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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 Tracking

To track relevant regulatory trends across the nation, access our interactive map.
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Regulatory Recap

A weekly e-newsletter informed by our Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers' comp. Explore our complete article repository below.

Ketamine Therapy Bills in Hawaii, Missouri, & Texas

Hawaii considers partial coverage, Missouri wants stricter guidelines, & Texas proposes a grant program for military and first responders.
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February 3, 2025

WCRI Reports on Changes in The Medical Workforce

The provider shortage increased during the pandemic, but a shift to advanced practitioners saw minimal impacts to claims costs and other metrics.
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February 3, 2025

Arizona Proposes Employer Pharmacy Network Bill

If passed, employees would be required to use network pharmacies effective December 31, 2025.
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January 27, 2025

Four States Consider Expanding Cancer Presumptions

Connecticut, Hawaii, Mississippi & Nebraska each introduced bills that would create or expand cancer presumptions.
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January 27, 2025

Hawaii Bill Could Cap Nonprescription Drugs Reimbursement

The bill would cap nonprescription, over the counter, and non-legend drug reimbursements at the drug’s cost plus 40%.
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January 27, 2025

New York, Oklahoma, Oregon, and Washington Propose Updates to PTSD Presumptions

The updates vary across each state and for different occupations, but the trend of more PTSD presumptions around the country continues.
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January 27, 2025

WCRI Explores the Lifecycle of Claims in New York

The study examines overall claim cost, timing of key indemnity payments, and other system performance indicators.
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January 27, 2025

NCCI Publishes Labor Market Insight Report

The report covers trend in employment growth, wages, and sectors most impacted.
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January 27, 2025

Maryland Proposes Pharmacy Fee Schedule with Actual Acquisition Cost

If enacted, this fee schedule would replace the current usual and customary charges, going into effect October 1, 2025.
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January 20, 2025
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 Further resources you may be interested in

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

The Cannabis Question: Marijuana and Workplace Safety?

With greater legalization and public approval, the question of safety grows more important.
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Changing Workforce, Claims Automation and Tech Connectivity Among Top Priorities in 2022 Industry Survey

The priorities and challenges revealed in our 2022 Workers’ Compensation Industry Insights Survey Report reflect an industry focused on moving forward.
Read More

First Responder PTSD Bills Return to the Forefront

After a drop in activity due to the pandemic, five states are now considering legislation.
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State of the States

A roundup of regulatory activity around the country
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Classification Complications: Will Gig Workers Enter the Workers’ Comp Market?

Legislation could potentially reclassify gig workers as employees entitled to workers’ comp.
Read More

Marijuana: States Move Forward Medically and Recreationally, But Oppose Reimbursement in Comp

Since the start of 2022, at least 10 states are considering some form of marijuana legislation.
Read More
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 Interactive Map

To interact with this map, use the drop-downs to select a topic and type, then click the Display button. You can then roll over and click on individual states for more detailed information. This map represents legislation proposed during the most recent legislative cycle, typically spanning two years in most states. All current regulations are displayed up to present.
The content above is representative of topics Healthesystems proactively monitors and reports on. While not all topics are directly applicable to workers' compensation claims, some may have potential to impact workers' compensation in the future.
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