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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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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.
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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.
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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.
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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.
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January 26, 2026

California P&T Committee Outlines Pharmacy Topics for Review

The meeting discussed proton pump inhibitors and the need to review utilization, and future meetings will address GLP-1 drugs, migraine drugs, and more.
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January 26, 2026

Michigan Advisory Council Reviews Fee Schedule Ruleset Changes

Healthesystems played a significant role in reshaping policy surrounding reimbursement for physician dispensing.
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.

Healthesystems at WCI 2024

Adjusters Assemble! Visit Healthe at Booth #921 to learn how we reduce day-to-day burdens for claims professionals.
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Child Labor Laws are Changing: How Could This Impact Workers’ Comp?

An increase in the teen workforce could impact workplace injury and claims management.
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New Jersey Proposes Worker Heat Protections, Continuing Recent Trend

As another state considers protections, WCRI publishes new data on heat’s impact on workplace accidents.
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More States Continue with PTSD Legislation

Oklahoma and Rhode Island enact new presumptions, with Georgia adding extra coverage.
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Maryland and Arizona Enact New Psychedelic Laws

A Maryland taskforce will plan regulation, while Arizona will tentatively cover MDMA treatment for first responders with PTSD.
Read More

Positive Marijuana Screenings Increase – What More to Expect with Rescheduling?

New data from Quest Diagnostics 2024 Drug Testing Index, and industry leaders discuss how rescheduling will impact workers’ comp.
Read More
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