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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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Colorado Considers Changes to Provider Choice, Disputes, and More

Among many changes, the bill would shift the burden of proof to insurers in medical treatment disputes.
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March 24, 2025

Colorado Considers Removing Qualified Spanish Interpreters from Fee Schedule

The change was proposed due to the increased availability of Certified Spanish interpreters.
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March 24, 2025

California Considers Adopting ACOEM Recommendations Against Medical Marijuana

The ACOEM cannabis guideline from late January 2025 recommend against medical marijuana for the treatment of pain.
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March 24, 2025

California’s Proposed MPN Rules Concern Stakeholder

Stakeholders voiced concern around language surrounding interpreters, contracting requirements, and telehealth.
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March 24, 2025

Texas Proposes Expansions to Physician Dispensing

Two bills would allow physicians to dispense “dangerous drugs” directly to injured workers in rural areas.
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March 17, 2025

Nevada Could Expand Insurers’ Panels of Treating Providers

Insurers would be required to maintain a panel of at least 12 providers per medical specialty, with various stipulations for provider choice.
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March 17, 2025

Massachusetts Considers Extreme Temperature Protections

The bill includes rules for temperatures above 80 degrees Fahrenheit and below sixty degrees Fahrenheit.
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March 17, 2025

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

New York Continues Efforts to Expand Access to Providers

Governor Hochul reiterates proposals made in her budget bill, with additional efforts to align fee schedules with Medicare automatic updates.
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March 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.

Infographic: Uncommon Ground

See how perceptions of workers' comp pros and injured workers don't always align
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State of the States

A roundup of regulatory activity around the country
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FDA and CDC Recommend Resuming Use of Johnson & Johnson COVID-19 Vaccine

After reviewing six rare cases of blood clots after 7 million doses, current data indicates the vaccine is safe.
Read More

Making Telemedicine Work for Workers’ Comp

Applications, benefits and tips for success.
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Provider Choice Bills Introduced Across the Country

More states consider allowing injured workers to choose their treating physician.
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Recreational Marijuana Legalization Blazes On

In two months, three states legalized recreational marijuana, and more could soon follow.
Read More
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