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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.
Go to Map

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.

Ohio Withdraws Outpatient Medication Reimbursement Rules

Filed in October 2024, the amendments aimed to adjust AWP discount rates and standardize dispensing fees.
Read More →
April 14, 2025

Wisconsin May Expand PTSD Presumption to Emergency Medical Workers and Others

The existing presumption only applies to firefighters and law enforcement officers, while this new bill would apply to other first responders.
Read More →
April 14, 2025

WCRI Publishes Study on Degenerative and Comorbid Conditions

Approximately 38.8% of claims had one or more comorbidities, based on an analysis of 930,000 claims with at least 7 days lost time across 32 states.
Read More →
April 7, 2025

California Considers Updates to Billing Disputes Over Contracted Discounts

These disputes would qualify for independent bill review, and contracts must be presented when justifying payments below fee schedule.
Read More →
April 7, 2025

Connecticut Proposes Expansion to PTSD Presumption

A new qualifying event would include witnessing a serious physical injury that does not result in death or permanent disfigurement.
Read More →
April 7, 2025

Florida Discusses Provider Reimbursement at Stakeholder Meeting

Healthesystems attended the meeting to capture key discussion updates.
Read More →
April 7, 2025

Montana Could Recognize Physical Therapists as Treating Physicians

Passing both chambers nearly unanimously, Senate Bill 109 currently sits with the governor.
Read More →
April 7, 2025

Psilocybin Bills Enacted in Colorado and North Dakota

Colorado’s bill allows for prescription of psilocybin upon an FDA-approved product, while North Dakota lists psilocybin as a Schedule IV drug.
Read More →
April 7, 2025

Child Labor bills in Florida, Maine, and West Virginia

These bills would expand working hours 14–17-year-olds, potentially impacting the workforce.
Read More →
March 31, 2025
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 Further resources you may be interested in

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

Worker Heat Protections Continue to Make Waves

The U.S. Department of Labor proposed new rules, while other states introduce legislation.
Read More

WCRI Reports on Drug Payment Trends

Dermatologicals made up the largest share of drug payments, with NSAIDs coming in second.
Read More

Massachusetts Publishes Study on Opioid Overdose Deaths

Approximately 741 injured workers died of opioid overdose deaths in Massachusetts.
Read More

New Jersey Proposes Expansion to Medical Marijuana Law

A new bill would give providers more discretion in what medical conditions could qualify a patient for medical cannabis.
Read More

California Proposes Psychedelics Pilot Program

Five treatment centers would offer psychedelic therapy for veterans and former first responders.
Read More

Healthesystems at WCI 2024

Adjusters Assemble! Visit Healthe at Booth #921 to learn how we reduce day-to-day burdens for claims professionals.
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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