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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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Arizona Expands First Responder Protections

One bill expanded the existing cancer presumption, while another established wage-based survivor benefits.
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June 29, 2026

Texas Publishes Designated Doctor Report

Designated doctors are selected to evaluate medical issues in claims, such as MMI, impairment ratings, disability, and more.
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June 29, 2026

Pennsylvania Supreme Court Rules in Favor of Physician-Owned Pharmacies

Anti-referral provisions do not prohibit physicians from referring injured workers to pharmacies in which they have a financial interest.
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June 22, 2026

Michigan Proposes Limiting Physician Dispensing to First 42 Days of Care

As part of proposed updates to the Healthcare Service rules and the state fee schedule, additional changes are up for debate.
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June 22, 2026

New York Expands Provider Access and Raises Authorization Threshold

Any licensed healthcare provider in good standing may treat injured workers, and prior auth thresholds increase from $1,000 to $1,500.
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June 22, 2026

Florida Amends Billing Rules After Physician Dispensing Ruling

The proposed rules would align with the February 2026 ruling on physician dispensing in Publix Super Markets, Inc. v. Department of Financial Services.
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June 15, 2026

New Proposal Would Ban Cannabis Coverage in Federal Workers’ Comp Claims

If enacted, the ban would remain in effect regardless of rescheduling.
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June 15, 2026

California Proposes Contract-Based Medical Bill Reduction

If enacted, payers must identify a contact person for whom providers could reach for contract-based medical bill information.
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June 15, 2026
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 Further resources you may be interested in

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

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.
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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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Expert Q&A: What Are the Impacts of the New Prescription Drug Tariff Policy?

With the Trump Administration’s new tariff on prescription medications, how are drug manufacturers reacting, and how might the workers’ compensation system be impacted?
Read More
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