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

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

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

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

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

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

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

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

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

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

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Further resources you may be interested in

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

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.