual Industry Insights Survey Reveals Focus on Injured Worker Engagement

Explore the top five major findings from this year’s Workers’ Comp Industry Insights Survey.

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?

The Cost of Exposure: How Occupational Cancer Impacts Workers’ Compensation

The risk and impact of occupational cancers vary significantly depending on the nature of the exposure and the affected workforce.

Utah Launches AI Prescription Renewal Pilot Program for Chronic Conditions

The pilot can approve a limited set of 192 medications and will be broken into three stages, each with different levels of review.

States Seek to Limit AI-Generated Care Decisions, Despite White House Order

Legislators continue to introduce bills to limit AI-generated healthcare decisions, even as the U.S. Attorney General has been instructed to oppose them.