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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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Connecticut Creates Task Force for First Responder Claim Delays

The task force must submit a report of findings and recommendations by January 1, 2027.
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June 8, 2026

Florida Expands Cancer Death Benefits for Firefighters

Florida Senate Bill 984 goes into effect July 1, 2026.
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June 8, 2026

South Carolina to Cover Stroke for Firefighters

The bill also expands presumption eligibility to cover conditions that arise during training, rescue activity, or within 24 hours of strenuous duty.
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June 8, 2026

Wisconsin Shares Updates on Medical Treatment Guidelines and Hospital Fee Schedule

While progress continues, the guideline updates are delayed due to quorum issues, and the hospital fee schedule is still in early planning stages.
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June 1, 2026

WCRI Publishes 2026 Medical Price Index

The report compares prices paid for medical services across 36 states from 2008 to 2025.
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June 1, 2026

California Publishes Independent Medical Review Report

Pharmaceutical requests represented 30.6% of all treatment requests submitted for IMR, a modest decline from 32.7% in 2024.
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May 25, 2026

Georgia Enacts Regulations for Psychedelic Clinics

The Georgia Composite Medical Board will issue rules and regulations for clinics administering psychedelic-assisted therapies by December 31, 2026.
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May 25, 2026

Colorado Could Expand Cancer Coverage for Firefighters

Senate Bill 184 passed both chambers and now sits with Governor Polis.
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May 25, 2026

WCRI Publishes Interstate Variation and Trends Report on Drug Payments

Dermatological agents remained a significant cost driver, in part due to physician dispensing and delivery pharmacies, which accounted for a significant number of high-cost transactions.
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May 25, 2026
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 Further resources you may be interested in

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

Could AI-Designed Drugs Impact Regulatory Frameworks?

While AI can be effective in some elements of drug design, AI models currently struggle to explain their decision making, a key component of drug review.
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Preliminary Findings from the 2026 Workers’ Comp Industry Insights Survey Report

Risk & Insurance® magazine published high-level findings from the eighth annual survey, in collaboration with Healthesystems.
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Year in Review: What Made the Biggest Impacts in Workers’ Comp Claims Management in 2025?

From claims complexity to mental health, here’s what impacted workers’ comp claims management last year.
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New York Could Remove References to CDC Guidelines

After regional public health collaboratives formed in September, New York could be the first state to formally shift policies away from deferring to federal guidelines.
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On the Front Lines: How Does Climate Change Continue to Impact Workers?

What are the latest developments in climate change, and how does it continue to impact front-line workers such as ocean workers and construction workers?
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Expert Q&A: What Are the Impacts of the New Prescription Drug Tariff Policy?

With the Trump Administration’s new tariff on prescription medications, how are drug manufacturers reacting, and how might the workers’ compensation system be impacted?
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