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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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New York Could Cover 9/11 Claims for National Guard Responders

If enacted, the bill would categorize organized militia members as state employees, entitling them to workers’ comp benefits.
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May 11, 2026

Ohio Bill Could Entitle Rideshare Drivers to Workers’ Comp

If enacted, rideshare companies would have to report drive-time data quarterly that would determine workers’ comp premiums.
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May 11, 2026

WCRI Reports on Impact of Hospital Closures on Access to Care and Claims Outcomes

While patients in rural areas had to travel further for care, there were no meaningful increases to claim costs or disability duration.
Read More →
May 11, 2026

Texas Announces Audit for Topical Analgesics

The DWC will work with system participants to develop the audit plan, including timeframe, size, and case selection.
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May 4, 2026

Maryland Eases Requirements for Cardiovascular Presumption

Two separate bills would respectively change certain rules for firefighters and specific correctional officers.
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May 4, 2026

Arizona Considers Expanding Cancer Presumption for First Responders

The bill would add five years of retroactive effect, allowing certain individuals who were denied claims to file once more.
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May 4, 2026

Louisiana Bills to Watch

Three in-progress bills impact medical reimbursement and fee schedules, prescription drug authorizations, and medical necessity evaluations.
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May 4, 2026

WCRI Publishes CompScope Benchmarks

Claim costs increased 6% per year from 2022-2025 in the median study state, with state-level variations.
Read More →
May 4, 2026

Insights from the 2026 IAIABC Forum

Discussions centered around evolving approaches to carrier compliance and oversight, reflecting an increasing shift toward data-driven system alignment.
Read More →
April 27, 2026

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 Further resources you may be interested in

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

States Consider Expanding Presumptions

So far in 2026, eight states and counting are seeking to expand existing presumptions or create new presumptions.
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Could AI-Designed Drugs Impact Regulatory Frameworks?

While AI can be effective in some elements of drug design, AI models currently struggle to explain their decision making, a key component of drug review.
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Preliminary Findings from the 2026 Workers’ Comp Industry Insights Survey Report

Risk & Insurance® magazine published high-level findings from the eighth annual survey, in collaboration with Healthesystems.
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Year in Review: What Made the Biggest Impacts in Workers’ Comp Claims Management in 2025?

From claims complexity to mental health, here’s what impacted workers’ comp claims management last year.
Read More

New York Could Remove References to CDC Guidelines

After regional public health collaboratives formed in September, New York could be the first state to formally shift policies away from deferring to federal guidelines.
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On the Front Lines: How Does Climate Change Continue to Impact Workers?

What are the latest developments in climate change, and how does it continue to impact front-line workers such as ocean workers and construction workers?
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