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Policy Matters
Our Public Policy & Regulatory Affairs team constantly monitors the latest legislative and regulatory activity that impacts you and the services we provide.
Recent blog posts
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August 22, 2024 · Public Policy & Regulatory Affairs Team
In Florida, the Division of Workers’ Compensation continues to revise its Healthcare Provider Reimbursement Manual. The Texas Division of Workers’ Compensation is likewise revising its pharmacy benefit rules. The Delaware Department of Labor has posted its Workers’ Compensation health care practice guidelines on its website. The Idaho Industrial Commission is still conferring with stakeholders on potential rule changes. Read more... |
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July 31, 2024 · Public Policy & Regulatory Affairs Team
Colorado proposes prohibiting physician dispensing of gabapentin and mandating eBilling; Alaska first responder PTSD presumption enacted; Michigan work comp advisory committee meeting reviews medical fee schedule changes and discusses pharmaceutical issues; Idaho work comp rulemaking meetings address medical fees and disputes; Kentucky bills add to PBM and insurer requirements; Minnesota renews electronic eligibility transaction exemption for work comp and auto. Read more... |
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July 10, 2024 · Public Policy & Regulatory Affairs Team
California work comp proposed UR rule changes; Montana fee schedules and drug formulary updated; Michigan bill applying false claims law to PIP advances; Idaho legislation adds to PBM requirements. Read more... |
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June 27, 2024 · Public Policy & Regulatory Affairs Team
After years of attempts, New York lawmakers finally passed legislation impacting the ability of employers and insurers to direct workers’ comp pharmacy care. Read more... |
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June 20, 2024 · Public Policy & Regulatory Affairs Team
The California DWC now invites further comments to yet more proposed changes to its already proposed changes to the state’s workers’ comp pharmacy fee schedule rules. Rely on Optum to make sense of it all. Read more... |
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June 12, 2024 · Public Policy & Regulatory Affairs Team
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May 22, 2024 · Public Policy & Regulatory Affairs Team
Oklahoma expands PTSD coverage for first responders with treatment limits, model drug pricing reporting law amended to exclude work comp and auto, model drug formulary law up for review, Virginia requires patient counseling with opioid prescribing, and several states reviewing changes to their medical rules. Read more... |
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May 16, 2024 · Public Policy & Regulatory Affairs Team
As a result of DEA plans to reclassify marijuana from a Schedule I to a Schedule III drug, more states may decide to reimburse injured workers for its prescribed use and include it in their workers’ comp fee schedules. Clients are advised to follow future developments of this initiative on the federal and state level. Read more... |
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May 01, 2024 · Public Policy & Regulatory Affairs Team
California updates work comp opioid guidelines; Kentucky expands the definition for “physician” in work comp; Wisconsin work comp fee schedule bills fail; Pennsylvania continues to deliberate AWP issue; Louisiana Legislature considers work comp. fee schedules; Texas clarifies pharmacy first fill and reviews work comp. reimbursement rules; Alabama wants to add a Parkinson’s disability benefit presumption for firefighters. Read more... |
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April 10, 2024 · Public Policy & Regulatory Affairs Team
Virginia bill removes medical dispute deadline ‘loophole,’ firefighter cancer coverage expansion bills signed into law; Alabama bill permits providers to bill health insurance first for work comp treatment; Georgia and South Carolina release updated fees schedule, while Louisiana looks to create a medical fee schedule; Maryland General Assembly passes presumption bill; Texas proposes changes to complaint process; Virginia removes timely medical payment dispute ‘loophole’ for older dates of service; Alabama bill permits providers to bill health insurance first for workers’ comp treatment; West Virginia and Wyoming expand workers’ comp firefighter cancer coverage; Oklahoma bill expands mental health coverage to first responders advances; Ohio expands workers’ comp coverage for post-exposure testing; Kansas debates medical marijuana; more on Minnesota workers’ comp PTSD study informational meetings. Read more... |
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March 20, 2024 · Public Policy & Regulatory Affairs Team
Several states update their medical fee schedules, while others propose updates; workers’ comp PTSD and mental health coverage bills pending in many states; expanded cancer coverage likely in Maryland; Florida significantly increases physician reimbursement; Montana clarifies workers’ comp rules; and Texas looks to improve the provider complaint process. Read more... |
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March 04, 2024 · Public Policy & Regulatory Affairs Team
The California Division of Workers’ Compensation (DWC) proposed significant rule changes in the final phase of integrating its workers’ comp pharmacy reimbursement process into the state’s Medicaid (“Medi-Cal”) pharmacy reimbursement structure. Read more... |
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