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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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White House Issues Executive Order on Psychedelics

The order seeks to accelerate clinical trials, data sharing, drug approvals, and possibly rescheduling.
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April 27, 2026

Minnesota Publishes Drug Price Transparency Report

Prescription drug list prices increased 23% in the last year, far outpacing inflation.
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April 27, 2026

New York Could Exclude Unpaid Interns from Workers’ Comp

Such interns would not be considered employees, meaning they would not be entitled to various employee benefits.
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April 27, 2026

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
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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?
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