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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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WCRI Publishes National Repository on Prescription Drug Regulations

While the report addresses multiple topics, a significant focus was given to the expanding role of pharmacists as a healthcare provider.
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March 2, 2026

NCCI Reports on Interstate Variation in Pain Management Trends

While opioid utilization has decreased, overall spend on pain management has increased, in part due to the use of high-cost topical medications.
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March 2, 2026

CMS Publishes 2026 Q2 NCCI Edits

Changes were made to the Medically Unlikely Edits (MUEs) for Practitioner Services, DME Supplier Services and Outpatient Hospital Services.
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March 2, 2026

Hawaii Amends Bill to Target Physician Dispensing

Originally meant to address compound medications, the bill has been expanded to create limitations for physician dispensing.
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February 23, 2026

Arizona Pharmacy Network Bill Fails to Pass

The bill did not pass out of its original committee before a crucial deadline, and failed to pass after a special hearing.
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February 23, 2026

Alaska Updates Medical Fee Schedule

In a February 19th special meeting, the Board approved new rules and addressed confusion regarding resource materials
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February 23, 2026

California Reports That COVID-19 Drove Recent Increases in Injury and Illness

Using data from the Bureau of Labor Statistics, the CWCI found that COVID-19 drove recent increases in injury and illness, with rates decreasing lately.
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February 23, 2026

Oregon Extends Sign Language Interpreter Licensing Pause

Prolonged licensure pauses risk reducing interpreter availability and disrupting access to care.
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February 23, 2026

Tennessee Medical Advisory Committee Meeting Recap

The meeting covered potential updates to treatment guidelines, specifically for physical therapy, as well as other topics.
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February 16, 2026
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 Further resources you may be interested in

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

In Person, In Print, and On Stage: Connect with Healthe at National Comp 2025!

Visit Healthe at Booth #1523 to chat and pick up a copy of RxInformer magazine. Don’t forget about our educational session!
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PTSD Developments

New Jersey enacts counseling requirements, Minnesota publishes a report evaluating PTSD claims, and Washington proposes clinical guidelines.
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Cybersecurity Strategies to Balance Innovation & Caution in the Age of AI

Healthesystems AVP of Information & Technology Security, Tony Brown, will speak about this topic at the 2025 IAIABC Convention.
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Tracking Sub-Regulatory Changes in Workers’ Comp

Healthe’s VP of Industry and State Affairs, Sandy Shtab, shares her thoughts with Risk & Insurance magazine in a recent article.
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FDA Orders Opioid Manufacturers to Update Prescribing Information for Long-Term Use

All opioid manufacturers must update their drug labeling to align with a list of notes provided by the FDA.
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Burden of Proof: Unpacking Presumptions in Workers’ Comp

Exploring the expansion of presumptions in PTSD, cancers, and more.
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