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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Industry Data Worker Safety

Quest Diagnostics Publishes 2025 Drug Testing Index

Positivity rates for fentanyl in random drug checks were 707% higher when compared to pre-employment drug tests.

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October 13, 2025

Marijuana

Cannabis Drug Beats Opioid in Phase 3 Clinical Trial for Low Back Pain

A lack of clinical research has been a barrier for the greater utilization of medical marijuana, but one cannabis-derived drug shows promise.

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October 13, 2025

Ancillary Services Claims Procedures

Oregon and Washington Issue Guidance for Sign Language Interpreter Services

Considering recent and upcoming changes to the procurement of these services, both states have published bulletins to clarify procedures.

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October 13, 2025

Mental Health Presumptions

California Expands Cancer, PTSD, and Cardiovascular Presumptions

Two recently enacted bills expand pre-existing presumptions to additional workers.

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October 13, 2025

Worker Classification

Wisconsin Proposes Increased Penalties for Worker Misclassification

If passed, the bill would increase fees, and in some cases remove fee limits, for employers that continue to misclassify workers to avoid providing benefits.

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October 6, 2025

Worker Safety

WCRI Report: California’s Heat Safety Standards Reduced Workplace Injuries

Work-related injuries on hot days decreased 15-17% for construction workers, 24-27% in agricultural workers, and 19-25% for transportation workers.

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October 6, 2025

Access to Care Advocacy Opportunity Claims Procedures

Oregon Considers Stakeholder Feedback for Improving Access to Care

Stakeholders discussed inefficiencies in claim procedures, and regulators will continue to review feedback prior to finalizing recommendations.

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October 6, 2025

Advocacy Opportunity Billing & Payments

Ohio Resubmits Outpatient Medication Rules: Comments Accepted Until October 9th

BWC resubmits outpatient medication rules with unchanged compound provisions, sets February 2026 start date, and reopens public comments.

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October 6, 2025

Advocacy Opportunity Cost Containment

Arizona Study Prompts Stakeholder Feedback for High-Cost Prescription Topicals

A small group of prescribers and out-of-network pharmacies are driving utilization of costly drugs with affordable alternatives.

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October 6, 2025

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Further resources you may be interested in

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

Burden of Proof: Unpacking Presumptions in Workers’ Comp

New presumptions in workers’ comp are making it easier for workers to qualify for benefits related to mental injury, including PTSD, as well as certain cancers and other conditions.