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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Mental Health Psychedelics

SAMHSA Recommends States Plan for Legal Implications of FDA-Approved Psychedelics

States are encouraged to plan now for the implications of potential psychedelic therapies, including Medicaid coverage obligations.

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August 31, 2026

Advocacy Opportunity Cost Containment

New York Proposes Fee Schedule Updates

The proposed changes will have a 45-day public comment period for stakeholders to provide feedback.

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August 31, 2026

Claim Data

Minnesota Publishes Workers’ Compensation System Report

The report overviewed data from 2004 to the present, focused on claims, benefits, costs, vocational rehab, disputes, and dispute resolution.

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August 31, 2026

Access to Care

California Backtracks on Naturopathic Doctors Treating Injured Workers

Negative feedback from employers, insurers, and medical organizations resulted in the removal of this proposed clause.

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August 31, 2026

Claim Data

California Reports Increase in Independent Bill Reviews

Approximately 3,675 IBR applications were filed in the first half of 2026, much higher than the 2,541 during the same period in 2025.

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August 24, 2026

Access to Care Treatment Guidelines

California Bill Could Allow Naturopathic Doctors to Treat Injured Workers

According to the American Medical Association, the most highly educated naturopaths get only a fraction of the training that physicians receive.

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August 24, 2026

Ancillary Services Cost Containment

NCCI Reports on Medicare Fee Schedule Impact on Workers’ Comp

The report focuses on changes made to the Physician Fee Schedule, for Facility Payment Systems, and for the DMEPOS Fee Schedule.

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August 24, 2026

Cost Containment Treatment Guidelines

Florida Finalizes Physician Dispensing Rule Change

The change aligns workers’ comp rules with a February 2026 court ruling on pharmacy choice.

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August 24, 2026

Technology

Tennessee to Require AI Disclosure in Litigation Filings

Any litigant, party, or attorney who files any pleading, motion, brief, or other document to the Board, must include a disclosure statement.

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August 17, 2026

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Further resources you may be interested in

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

Rescheduling Questions: How the Marijuana Landscape Could Soon Change

The rescheduling of marijuana may introduced significant implications for clinical research, drug development, and downstream utilization.

State of the Nation: Summer 2026

Healthesystems’ Sandy Shtab examines key workers’ comp policy trends, from PBM regulation and AI oversight to marijuana rescheduling and injured worker engagement.

Pennsylvania Proposes Reimbursement Caps for Compounds and Topicals

The bill would create a $400, 30-day supply cap for compound drugs.

New Jersey Proposes Marijuana Reimbursement in Workers’ Comp and Group Health

Companion bills S3984 and A1023 would require health insurance coverage for the medical use of cannabis under certain circumstances.

Florida Appeals Court Rules in Favor of Carriers and Employers on Physician-Dispensed Drugs

While injured workers have an absolute choice over their pharmacist, physicians are not considered pharmacists and therefore not entitled to reimbursement.