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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Worker Safety

Virginia Enacts Heat Illness Prevention Standards

The Safety and Health Codes Board, in consultation with the DOL, must develop and adopt heat illness prevention standards by May 1, 2028.

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April 20, 2026

Ancillary Services Claim Costs

WCRI Reports on Air Ambulances

About 1 in 100 workers injured in rural areas with more than seven days of lost time had air ambulance services.

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April 20, 2026

Worker Safety

NCCI Issues First in a Series of Workplace Violence Reports

Workplace assaults have increased at a rate of 5.3% per year from 2011-2022, primarily impacting health care and social assistance workers.

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April 20, 2026

Worker Classification

New York Considers Classifying App-Based Delivery Workers as Employees

If enacted, these workers would be entitled to certain benefits, including workers’ compensation.

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April 13, 2026

Access to Care

Oregon Extends Treatment Authority to Nurse Practitioners and Physician Associates

Under emergency declaration, the bill went into effect immediately.

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April 13, 2026

Presumptions

Maryland May Soon Expand Cardiovascular Presumption

Two bills passed both chambers with near unanimous support, but they now sit with the governor under a tight deadline.

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April 13, 2026

Presumptions

Alabama Enacts Parkinson’s Presumption for Firefighters

The presumption will go into effect October 1st.

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April 13, 2026

Advocacy Opportunity Treatment Guidelines

California P&T Committee to Address MTUS Updates and Ibuprofen Price Outliers

The April 15th hybrid meeting will take place from 12:30 PM to 2:30 PM PST, covering a wide variety of pharmacy topics.

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April 13, 2026

Billing & Payments

Louisiana Bill Would Remove Prescription Drugs from MTS Authorization and Appeals

Louisiana introduced a bill that would remove prescribed drugs from the Medical Treatment Schedule (MTS) authorization timelines and Medical Director appeal process under the workers’ compensation law.

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April 6, 2026

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Further resources you may be interested in

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

Cannabis Drug Beats Opioids in Phase 3 Low Back Pain Trial

VER-01, a cannabis extract, outperformed both placebo and opioids in two late-stage clinical trials.

NCCI Publishes 2025 Regulatory and Legislative Trends Report

NCCI tracked 950 bills impacting workers’ comp, highlighting key trends across the country, such as PTSD and cancer presumptions, worker classification, and psychedelics.