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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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WCRI Reports on the Pandemic’s Effect on Medical Utilization

Injury frequency increased for younger and less-tenured workers, who also saw higher use of emergency departments.
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March 3, 2025

Oklahoma Bill Could Impact Pharmacy Benefits

Among other changes, the bill would ban effective rate contracts, making it difficult to forecast drug costs.
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March 3, 2025

Alabama Proposes Workers’ Comp Coverage for Teachers

Currently, public school teachers injured on the job must pay for care out-of-pocket and must request reimbursement.
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February 24, 2025

Kentucky Considers New Billing and Payment Deadlines

Timelines for bill submission and payment would begin only after a claim is accepted as compensable.
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February 24, 2025

New York Restricts Mental Health Presumption to First Responders

Legislation passed in 2024 that granted the presumption to all workers has been rolled back.
Read More →
February 24, 2025

New York Considers Lyme Disease Presumption

If enacted, the bill would apply to outdoor workers and those who work with animals.
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February 24, 2025

NCCI Publishes Drill Down Industry Reports

An initial look into the construction industry will be followed in the future with manufacturing, transportation, warehousing, and more.
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February 24, 2025

California Proposes Updates to Medical Treatment Utilization Schedule

The updates would incorporate evidence-based revisions to Chronic Pain Guidelines and Cannabis Guidelines from ACOEM.
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February 17, 2025

Illinois Introduces Psilocybin Therapy Bill

Along with the supervised therapeutic use, the bill would implement a sales tax, public education, and much more.
Read More →
February 17, 2025
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 Further resources you may be interested in

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

Classification Complications: Will Gig Workers Enter the Workers’ Comp Market?

Legislation could potentially reclassify gig workers as employees entitled to workers’ comp.
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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.
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CDC Updates Isolation and Quarantine Period for COVID-19

New five-day rules are recommended, with variation depending upon vaccination status.
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Federal Judges Try to Block Vaccine Mandates

Rulings from U.S. District Courts have impeded vaccine requirements among certain workers.
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Cannabis in the Workplace on the Rise

One-third of employees have witnessed cannabis use during work hours.
Read More

Take the 2021 Workers’ Comp Industry Insights Survey

Take our survey and share your thoughts on where the industry is headed.
Read More
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