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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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Spotlight

Pennsylvania Supreme Court Rules in Favor of Physician-Owned Pharmacies

Anti-referral provisions do not prohibit physicians from referring injured workers to pharmacies in which they have a financial interest.
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June 22, 2026
Spotlight

Florida Amends Billing Rules After Physician Dispensing Ruling

The proposed rules would align with the February 2026 ruling on physician dispensing in Publix Super Markets, Inc. v. Department of Financial Services.
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June 15, 2026
Spotlight

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

Florida Sets Hearing for Physician Dispensing Rules

The hearing will take place on July 15th, allowing interested stakeholders to attend virtually.
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June 29, 2026

Arizona Expands First Responder Protections

One bill expanded the existing cancer presumption, while another established wage-based survivor benefits.
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June 29, 2026

Texas Publishes Designated Doctor Report

Designated doctors are selected to evaluate medical issues in claims, such as MMI, impairment ratings, disability, and more.
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June 29, 2026

Michigan Proposes Limiting Physician Dispensing to First 42 Days of Care

As part of proposed updates to the Healthcare Service rules and the state fee schedule, additional changes are up for debate.
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June 22, 2026

New York Expands Provider Access and Raises Authorization Threshold

Any licensed healthcare provider in good standing may treat injured workers, and prior auth thresholds increase from $1,000 to $1,500.
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June 22, 2026

CWCI Report: Increased Use of Unlisted Billing Codes Driving Medical Inflation

Payments for unlisted professional service more than doubled from 2017-2024.
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June 22, 2026
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 Further resources you may be interested in

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

Presumption Expansions Throughout the Country

Several states continue to update presumptions for cancer, PTSD, and other conditions.
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States Continue to Push for Psychedelic-Assisted Therapy Programs

Connecticut, Georgia, and Oklahoma enacted laws to enable certain programs, while a Louisiana bill awaits gubernatorial decisions.
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What Is Marijuana’s Role in Pain Management?

The recent rescheduling of marijuana could be a boon to clinical research on pain management. What is marijuana’s potential role in treating pain?
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Rescheduling Questions: How the Marijuana Landscape Could Soon Change

The rescheduling of marijuana may introduce significant implications for clinical research, drug development, and downstream utilization.
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White House Issues Executive Order on Psychedelics

The order seeks to accelerate clinical trials, data sharing, drug approvals, and possibly rescheduling.
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Texas Approves Audit of Topical Analgesics

After soliciting stakeholder feedback on possible audit topics, the DWC prioritized a study of topical analgesics by the Medical Quality Review Panel.
Read More
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