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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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

Access to Care

Nevada Could Expand Treatment Choices for First Responders

First responders with lung or heart disease could choose their own physician or chiropractor if fewer than 12 are available in the DIR’s list.

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March 24, 2025

Marijuana

Massachusetts Bill Would Require Workers’ Comp to Cover Medical Marijuana

House Bill 2169 was introduced at the end of February and sits in a committee on Labor and Workforce Development.

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March 24, 2025

Treatment Guidelines

Colorado Considers Changes to Provider Choice, Disputes, and More

Among many changes, the bill would shift the burden of proof to insurers in medical treatment disputes.

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March 24, 2025

Ancillary Services

Colorado Considers Removing Qualified Spanish Interpreters from Fee Schedule

The change was proposed due to the increased availability of Certified Spanish interpreters.

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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.

Top 10 Disruptors of 2020 for the Workers’ Comp Industry

Initial insights from Healthesystems’ annual industry survey.

FDA Authorizes Two COVID-19 Vaccines, At-Home Test, More Treatments

Vaccine candidates from Pfizer-BioNTech and Moderna received EUAs, as did the first at-home test that delivers results in 30 minutes, and two treatments for the virus.