Saying that ISBoxer's follow and assist are Focus-less just means that it doesn't require Focus to function correctly and you're free to do whatever you want with it. So, if you want to use a healing macro directed at your Focus, then by all means, use it.
You'd need to share your config for a clear cut answer, but my guess is that you've created copies of the default Key Maps and they're not correctly toggling off/on because you didn't modify the Activate Maps Mapped Key to reflect those changes.
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