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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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Oregon Considers Stakeholder Feedback for Improving Access to Care

Stakeholders discussed inefficiencies in claim procedures, and regulators will continue to review feedback prior to finalizing recommendations.
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October 6, 2025

Ohio Resubmits Outpatient Medication Rules: Comments Accepted Until October 9th

BWC resubmits outpatient medication rules with unchanged compound provisions, sets February 2026 start date, and reopens public comments.
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October 6, 2025

Arizona Study Prompts Stakeholder Feedback for High-Cost Prescription Topicals

A small group of prescribers and out-of-network pharmacies are driving utilization of costly drugs with affordable alternatives.
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October 6, 2025

New Jersey Receives $19.4 Million Payment from Lyft for Worker Misclassification

Over 100,000 drivers were misclassified as independent contractors, depriving those workers of various benefits – including workers’ comp.
Read More →
September 29, 2025

Nevada CARDS Portal Down: State Issues Guidance Bulletin

There is no timeline for when the system will be back online, requiring various go-arounds for certain claims procedures.
Read More →
September 29, 2025

Florida Workers’ Comp Trends Highlighted in WCRI Webinar

The webinar covered topics ranging from claims costs to drug payments, heat-related injuries, and more.
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September 29, 2025

Tennessee: Formulary and UR Updates from the Medical Advisory Committee Meeting

Advocacy efforts by Healthesystems helped create a prior authorization for 300mg ibuprofen, as other cost-effective doses are readily available.
Read More →
September 29, 2025

Colorado Seeks Stakeholder Feedback for 2028 Comp Reform

Three listening sessions will give stakeholders the chance to comment on how to implement major workers’ comp reforms.
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September 29, 2025

Massachusetts Seeks Stakeholder Input on Medical Payment Rates

The EOHHS hopes to understand how current rates affect workers’ comp coverage, access to care, quality of care, and injured worker experience.
Read More →
September 22, 2025
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 Further resources you may be interested in

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

NCCI Publishes Research Brief on Firefighter Presumptions

Beyond PTSD, cancers, heart conditions, and communicable diseases are seeing legislative activity.
Read More

State of the States

A roundup of regulatory activity around the country
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PTSD Legislation to Make Waves in 2023

Several states have submitted bills to expand presumptions for first responders.
Read More

2023 Workers’ Comp Industry Insight Survey Report

Over 500 stakeholders share their thoughts on industry challenges, priorities, and technologies.
Read More

Texas Division of Workers’ Compensation Publishes Biennial Report to Legislature

This report contains a high level report on the status of the Texas workers’ comp system.
Read More

CDC Publishes Updated Opioid Guidelines

An update to the 2016 guidelines has been issued, promoting greater flexibility for individualized patient-centered care.
Read More
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