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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.

WCRI Reports on the Pandemic’s Effect on Medical Utilization

Injury frequency increased for younger and less-tenured workers, who also saw higher use of emergency departments.
Read More →
March 3, 2025

Oklahoma Bill Could Impact Pharmacy Benefits

Among other changes, the bill would ban effective rate contracts, making it difficult to forecast drug costs.
Read More →
March 3, 2025

Alabama Proposes Workers’ Comp Coverage for Teachers

Currently, public school teachers injured on the job must pay for care out-of-pocket and must request reimbursement.
Read More →
February 24, 2025

Kentucky Considers New Billing and Payment Deadlines

Timelines for bill submission and payment would begin only after a claim is accepted as compensable.
Read More →
February 24, 2025

New York Restricts Mental Health Presumption to First Responders

Legislation passed in 2024 that granted the presumption to all workers has been rolled back.
Read More →
February 24, 2025

New York Considers Lyme Disease Presumption

If enacted, the bill would apply to outdoor workers and those who work with animals.
Read More →
February 24, 2025

NCCI Publishes Drill Down Industry Reports

An initial look into the construction industry will be followed in the future with manufacturing, transportation, warehousing, and more.
Read More →
February 24, 2025

California Proposes Updates to Medical Treatment Utilization Schedule

The updates would incorporate evidence-based revisions to Chronic Pain Guidelines and Cannabis Guidelines from ACOEM.
Read More →
February 17, 2025

Illinois Introduces Psilocybin Therapy Bill

Along with the supervised therapeutic use, the bill would implement a sales tax, public education, and much more.
Read More →
February 17, 2025
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 Further resources you may be interested in

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

State of the Nation

A roundup of regulatory activity around the country
Read More

2024 Workers’ Comp Industry Insights Survey Report

Visit Healthe at RISKWORLD® 2024 at Booth #1833 for your copy or download a copy now.
Read More

More States Consider Cancer Presumptions for Firefighters

Different types of cancers are being added to pre-existing presumptions.
Read More

Visit Healthesystems at RISKWORLD 2024

Pick up a copy of the new Summer 2024 edition of RxInformer magazine, and learn how Healthe is transforming healthcare.
Read More

AI Utilization Review Bills Appear Across the Country

California, Georgia, New York, Oklahoma, and Pennsylvania could start a national trend.
Read More

Three More States Introduce Psychedelics Bills, While FDA Sets MDMA Decision Date

Connecticut, Missouri, and New Hampshire join 10 other states considering psychedelics bills.
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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