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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Claim Costs Industry Data

Florida Publishes Annual Workers’ Comp Report

While pharmacy payments are dropping, physician dispensing remains high.

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March 10, 2025

Access to Care

Iowa Could Allow Primary Care Providers to Treat Workplace Injuries

Employers would be required to inform workers of their right to designate their primary care provider as the physician for their workplace injury.

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March 10, 2025

Access to Care

New York Continues Efforts to Expand Access to Providers

Governor Hochul reiterates proposals made in her budget bill, with additional efforts to align fee schedules with Medicare automatic updates.

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March 10, 2025

Mental Health Presumptions

California Considers PTSD and COVID Presumptions for Hospital Workers

The bill would apply to hospital workers who provide direct patient care in an acute care hospital.

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March 3, 2025

Alternate Comp Coverage

Florida Proposes Employer-Run Comp Alternative

Employers must demonstrate financial ability to provide benefits, create written plans that provide no-fault benefits and adhere to certain criteria.

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March 3, 2025

Cost Containment

Maryland Pharmacy Fee Schedule Bill Inches Forward

Introduced in January, the bill was discussed in a February 25th hearing, with supporters and opponents voicing concerns.

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March 3, 2025

Mental Health Presumptions

Montana Introduces PTSD Presumption Bill for First Responders

The bill applies to firefighters, law enforcement officers, certain prison workers, and others.

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March 3, 2025

Access to Care

Montana Bill Would Deny Workers’ Comp Benefits for Undocumented Workers

The bill would also allow insurers to close claims when the claimant leaves the United States – regardless of citizenship status.

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March 3, 2025

Access to Care

New York Budget Bill Could Expand Access to Providers

Among many proposed changes, the bill would automatically allow licensed physicians, chiropractors, psychologists, and others to treat injured workers.

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March 3, 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.

Rhode Island Legalizes Recreational Marijuana

A total of 19 states now allow for recreational marijuana in adults aged 21 and older.

The Cannabis Question: Marijuana and Workplace Safety?

With greater legalization and public approval, the question of safety grows more important.

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.