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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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PTSD Updates Across the Country

New Jersey could create a task force for pandemic-related PTSD, while Virginia and Connecticut could expand mental health presumptions.
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March 2, 2026

West Virginia Proposes Using Federal Standards for Worker Classification

Senate Bill 1073 would eliminate state rules and replace them with federal IRS standards on the matter.
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March 2, 2026

Colorado Proposes New Safety Requirements for Extreme Heat and Cold

In addition to creating a model temperature-related injury and illness prevention plan, the state would create measures to monitor these incidents.
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March 2, 2026

WCRI Publishes National Repository on Prescription Drug Regulations

While the report addresses multiple topics, a significant focus was given to the expanding role of pharmacists as a healthcare provider.
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March 2, 2026

NCCI Reports on Interstate Variation in Pain Management Trends

While opioid utilization has decreased, overall spend on pain management has increased, in part due to the use of high-cost topical medications.
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March 2, 2026

CMS Publishes 2026 Q2 NCCI Edits

Changes were made to the Medically Unlikely Edits (MUEs) for Practitioner Services, DME Supplier Services and Outpatient Hospital Services.
Read More →
March 2, 2026

Hawaii Amends Bill to Target Physician Dispensing

Originally meant to address compound medications, the bill has been expanded to create limitations for physician dispensing.
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February 23, 2026

Arizona Pharmacy Network Bill Fails to Pass

The bill did not pass out of its original committee before a crucial deadline, and failed to pass after a special hearing.
Read More →
February 23, 2026

Alaska Updates Medical Fee Schedule

In a February 19th special meeting, the Board approved new rules and addressed confusion regarding resource materials
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February 23, 2026
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 Further resources you may be interested in

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

FDA Issues Draft Guidance for the Use of AI in the Creation of Drugs and Medical Devices

The guidelines provide recommendations on using AI to demonstrate drug safety and effectiveness, and recommendations for AI-enabled medical devices.
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California Updates Pharmacy Fee Schedule

Among many changes, the state is replacing AWP with a new pricing model.
Read More

Missouri Proposes Bill for Psilocybin Therapy

Medical use would be legalized, with legal protections for patients and physicians.
Read More

New York Enacts Mental Injury Presumption for All Workers

All workers will now have the right to file a claim for mental injuries, based upon extraordinary work-related stress incurred on the job.
Read More

Texas Considers Making Infertility an Occupational Illness for First Responders

A proposed bill would apply to male and female reproductive systems for firefighters and EMTs.
Read More

The Most Engaging RxInformer Articles from 2024

We checked the stats and reviewed our readers’ favorite articles from RxInformer magazine to bring you a list of our most engaging content from 2024.
Read More
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