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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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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

Iowa Could Allow Primary Care Providers to Treat Workplace Injuries

Employers would be required to inform workers of their right to designate their primary care provider as the physician for their workplace injury.
Read More →
March 10, 2025

Florida Publishes Annual Workers’ Comp Report

While pharmacy payments are dropping, physician dispensing remains high.
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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.

2021 Workers’ Comp Industry Insights Survey Report

Over 600 stakeholders shared their thoughts on top industry challenges.
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New York and New Hampshire Rule in Favor of Marijuana Reimbursement

Both State Supreme Courts ruled in favor of reimbursement.
Read More

FDA Approves Posimir for Post-Surgical Pain Relief

A novel bupivacaine formulation works as a 72-hour local anesthetic following shoulder surgery.
Read More

Wisconsin Announces Plan to Lower Prescription Drug Costs

State-led efforts to combat the drug price issue continue to emerge across the nation.
Read More

COVID-19 Mutations Impact Testing

False negatives may be reported due to genetic variations of the virus.
Read More

Worker Classification Debate Continues Across the Country

The Department of Labor issued a new rule while special interest groups push for regulatory change.
Read More
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