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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 Tracking

To track relevant regulatory trends across the nation, access our interactive map.
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Regulatory Recap

A weekly e-newsletter informed by our Advocacy & Compliance team to help keep our clients and industry contacts in the know on the latest legislation and policy updates impacting workers' comp. Explore our complete article repository below.

Colorado Stakeholders Debate Over Physician Oversight

In a DWC meeting, stakeholders spoke regarding the timeline of when a physician evaluates a patient, versus other types of providers.
Read More →
May 5, 2025

Ohio Introduces New Outpatient Rules for Medication Reimbursement

After previous drafts of new rules were withdrawn last year, a revised set of rules have been introduced, based on stakeholder feedback.
Read More →
May 5, 2025

Wisconsin Workers’ Compensation Advisory Council Meeting Recap

Topics discussed include proposals for a fee schedule by 2027, employer direction of care, and allowing more providers to provide disability opinions.
Read More →
May 5, 2025

WCRI Reports On the Impact Of Marijuana Laws On Workers’ Comp Benefits

While recreational marijuana laws may be tied to increases in claim frequency, medical payments and prescriptions decreased, including those for opioids.
Read More →
May 5, 2025

California DWC Launches Test Pilot for New Pharmacy Fee Calculator

The pilot test will run from April 24 to May 8, 2025, allowing stakeholders to provide feedback to the DWC.
Read More →
April 28, 2025

Louisiana Fee Schedule Bill Amended with Hopes of Compromise

In addition to bill amendments, the bill has been deferred for one week to allow for additional review and stakeholder input.
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April 28, 2025

Nevada Heat Safety Rules to Take Effect April 29th

Employers with over 10 employees working outdoors, or indoors without climate control, must adhere to the new rules.
Read More →
April 28, 2025

Nevada Provider Panel Bill Fails

Assembly Bill 469 missed a committee deadline, removing it from consideration this legislative session.
Read More →
April 28, 2025

WCRI Publishes Annual Report

The report summarizes 2024 activities, including over 40 studies that address topics such as psychosocial factors, attorney involvement, and more.
Read More →
April 28, 2025
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 Further resources you may be interested in

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

California Updates Pharmacy Fee Schedule

Among many changes, the state is replacing AWP with a new pricing model.
Read More

Missouri Proposes Bill for Psilocybin Therapy

Medical use would be legalized, with legal protections for patients and physicians.
Read More

New York Enacts Mental Injury Presumption for All Workers

All workers will now have the right to file a claim for mental injuries, based upon extraordinary work-related stress incurred on the job.
Read More

Texas Considers Making Infertility an Occupational Illness for First Responders

A proposed bill would apply to male and female reproductive systems for firefighters and EMTs.
Read More

The Most Engaging RxInformer Articles from 2024

We checked the stats and reviewed our readers’ favorite articles from RxInformer magazine to bring you a list of our most engaging content from 2024.
Read More

Think Globally, Act Locally: Advocating for Administrative Simplification

Collaboration between national and regionally based stakeholders is one way to work towards improving the workers’ compensation system.
Read More
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 Interactive Map

To interact with this map, use the drop-downs to select a topic and type, then click the Display button. You can then roll over and click on individual states for more detailed information. This map represents legislation proposed during the most recent legislative cycle, typically spanning two years in most states. All current regulations are displayed up to present.
The content above is representative of topics Healthesystems proactively monitors and reports on. While not all topics are directly applicable to workers' compensation claims, some may have potential to impact workers' compensation in the future.
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