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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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Department of Labor Expands Pharmacy Models Across Programs

This development signals a shift toward a standardized OWCP pharmacy model that could impact Longshore and Black Lung claimants.
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May 11, 2026

New York Could Cover 9/11 Claims for National Guard Responders

If enacted, the bill would categorize organized militia members as state employees, entitling them to workers’ comp benefits.
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May 11, 2026

Ohio Bill Could Entitle Rideshare Drivers to Workers’ Comp

If enacted, rideshare companies would have to report drive-time data quarterly that would determine workers’ comp premiums.
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May 11, 2026

WCRI Reports on Impact of Hospital Closures on Access to Care and Claims Outcomes

While patients in rural areas had to travel further for care, there were no meaningful increases to claim costs or disability duration.
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May 11, 2026

Texas Announces Audit for Topical Analgesics

The DWC will work with system participants to develop the audit plan, including timeframe, size, and case selection.
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May 4, 2026

Maryland Eases Requirements for Cardiovascular Presumption

Two separate bills would respectively change certain rules for firefighters and specific correctional officers.
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May 4, 2026

Arizona Considers Expanding Cancer Presumption for First Responders

The bill would add five years of retroactive effect, allowing certain individuals who were denied claims to file once more.
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May 4, 2026

Louisiana Bills to Watch

Three in-progress bills impact medical reimbursement and fee schedules, prescription drug authorizations, and medical necessity evaluations.
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May 4, 2026

WCRI Publishes CompScope Benchmarks

Claim costs increased 6% per year from 2022-2025 in the median study state, with state-level variations.
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May 4, 2026
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 Further resources you may be interested in

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

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.
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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.
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PTSD Presumptions Continue to See Activity

New York backpedaled on a PTSD presumption for all workers, while California considers a PTSD presumption for healthcare workers.
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Psilocybin and Ketamine Therapy Bills Introduced Across the Country

So far, seven psilocybin therapy bills have been introduced in 2025, with three ketamine therapy bills.
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Digital Therapeutics: The Promise of Better Health Outcomes for Injured Workers

Digital therapeutics products aim to improve patient health outcomes. What are their applications in workers’ comp?
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A Hot Topic: The Latest News on Workers and Extreme Heat

Extreme heat continues to be a serious risk for workers. What are the latest heat-related developments in workers’ comp?
Read More
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