Revised Code of Washington
2024 Archive

Chapter 48.49 RCW
BALANCE BILLING PROTECTION ACT
PDF of Chapter Digest
PDF of Complete Chapter
Sections
48.49.003FindingsIntent2019 c 427.
48.49.005Short title.
48.49.010Definitions.
48.49.020Balance billingWhen prohibitedCarrier's duty to hold an enrollee harmless from balance billing under certain circumstances.
48.49.030Enrollee's obligation to pay for services.
48.49.040Dispute resolution processDetermination of commercially reasonable payment amount.
48.49.060Notice of consumer rightsDevelopment of standard template language by commissioner.
48.49.070Requirement to provide certain information on website or upon consumer requestRequirement to provide carriers with nonemployed provider lists.
48.49.080Health care providerRequirement to provide certain information on website or upon consumer requestRequirement to submit network status information to carriers.
48.49.090CarrierRequirement to update website and provider directoryRequirement to provide enrollee with certain information.
48.49.100Pattern of unresolved violationsEnforcement action by department of health or appropriate disciplining authority.
48.49.110Rule-making authority.
48.49.120No application of chapter to health plans under chapter 74.09 RCW.
48.49.130Application of chapter to self-funded group health plans that elect to participate in balance billing protection provisionsAnnual notice to commissioner.
48.49.135Determining the adequacy of provider networksRequired considerations.
48.49.140Liberal construction of chapter to promote public interest.
48.49.160Allowed amounts paid to nonparticipating providers.
48.49.170Application of state and federal requirementsApplicability information accessWaivers prohibited.
48.49.180Commissioner authorityEnforcementPenalties.
48.49.200Ground ambulance services organizationsPaymentsProhibition on waivers.
48.49.205Ground ambulance services organizationsRatesPublic database.
48.49.210Ground ambulance services organizationsCommissioner's reviewReport.
48.49.900Effective date2019 c 427.