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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Advocacy Opportunity Cost Containment

New York PBM Bill Enacted with Exemption for Workers’ Comp

The exemption reduces unnecessary burden and grows recognition that workers’ comp PBMs operate differently from traditional PBMs.

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May 19, 2025

Access to Care

New York Expands Provider Access with Residency and Fellowship Programs

Effective immediately, 20,000 residents and fellowship physicians in ACGME programs can now treat injured workers, under faculty supervision.

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May 19, 2025

Worker Classification

Oklahoma Employers Can Now Exclude Unpaid Temp Workers from Workers’ Comp

Unpaid temp workers who are working for experience will no longer be considered employees entitled to workers’ comp coverage.

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May 19, 2025

Presumptions

Connecticut Updates Cancer Coverage for Firefighters

In addition to now covering skin cancer, the state will handle cancer cases differently and adjust the five-year service requirement.

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May 19, 2025

Marijuana Training Opportunity

ACOEM Webinar to Cover Cannabis Guidelines

The May 21st webinar will examine medical literature on cannabis for acute, chronic, and postoperative pain.

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May 19, 2025

Cyber Risk Technology

Congressional Budget Bill Would Place a 10-Year Ban on State AI Regulations

If passed with this recent amendment, the bill would prevent the enforcement of laws on AI models and automated decision systems.

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May 19, 2025

Worker Safety

Vermont Proposes Worker Safety Bill for Extreme Temperatures

The bill would recognize temperatures above 80°F or below 60°F as extreme temperatures, with exemptions for short-term exposure.

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May 12, 2025

Worker Safety

Michigan Introduces Infectious Disease Bill

The bill proposes an infectious disease worker safety commission to determine best practices during an emergency declared due to infectious disease.

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May 12, 2025

Cost Containment

Louisiana Fee Schedule Bill Passes House, Moves to Senate

If enacted, House Bill 117 would trigger the first update to the Louisiana workers’ comp fee schedule in 30 years.

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May 12, 2025

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Further resources you may be interested in

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

COVID-19 Infection Risks and Mental Health Impact Among Grocery Workers

Direct customer exposure is associated with a five-fold risk of infection, while less social distancing in the workplace is tied to depression and anxiety.