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.

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Billing & Payments Cost Containment

California Considers Updates to Billing Disputes Over Contracted Discounts

These disputes would qualify for independent bill review, and contracts must be presented when justifying payments below fee schedule.

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April 7, 2025

Claim Costs Industry Data

WCRI Publishes Study on Degenerative and Comorbid Conditions

Approximately 38.8% of claims had one or more comorbidities, based on an analysis of 930,000 claims with at least 7 days lost time across 32 states.

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April 7, 2025

Access to Care Mental Health

West Virginia May Allow Mental Health Nurse Practitioners to Diagnose PTSD

Mental health nurse practitioners must hold a master’s degree and a terminal license within their profession.

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March 31, 2025

Access to Care

Nevada Considers Update to Requirements for Provider Panels

The third such bill proposing updates, Assembly Bill 469 would divide the state into three geographic regions for the purpose of creating lists of physicians.

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March 31, 2025

Cost Containment

Maryland Takes No Action on Drug Pricing Reform

A hearing from the Committee on Economic Matters saw back and forth discussion but yielded no progress.

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March 31, 2025

Cost Containment

Louisiana Proposes Updates to Workers’ Comp Rates

The medical fee schedule would align reimbursement rates with those of similar neighboring states.

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March 31, 2025

Billing & Payments

California Pushes for Transparency in Workers’ Comp Contracts

Key provisions address billing disputes over contractual discounts.

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March 31, 2025

Worker Safety

Child Labor bills in Florida, Maine, and West Virginia

These bills would expand working hours 14–17-year-olds, potentially impacting the workforce.

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March 31, 2025

Psychedelics

Psilocybin Bills in Colorado and New Mexico Reach Governors with Majority Approval

Both bills passed their respective House and Senate chambers with the two-thirds majority needed to override a potential veto.

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March 24, 2025

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Further resources you may be interested in

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

Rhode Island Legalizes Recreational Marijuana

A total of 19 states now allow for recreational marijuana in adults aged 21 and older.

The Cannabis Question: Marijuana and Workplace Safety?

With greater legalization and public approval, the question of safety grows more important.

Changing Workforce, Claims Automation and Tech Connectivity Among Top Priorities in 2022 Industry Survey

The priorities and challenges revealed in our 2022 Workers’ Compensation Industry Insights Survey Report reflect an industry focused on moving forward.