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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Access to Care

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

Billing & Payments

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

Mental Health Presumptions

New York Restricts Mental Health Presumption to First Responders

Legislation passed in 2024 that granted the presumption to all workers has been rolled back.

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February 24, 2025

Presumptions

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

Industry Data

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

Advocacy Opportunity Marijuana Treatment Guidelines

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

Mental Health Psychedelics

Illinois Introduces Psilocybin Therapy Bill

Along with the supervised therapeutic use, the bill would implement a sales tax, public education, and much more.

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February 17, 2025

Mental Health Presumptions

Kentucky Proposes PTSD Presumption

If passed, the presumption would apply to police officers, fire fighters, EMTs, and “frontline staff” which includes other occupations.

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February 17, 2025

Access to Care

Maryland Bills Could Expand Social Worker’s Authority

One bill would allow them to determine mental impairment, while another would let licensed clinical social workers to provide rehabilitation service.

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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.

Sickness and Society: The Future of Infectious Disease in the Workplace

Strategies for a safer, healthier workface amid COVID-19 and beyond.

Clearing the Air: Marijuana Considerations for Workers’ Comp

Public support for marijuana is at an all-time high. What does this mean for workers’ comp?

State of the States

Sandy Shtab, Healthesystems AVP of Advocacy and Compliance, comments on regulatory activity across the country.

Side Effects: COVID-19-Related Healthcare and Pharmacy Trends Impacting Workers' Comp

The COVID-19 pandemic has had a profound impact on the American healthcare system, causing disruptions and driving rapid adaptations to care delivery.