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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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New Jersey Proposes Comp Exclusion for Intoxication

Intoxication as a material contributing factor to injury or death could disqualify individuals for benefits.
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January 19, 2026

Texas Publishes Audit Report for Gabapentin and Pregabalin Prescribing

The report includes recommendations for providers, and the findings could impact rules around prescribing, utilization review, and service delivery.
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January 12, 2026

New York Proposes Billing Guidelines for Residents and Fellows

After expanding access to care by allowing these providers to treat injured workers, billing guidelines for these providers are being developed.
Read More →
January 12, 2026

Ohio Proposes Rule Changes for Prosthetic Coverage

Under the proposal, the BWC would cover purchases through their surplus fund if the need stems from an allowed injury or occupational disease.
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January 12, 2026

Florida May Increase Cancer Benefits to Firefighters With $25,000 Payment

Additionally, benefits may be extended for up to 10 years post-employment.
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January 12, 2026

Kentucky Could Make Psychological Injuries Compensable for First Responders

If enacted, House Bill 26 would apply to police officers, firefighters, emergency medical services personnel, and members of the National Guard.
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January 12, 2026

Virginia Considers Expanding Cancer Presumptions to Sheriffs

Exceptions to the presumption are made for certain cancers diagnosed prior to key dates.
Read More →
January 12, 2026

Washington State May Allow PTs and OTs to Qualify as Attending Providers

If enacted, physical therapists and occupational therapists could direct care for injured workers.
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January 12, 2026

White House Issues Executive Order to Reschedule Marijuana

Rescheduling marijuana to Schedule III will allow for greater clinical research, possible FDA-approved drugs, and more.
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December 22, 2025
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 Further resources you may be interested in

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

The Real Promise of Artificial Intelligence in Healthcare and Workers’ Comp

Potential applications, benefits, pitfalls, questions, and the matter of regulation.
Read More

California Enacts Skin Cancer Presumptions for First Responder and Other Occupations

This law also includes lifeguards, and certain employees in the Departments of Fish and Wildlife and Parks and Recreation.
Read More

Changing Minds? Unlocking the Potential of Psychedelics in Mental Health Therapy

Clinical research indicates the potential for strong mental health applications.
Read More

Connecticut Enacts Cancer Presumption for Firefighters

Enacted as part of the state’s budget bill, this new regulation comes with stipulations and exclusions.
Read More

The Real Promise of Artificial Intelligence in Healthcare and Workers’ Comp

Potential applications, benefits, pitfalls, questions, and the matter of regulation
Read More

Wacky Weather: How Climate Change Is Impacting Workers’ Comp

Weather-related disasters are on the rise. How do weather and climate change affect workers and workers’ comp?
Read More
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