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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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

Advocacy Opportunity Cost Containment

Alaska Proposes Significant Pharmacy Reimbursement Changes

Impacted drugs include physician-dispensed and repackaged drugs, topicals, compounds, and OTC medications.

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August 17, 2026

Mental Health Psychedelics

VA Launches Psilocybin Trial for Veterans with Treatment-Resistant Depression

In addition to this trial, VA is involved in 20 active clinical trials focused on psychedelic therapies for mental health conditions.

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August 17, 2026

Claims Procedures

Illinois Enacts New UR and IME Requirements

Employers, payers, and utilization review organizations must comply with these new requirements.

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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.

Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?

Inside Medical Experience: Signals, Trends, and System Impact

Healthe’s VP of Industry and State Affairs, Sandy Shtab, joins a panel presentation at the Pennsylvania/Delawaare 2026 Workers’ Compensation Symposium.