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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 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

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
Spotlight

California Pharmacy & Therapeutics Committee to Hold Public Meeting

Agenda topics include topicals, GLP-1 drugs, biologics, PPI and H2 blockers, and more.
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September 21, 2026
Spotlight

NCCI Publishes Legislative & Regulatory Trends Report

Trending topics include worker classification, portable benefits, mental injuries, single-payer insurance, marijuana, and psychedelics.
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September 21, 2026

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

Colorado Proposes Unified Medical Treatment Guideline

As part of the proposal, the state has issued a stakeholder survey that will close October 22nd.
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September 28, 2026

Nevada Reschedules Regulatory Workshop

A workshop to streamline workers’ comp regulations will now take place October 12th.
Read More →
September 28, 2026

New York Proposes Increased Penalties for Unpaid Medical Payments

Assembly Bill 11714 would institute a 3% monthly interest on unpaid medical payment awards if not paid within 15 days.
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September 28, 2026

California Proposes MTUS Updates for Knee Disorders

The proposal would incorporate the latest ACOEM Guideline for knee disorders, and a public hearing is scheduled for October 16th.
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September 21, 2026

Nevada to Hold Workshop Meeting for Streamlining Workers’ Comp Regulations

The meeting will take place September 24th, with agenda topics including provision of coverage, benefits for injury or death, and occupational diseases.
Read More →
September 21, 2026
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 Further resources you may be interested in

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

Coming Up Short: When Drug Shortages Become a Claims Problem

Shortages can increase costs, delay or alter treatment, increase complexity, and impact claims outcomes.
Read More

State of the Nation

Sandy Shtab, VP of Industry and State Affairs, shares policy perspectives
Read More

Alaska Proposes Significant Pharmacy Reimbursement Changes

Impacted drugs include physician-dispensed and repackaged drugs, topicals, compounds, and OTC medications.
Read More

SAMHSA Recommends States Plan for Legal Implications of FDA-Approved Psychedelics

States are encouraged to plan now for the implications of potential psychedelic therapies, including Medicaid coverage obligations.
Read More

New York Broadens Pay Without Prejudice Rules

Effective January 1, 2027, payers may voluntarily cover medical treatment for up to one year while compensability determination is under review.
Read More

FDA Seeks Input on Potential Therapeutic Use of Psychedelic Drugs

A public hearing will be held on September 14th, with written comments accepted until October 5th.
Read More
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