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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.

Worker Classification

Georgia Could Classify Gig-Worker Nurses as Independent Contractors

Healthcare workers utilizing apps like CareRev, Clipboard Health, and NurseDash would not be entitled to benefits such as workers’ comp.

January 26, 2026

Utah Proposes Reduced Benefits for Positive Marijuana Tests

If enacted, this bill would go into effect May 6, 2026.

January 26, 2026

Bureau of Labor Statistics Publishes Workplace Injury Report

2.5 million nonfatal workplace injuries and illnesses were reported in 2024, a drop of 3.1% from 2023.

January 26, 2026

Access to Care Technology

Utah Will Allow AI Prescription Renewal for Chronic Conditions

High volumes of prescription renewals are cited as a driver in medication lapses and preventable health outcomes.

January 19, 2026

Advocacy Opportunity Cost Containment

Alaska Schedules Public Hearing for Fee Schedule Changes

After public feedback is received at the February 19th meeting, the fee schedule is expected to take effect March 15, 2026.

January 19, 2026

Cost Containment

Massachusetts Clarifies Fee Schedule Recommendations to Legislature

Reimbursement structures have remained unchanged for over a decade, prompting regulators to push for updates.

January 19, 2026

Mental Health Presumptions

Presumption Bills Continue to Trend

Arizona proposes a PTSD presumption, while Maryland proposes a hypertension presumption.

January 19, 2026

New Bills Propose Workers’ Comp Changes Related to Immigration Status

New bills in Florida and New Jersey could affect workers’ comp coverage for undocumented workers.

January 19, 2026

Claim Data Pharmacy Data

WCRI Publishes Report on Injectable Therapies

The report classifies distinct subgroups of injectable by medication type and identifies those most common in workers’ comp.

January 19, 2026

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Further resources you may be interested in

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

Growing Shifts in Child Labor Laws

Many states passed or proposed changes in 2023, with two states so far working on bills for 2024.

White House Pardons Simple Possession Charges for Marijuana

A recent proclamation applies to simple federal possession charges on or before December 22, 2023.

PTSD Presumptions Could See More Action in 2024

As legislative sessions open, several states have continued to introduce PTSD bills.

This Year’s Top Insights in Workers’ Compensation Medical Management

As we enter 2024, let’s look at the top insights for workers’ comp managed care programs in 2023.

White House Issues Executive Order on Artificial Intelligence

The order seeks increased transparency from AI companies regarding model operations, safety and privacy standards, and consumer/worker protections.

California Bans Pre-Employment Marijuana Screening

Similar to a Washington law passed earlier this year, employees are not permitted to possess, to be impaired by, or to use cannabis on the job.

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Workers' Comp Property and Casualty PBM
Expires 01/01/2028