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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Marijuana

New Jersey Proposes Medical Marijuana Reimbursements in Workers’ Comp

Two new companion bills carryover similar marijuana reimbursement proposals from 2024.

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March 23, 2026

Louisiana Reform Package Proposes Centralized Medical Authorization Database

Additionally, the bill would update the fee schedule and impact billing and utilization requirements.

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March 23, 2026

Billing & Payments Cost Containment

South Carolina Approves 2026 Fee Schedule and Targets IMEs

The updated fee schedule will go into effect April 1st, while a new IME subcommittee will evaluate cost and practice concerns.

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March 23, 2026

Technology

American Medical Association Reports on Increased Physician AI Use

Over 80% of physician respondents currently use AI in a professional context – double the share reported in 2023.

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March 23, 2026

Advocacy Opportunity Cost Containment

Massachusetts Announces Draft Fee Schedule Rules

At a March 11th meeting, the Workers’ Compensation Advisory Council announced a draft expected in fall of 2026 for public comments.

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March 16, 2026

Access to Care

New York Considers Update to Pharmacy Rules

The bill would allow injured workers to obtain medication from out-of-network pharmacies when specific conditions occur.

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March 16, 2026

Access to Care Claims Procedures

WCRI Panel Flags Key Challenges

An employer panel discussed issues such as access to care, early intervention practices, and claims culture and communication.

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March 16, 2026

Presumptions

Alabama Considers Covering Parkinson’s Disease for Firefighters

The bill includes standards for demonstrating that the disease is occupational in origin, and if enacted it would go into effect October 1st.

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March 16, 2026

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

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Further resources you may be interested in

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

By the Numbers: 15 RxInformer Stats for 15 Years

Now that RxInformer is officially 15, we looked back at past issues to gather interesting stats about the magazine and how it’s produced.

Burden of Proof: Unpacking Presumptions in Workers’ Comp

New presumptions in workers’ comp are making it easier for workers to qualify for benefits related to mental injury, including PTSD, as well as certain cancers and other conditions.