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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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Psilocybin Bills Enacted in Colorado and North Dakota

Colorado’s bill allows for prescription of psilocybin upon an FDA-approved product, while North Dakota lists psilocybin as a Schedule IV drug.
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April 7, 2025

Montana Could Recognize Physical Therapists as Treating Physicians

Passing both chambers nearly unanimously, Senate Bill 109 currently sits with the governor.
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April 7, 2025

Florida Discusses Provider Reimbursement at Stakeholder Meeting

Healthesystems attended the meeting to capture key discussion updates.
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April 7, 2025

Connecticut Proposes Expansion to PTSD Presumption

A new qualifying event would include witnessing a serious physical injury that does not result in death or permanent disfigurement.
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April 7, 2025

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

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

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

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

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
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 Further resources you may be interested in

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

By the Numbers

A collection of workers’ compensation facts and figures
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FDA Requires Boxed Warning Update for Benzodiazepines

Even at recommended doses, benzodiazepine use can lead to misuse, abuse, and addiction.
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Purdue, OxyContin Manufacturer, Loses Federal Case and Will Shut Down

The drug manufacturer is pleading guilty and paying out billions.
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California COVID-19 Report

COVID-19 claim data through October 5th has been captured and broken down by industry, age, region, and more.
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FDA Approves Two New Opioids

Olinvyk injections and Qdolo oral solution are approved for the management of acute pain.
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Side Effects: COVID-19-Related Healthcare and Pharmacy Trends

With the pandemic disrupting the healthcare system, how has workers’ comp been impacted?
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