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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 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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Oklahoma Employers Can Terminate Employees for Any Marijuana Use

Positive drug tests, even for medical use, can result in termination. The bill also updates rules around safety sensitive positions.
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April 27, 2026

Pennsylvania Advisory Council Signals Legislative Attention Needed on Topical Cap

Senate Bill 1215 was discussed, and it appears unlikely the proposed reimbursement caps will be passed.
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April 20, 2026

California P&T Committee Recommends Formulary Updates

The committee issued new recommendations related to 300 mg ibuprofen, gabapentin and pregabalin, cyclobenzaprine, and tizanidine.
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April 20, 2026

Colorado Gathers Stakeholder Feedback on Medical Fee Schedule

Matters discussed included physician dispensing, missed appointment fees, passive therapy utilization, and interpreter bill denials.
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April 20, 2026

Texas DWC Requests Legislative Recommendations

Stakeholders may send specific legislative recommendations to the DWC, if they are supported by data, and with relevant background or context.
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April 20, 2026

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

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

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

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
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 Further resources you may be interested in

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

Then and Now: 8 Reflections from 15 Years of RxInformer

The editorial staff looked back at past issues to understand what has changed – and what hasn’t
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Pain Points: Chronic Pain and the Injured Worker

Chronic pain affects millions and has direct consequences for injured workers and in the workplace, from absenteeism to higher healthcare costs.
Read More

State of the Nation

A perspective penned by our VP of Industry and State Affairs
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Digital Therapeutics: The Promise of Better Health Outcomes for Injured Workers

What they are, the benefits, how they’re currently covered by insurers, and future outlooks.
Read More

Massachusetts Considers Reimbursement, California Could Reject Medical Recommendation

A bill in Massachusetts could require insurers to pay for marijuana, while ACOEM recommends against marijuana for chronic pain guidelines.
Read More

Visit Healthesystems at RISKWORLD 2025

Drop by Booth #824 for a copy of the 15th Anniversary edition of RxInformer magazine, and to learn how we’re transforming healthcare.
Read More
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