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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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Multiple States Seek to Limit AI-Generated Care Decisions

Alabama, Hawaii, Kentucky, Oklahoma, Pennsylvania, and Virginia have all introduced bills to limit AI-generated care decisions.
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February 2, 2026

Arizona Could Cover Travel Injuries for Firefighters

Injuries occurring when traveling to and from work would be covered, assuming no criminal activity was undertaken.
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February 2, 2026

Florida and Vermont Could Extend PTSD Coverage to 911 Dispatchers

Pre-existing PTSD presumptions for first responders could be extended to 911 dispatchers.
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February 2, 2026

Maryland and Arizona Target Hypertension Presumptions for Firefighters

Maryland would create a hypertension presumption, while Arizona would strengthen theirs by increasing rebuttal requirements.
Read More →
February 2, 2026

Vermont and Virginia Consider Covering Additional Cancers for Firefighters

Vermont could soon cover larynx, pharynx, and trachea cancers, while Virginia could cover lung cancer and non-Hodgkin’s lymphoma.
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February 2, 2026

Virginia Proposes Spousal Wage Reimbursement for At-Home Caretaking

The bill applies to the spouse of law-enforcement officers who require at-home care following a line-of-duty injury.
Read More →
February 2, 2026

Utah AI Prescription Renewal Pilot: Updates

The pilot can approve a limited set of 192 medications for chronic conditions and will be broken into three stages, the first including 250 patients.
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January 26, 2026

Arizona Could Allow Payers to Direct Injured Workers to Pharmacy Networks

Employees could be informed of network pharmacies, while out-of-network pharmacies could be denied reimbursement.
Read More →
January 26, 2026

Oklahoma Proposes Contested PBM Bills

One bill conflicts with existing statutes on the timeline to pay pharmacy bills, while another could be preempted by TRICARE law.
Read More →
January 26, 2026
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 Further resources you may be interested in

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

A Hot Topic: The Latest News on Workers and Extreme Heat

Recent data insights, state proposals, and updates on federal rulemaking procedures.
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FDA Issues Draft Guidance for the Use of AI in the Creation of Drugs and Medical Devices

The guidelines provide recommendations on using AI to demonstrate drug safety and effectiveness, and recommendations for AI-enabled medical devices.
Read More

California Updates Pharmacy Fee Schedule

Among many changes, the state is replacing AWP with a new pricing model.
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Missouri Proposes Bill for Psilocybin Therapy

Medical use would be legalized, with legal protections for patients and physicians.
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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
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