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Regulatory Tag: Claims Procedures

August 10, 2026
New York Broadens Pay Without Prejudice Rules

Effective January 1, 2027, payers may voluntarily cover medical treatment for up to one year while compensability determination is under review.

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July 27, 2026
Texas DWC Stakeholder Meeting

Topics covered include a new AI innovation office, a remote interpreters program, and updates for rulemaking and audits.

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July 27, 2026
California Reports on the Impact of Reduced Utilization Requirements

Reforms from Senate Bill 1160 resulted in a modest overall effect, with some improvements in timely access to recommended care.

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July 13, 2026
Florida Extends Deadlines for Medical Reimbursement Disputes

Providers now have 60 days to petition the DWC when carriers adjust or disallow payment, while carriers have 45 days to respond to petitions.

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July 13, 2026
Hawaii Revises Requirements for Treatment Plans and FCE

A new timeline to object to treatment plans and new rules for who can authorize FCE.

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July 13, 2026
Indiana Limits IME Record Submission

When submitting records for IMEs, parties must limit documentation to 500 pages.

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June 15, 2026
California Proposes Contract-Based Medical Bill Reduction

If enacted, payers must identify a contact person for whom providers could reach for contract-based medical bill information.

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June 8, 2026
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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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.

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March 20, 2026
Louisiana Reform Package Proposes Centralized Medical Authorization Database

Additionally, the bill would update the fee schedule and impact billing and utilization requirements.

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March 16, 2026
WCRI Panel Flags Key Challenges

An employer panel discussed issues such as access to care, early intervention practices, and claims culture and communication.

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March 9, 2026
Hawaii Seeks to Clarify Medical Payment Timelines

The bill would standardize timelines, notice requirements, and dispute resolution processes.

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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 9, 2026
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
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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