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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Cost Containment

Louisiana Transfers Fee Schedule Oversight to OWCA

The Office of Workers’ Compensation Administration (OWCA) must evaluate and update reimbursement rates by July 1, 2029.

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June 15, 2026

Alternate Comp Coverage Presumptions

Louisiana Creates Additional Reimbursement Pathway for First Responders

This would address extraordinary medical or dental expenses not covered by workers’ comp or employer-sponsored health insurance.

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June 15, 2026

Billing & Payments Claims Procedures

Louisiana Establishes Medical Billing Database

The rollout of data collection practices sets the stage for an updated state fee schedule in 2029.

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June 8, 2026

Advocacy Opportunity Cost Containment

Alaska Begins Review of 2027 Fee Schedule

Targets for consideration include pharmacy rules, physical therapy, DME, and ancillary services.

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June 8, 2026

Pharmacy Data

CWCI: Migraine Drugs Now Third Highest in Spend in California

While migraine drugs make up less than 1% of prescriptions, they now make up 7.5% of drug spend, primarily driven by CGRP drugs.

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June 8, 2026

Presumptions

Connecticut Creates Task Force for First Responder Claim Delays

The task force must submit a report of findings and recommendations by January 1, 2027.

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June 8, 2026

Presumptions

Florida Expands Cancer Death Benefits for Firefighters

Florida Senate Bill 984 goes into effect July 1, 2026.

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June 8, 2026

Presumptions

South Carolina to Cover Stroke for Firefighters

The bill also expands presumption eligibility to cover conditions that arise during training, rescue activity, or within 24 hours of strenuous duty.

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June 8, 2026

Cost Containment Treatment Guidelines

Wisconsin Shares Updates on Medical Treatment Guidelines and Hospital Fee Schedule

While progress continues, the guideline updates are delayed due to quorum issues, and the hospital fee schedule is still in early planning stages.

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June 1, 2026

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Further resources you may be interested in

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

Cannabis Drug Beats Opioids in Phase 3 Low Back Pain Trial

VER-01, a cannabis extract, outperformed both placebo and opioids in two late-stage clinical trials.

NCCI Publishes 2025 Regulatory and Legislative Trends Report

NCCI tracked 950 bills impacting workers’ comp, highlighting key trends across the country, such as PTSD and cancer presumptions, worker classification, and psychedelics.