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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.

New York Considers Update to Pharmacy Rules

The bill would allow injured workers to obtain medication from out-of-network pharmacies when specific conditions occur.

March 16, 2026

Access to Care Claims Procedures

WCRI Panel Flags Key Challenges

An employer panel discussed issues such as access to care, early intervention practices, and claims culture and communication.

March 16, 2026

Alabama Considers Covering Parkinson’s Disease for Firefighters

The bill includes standards for demonstrating that the disease is occupational in origin, and if enacted it would go into effect October 1st.

March 16, 2026

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

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Further resources you may be interested in

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

FDA Rejects MDMA for PTSD – Clinical Research to Continue for Psychedelics

The FDA requested additional trial data, with researchers eager to continue psychedelic trials.

In Person, In Print, and On Stage: Connect with Healthe at National Comp 2024!

Stop by our educational session or visit our booth for the latest issue of RxInformer magazine.

Worker Heat Protections Continue to Make Waves

The U.S. Department of Labor proposed new rules, while other states introduce legislation.

WCRI Reports on Drug Payment Trends

Dermatologicals made up the largest share of drug payments, with NSAIDs coming in second.

Massachusetts Publishes Study on Opioid Overdose Deaths

Approximately 741 injured workers died of opioid overdose deaths in Massachusetts.

New Jersey Proposes Expansion to Medical Marijuana Law

A new bill would give providers more discretion in what medical conditions could qualify a patient for medical cannabis.

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