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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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

Access to Care

Montana Considers Provider Choice Bill for Injured Workers

Provider choice would have to take into account practical matters, such as proximity and the ability to comply with workers’ comp care guidelines.

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February 17, 2025

Access to Care

New York Could Permit Massage Therapists to Act as Workers’ Comp Providers

If passed, massage therapists could provide care but would not be permitted to establish workplace injury causation or disability.

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February 17, 2025

Opioids Presumptions

New York Considers Presumption for Opioid Overdose Deaths

The bill would require that deceased workers had received an opioid prescription for their workplace injury.

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February 17, 2025

Presumptions

West Virginia Proposes Expansion to Firefighter Cancer Presumptions

If passed, House Bill 2197 would extend coverage to bladder cancer, mesothelioma, and testicular cancer.

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February 17, 2025

Worker Safety

Arizona and Illinois Bills Push for Extreme Temperature Protections

While Arizona is only considering extreme heat protections, Illinois considers both extreme heat and extreme cold protections.

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February 17, 2025

Alternative Therapy

New Mexico, New York, & Oregon Consider Chiropractor and Acupuncturist Bills

These bills would grant more authority to these practitioners, in one case letting them prescribe and administer prescription drugs.

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February 10, 2025

Access to Care

Kansas Introduces Provider Choice Bill

Injured workers would be allowed to select their provider, and language allowing regulators to select new providers would be removed.

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February 10, 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.