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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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WCRI Explores the Lifecycle of Claims in New York

The study examines overall claim cost, timing of key indemnity payments, and other system performance indicators.
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January 27, 2025

New York, Oklahoma, Oregon, and Washington Propose Updates to PTSD Presumptions

The updates vary across each state and for different occupations, but the trend of more PTSD presumptions around the country continues.
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January 27, 2025

Hawaii Bill Could Cap Nonprescription Drugs Reimbursement

The bill would cap nonprescription, over the counter, and non-legend drug reimbursements at the drug’s cost plus 40%.
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January 27, 2025

Four States Consider Expanding Cancer Presumptions

Connecticut, Hawaii, Mississippi & Nebraska each introduced bills that would create or expand cancer presumptions.
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January 27, 2025

Arizona Proposes Employer Pharmacy Network Bill

If passed, employees would be required to use network pharmacies effective December 31, 2025.
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January 27, 2025

Virginia Considers Making Repetitive Trauma an Occupational Illness

The bill would apply when repetitive and sustained physical stress have occurred over a period of time.
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January 20, 2025

Illinois Bill Aims to Limit Custom Compound Reimbursements

If passed, the bill would limit reimbursements to a one-time, seven-day supply if no commercial equivalent exists.
Read More →
January 20, 2025

Psychedelic Bills in Colorado, New Hampshire, New York, Virginia, and Washington

Five different states are proposing legislation for psychedelic therapy or legalized use for the treatment of PTSD and other mental illnesses.
Read More →
January 20, 2025

Illinois Proposes PTSD Presumptions for First Responders

One bill would create the presumption, while another would shift the burden of proof to the employing entity and any party attacking the presumption.
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January 20, 2025
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 Further resources you may be interested in

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

FDA and CDC Recommend Resuming Use of Johnson & Johnson COVID-19 Vaccine

After reviewing six rare cases of blood clots after 7 million doses, current data indicates the vaccine is safe.
Read More

Making Telemedicine Work for Workers’ Comp

Applications, benefits and tips for success.
Read More

Provider Choice Bills Introduced Across the Country

More states consider allowing injured workers to choose their treating physician.
Read More

Recreational Marijuana Legalization Blazes On

In two months, three states legalized recreational marijuana, and more could soon follow.
Read More

Developing and Advancing Meaningful Connection in a Virtual Work Environment

Join Healthe’s Heather Stempien and Sandy Shtab for a panel presentation with IAIABC on April 28th!
Read More

FDA Approves New Acetaminophen Injection Dose

A new 500mg injection will soon be available.
Read More
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