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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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CWCI: Migraine Drugs Now Third Highest in Spend in California

While migraine drugs make up less than 1% of prescriptions, they now make up 7.5% of drug spend, primarily driven by CGRP drugs.
Read More →
June 8, 2026

Connecticut Creates Task Force for First Responder Claim Delays

The task force must submit a report of findings and recommendations by January 1, 2027.
Read More →
June 8, 2026

Florida Expands Cancer Death Benefits for Firefighters

Florida Senate Bill 984 goes into effect July 1, 2026.
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June 8, 2026

South Carolina to Cover Stroke for Firefighters

The bill also expands presumption eligibility to cover conditions that arise during training, rescue activity, or within 24 hours of strenuous duty.
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June 8, 2026

Wisconsin Shares Updates on Medical Treatment Guidelines and Hospital Fee Schedule

While progress continues, the guideline updates are delayed due to quorum issues, and the hospital fee schedule is still in early planning stages.
Read More →
June 1, 2026

WCRI Publishes 2026 Medical Price Index

The report compares prices paid for medical services across 36 states from 2008 to 2025.
Read More →
June 1, 2026

California Publishes Independent Medical Review Report

Pharmaceutical requests represented 30.6% of all treatment requests submitted for IMR, a modest decline from 32.7% in 2024.
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May 25, 2026

Georgia Enacts Regulations for Psychedelic Clinics

The Georgia Composite Medical Board will issue rules and regulations for clinics administering psychedelic-assisted therapies by December 31, 2026.
Read More →
May 25, 2026

Colorado Could Expand Cancer Coverage for Firefighters

Senate Bill 184 passed both chambers and now sits with Governor Polis.
Read More →
May 25, 2026
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 Further resources you may be interested in

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

Pennsylvania Proposes Reimbursement Caps for Compounds and Topicals

The bill would create a $400, 30-day supply cap for compound drugs.
Read More

New Jersey Proposes Marijuana Reimbursement in Workers’ Comp and Group Health

Companion bills S3984 and A1023 would require health insurance coverage for the medical use of cannabis under certain circumstances.
Read More

Florida Appeals Court Rules in Favor of Carriers and Employers on Physician-Dispensed Drugs

While injured workers have an absolute choice over their pharmacist, physicians are not considered pharmacists and therefore not entitled to reimbursement.
Read More

WCRI Publishes National Repository on Prescription Drug Regulations

While the report addresses multiple topics, a significant focus was given to the expanding role of pharmacists as a healthcare provider.
Read More

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?
Read More

Inside Medical Experience: Signals, Trends, and System Impact

Healthe’s VP of Industry and State Affairs, Sandy Shtab, joins a panel presentation at the Pennsylvania/Delawaare 2026 Workers’ Compensation Symposium.
Read More
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