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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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Louisiana Considers Psychedelic-Assisted Therapy Program

Psilocybin and ibogaine clinical trials would target opioid use disorder and treatment-resistant mental health conditions.
Read More →
May 18, 2026

Minnesota Considers Psychedelics Therapy Program

A three-year pilot program would allow for 1,000 patients annually to receive treatment for PTSD, depression, chronic pain, and more.
Read More →
May 18, 2026

NCCI Publishes 2026 State of the Line Report

While claim frequency is declining, severity is increasing, with injured workers receiving more care or more complex treatment.
Read More →
May 18, 2026

Washington Increases Penalties for Violations of Workers’ Comp Laws

Effective July 1st, certain violations of workers’ comp law will see a 12.11% increase in penalties.
Read More →
May 18, 2026

Department of Labor Expands Pharmacy Models Across Programs

This development signals a shift toward a standardized OWCP pharmacy model that could impact Longshore and Black Lung claimants.
Read More →
May 11, 2026

New York Could Cover 9/11 Claims for National Guard Responders

If enacted, the bill would categorize organized militia members as state employees, entitling them to workers’ comp benefits.
Read More →
May 11, 2026

Ohio Bill Could Entitle Rideshare Drivers to Workers’ Comp

If enacted, rideshare companies would have to report drive-time data quarterly that would determine workers’ comp premiums.
Read More →
May 11, 2026

WCRI Reports on Impact of Hospital Closures on Access to Care and Claims Outcomes

While patients in rural areas had to travel further for care, there were no meaningful increases to claim costs or disability duration.
Read More →
May 11, 2026

Texas Announces Audit for Topical Analgesics

The DWC will work with system participants to develop the audit plan, including timeframe, size, and case selection.
Read More →
May 4, 2026
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 Further resources you may be interested in

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

Nevada Enacts Workers’ Comp Formulary

The state will adopt the ODG Drug Formulary by July 1, 2027, with coverage of non-formulary drugs allowed through January 1, 2028.
Read More

CWCI Publishes Report on Long-COVID

Long COVID cases made up 4.7% of COVID claims, totaling 6,000 claims, yet their medical payments totaled $105 million.
Read More

WCRI Publishes New Report on Medical Fee Schedule Design

The study compares workers’ comp fee schedules for professional services to Medicare rates within 44 states, accounting for 41% of medical costs.
Read More

Healthesystems at WCI 2025

Visit Healthe at Booth #921 to learn about our solutions and how we reduce burdens for claims professionals.
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Expert Q&A with Sandy Shtab: The Emerging Role of AI in Workers’ Comp Healthcare – and the Regulations Surrounding It

AI is increasingly being used in healthcare delivery. What are its applications in workers’ comp? What are the benefits and risks?
Read More

WCRI Publishes Medical Price Index

The study compares prices for medical services across 36 states from 2008 to 2024, representing 88% of workers’ comp benefits in the U.S.
Read More
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