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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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California Publishes Independent Billing Review Report

About 6% of medical bills challenged through the dispute process were initially paid correctly.
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February 9, 2026

WCRI Reports on Trends in Joint Replacement Surgery

Using data from 2 million claims across 32 states, the study found that the prevalence of these surgeries increased, driven by shoulder joint replacements.
Read More →
February 9, 2026

NCCI Publishes Report on Fast-and-Slow Emerging Claims

Both claims reach costs of $1 million or more, but at different points in time after injury.
Read More →
February 9, 2026

Hawaii Bills Target Pharmacy Management Rules

New bills would address compounds, deadlines for authorization decisions, and more.
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February 2, 2026

Missouri Proposes Fee Schedule

The bill would require a formal fee schedule for all services provided under workers’ comp, taking effect August 28, 2026.
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February 2, 2026

Multiple States Seek to Limit AI-Generated Care Decisions

Alabama, Hawaii, Kentucky, Oklahoma, Pennsylvania, and Virginia have all introduced bills to limit AI-generated care decisions.
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February 2, 2026

Arizona Could Cover Travel Injuries for Firefighters

Injuries occurring when traveling to and from work would be covered, assuming no criminal activity was undertaken.
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February 2, 2026

Florida and Vermont Could Extend PTSD Coverage to 911 Dispatchers

Pre-existing PTSD presumptions for first responders could be extended to 911 dispatchers.
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February 2, 2026

Maryland and Arizona Target Hypertension Presumptions for Firefighters

Maryland would create a hypertension presumption, while Arizona would strengthen theirs by increasing rebuttal requirements.
Read More →
February 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.

Child Labor Laws Are Changing: How Could This Impact Workers’ Comp?

An increase in the teen workforce could impact workplace injury and claims management
Read More

Extreme Weather: How Climate Change Impacts Workers and Workers’ Compensation

While everyone is affected by climate change, it’s often those on the front lines who feel it the most – those who work outdoors, in hot indoor environments, or in emergency response.
Read More

State of the Nation

A roundup of regulatory activity around the country
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2024 Workers’ Comp Industry Insights Survey Report

Visit Healthe at RISKWORLD® 2024 at Booth #1833 for your copy or download a copy now.
Read More

More States Consider Cancer Presumptions for Firefighters

Different types of cancers are being added to pre-existing presumptions.
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Visit Healthesystems at RISKWORLD 2024

Pick up a copy of the new Summer 2024 edition of RxInformer magazine, and learn how Healthe is transforming healthcare.
Read More
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