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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.

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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.

Florida Advances AI Oversight in Insurance and Work Comp Claims

Florida House Bill 527 is moving quickly in the face of a March 13th deadline.

March 9, 2026

Washington State Pursues Electronic Claim Communications

The Washington Department of Labor could soon utilize electronic communications for workers’ comp claims, instead of snail mail.

March 9, 2026

Advocacy Opportunity Worker Classification

Department of Labor Proposes Changes to Worker Classification Rule

Interested stakeholders can submit comments on the proposal until April 28th.

March 9, 2026

Cost Containment Treatment Guidelines

Louisiana Considers Changes to Treatment Guidelines and Fee Schedule

One bill proposes the use of the ODG guidelines, while another bill would establish a fee schedule similar to neighboring states.

March 9, 2026

Billing & Payments Claims Procedures

Hawaii Seeks to Clarify Medical Payment Timelines

The bill would standardize timelines, notice requirements, and dispute resolution processes.

March 9, 2026

Mental Health Presumptions

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.

March 2, 2026

Worker Classification

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.

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.

March 2, 2026

Access to Care Cost Containment Treatment Guidelines

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.

March 2, 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.

California Updates Pharmacy Fee Schedule

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

Missouri Proposes Bill for Psilocybin Therapy

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

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.

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.

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.

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Workers' Comp Property and Casualty PBM
Expires 01/01/2028