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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Advocacy Opportunity Treatment Guidelines

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

Technology

More States Continue to Introduce AI Healthcare Bills

Colorado, Georgia, Iowa, Illinois, and Rhode Island have introduced new bills, joining a growing national movement.

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February 16, 2026

Marijuana

Kansas Introduces Medical Marijuana Bill

The 115-page bill details qualifying conditions, registration processes, regulation boards, taxes, and much more.

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February 16, 2026

Mental Health Pharmacy Data

California Publishes Report on Psychotherapeutic and Neurological Drugs

While this drug class represents less than 1% of prescriptions, it accounted for 3.4% of drug spend.

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February 16, 2026

Billing & Payments Claims Procedures Treatment Guidelines

Georgia Introduces Prescription Drug Reform Bill

The bill would allow payers to direct prescriptions to pharmacy networks and create limits for physician dispensing and compounds.

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February 9, 2026

Access to Care Claims Procedures

Arizona Bill Could Expand Worker Choice in Medical Care

Senate Bill 1404 could grant workers greater choice over their provider, pharmacy, certain ancillary services, and more.

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February 9, 2026

Worker Safety

States Introduce Bills to Protect Workers from Extreme Temperatures

So far, Arizona, Georgia, and Virginia have introduced bills that would require workplace safety standards for heat protection.

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February 9, 2026

Presumptions

Hawaii Could Expand Firefighter Cancer Presumption

A proposed bill could add additional types of cancer to the pre-existing presumption for firefighters.

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February 9, 2026

Billing & Payments Claim Data Industry Data

California Publishes Independent Billing Review Report

About 6% of medical bills challenged through the dispute process were initially paid correctly.

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February 9, 2026

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Further resources you may be interested in

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

Highlights from the NCCI Annual Insights Symposium 2025

In-depth reports cover topics ranging from an overview of the workers’ comp system to opioids, industry-specific trends, and more.

Congressional Budget Bill Could Place 10-Year Ban on State AI Regulations

If passed, the bill would prevent the enforcement of laws on AI models and automated decision systems.

Then and Now: 8 Reflections from 15 Years of RxInformer

In celebration of the 15 year anniversary of RxInformer, the editorial staff looked back at past issues to understand what has changed – and what hasn’t.

WCRI Reports on the Impact of Marijuana Laws on Workers’ Comp Benefits

While recreational marijuana laws may be tied to increases in claim frequency, medical payments and prescriptions decreased, including those for opioids.