AN ACT Relating to health care insurance for
employees and retirees of school districts and educational service districts; amending
RCW 28A.400.391, 41.04.205, 41.04.235, 41.05.011, 41.05.021, 41.05.050,
41.05.055, 41.05.065, 41.05.075, 41.05.080, and 41.05.140; adding a new section
to chapter 28A.400 RCW; adding new sections to chapter 41.05 RCW; creating new
sections; providing an effective date; and declaring an emergency.
BE
IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1. It
is the legislature's intent to increase access to health insurance for retired
and disabled school employees and also to improve equity between state
employees and school employees by providing for the reduction of health
insurance premiums charged to retired school employees through a subsidy
charged against health insurance allocations for active employees. It is
further the legislature's intent to improve the cost-effectiveness of
state-purchased health care by managing programs for public employees, in this
case retired school employees, through the state health care authority.
Sec. 2.
RCW 28A.400.391 and 1992 c 152 s 1 are each amended to read as follows:
(1) Every group disability insurance policy,
health care service contract, health maintenance agreement, and health and
welfare benefit plan obtained or created to provide benefits to employees of
school districts and their dependents shall contain provisions that permit
retired and disabled employees to continue medical, dental, or vision coverage under
the group policy, contract, agreement, or plan until ((June 30, 1994)) September
30, 1993, or until the employee becomes eligible for federal medicare
coverage, whichever occurs first. The terms and conditions for election and
maintenance of such continued coverage shall conform to the standards
established under the federal consolidated omnibus budget reconciliation act of
1985, as amended. The period of continued coverage provided under this section
shall run concurrently with any period of coverage guaranteed under the federal
consolidated omnibus budget reconciliation act of 1985, as amended.
(2) This section applies to:
(a) School district employees who retired or
lost insurance coverage due to disability after July 28, 1991;
(b) School district employees who retired or
lost insurance coverage due to disability within the eighteen-month period
ending on July 28, 1991; and
(c) School district employees who retired or
lost insurance coverage due to disability prior to January 28, 1990, and who were
covered by their employing district's insurance plan on January 1, 1991.
(3) For the purposes of this section
"retired employee" means an employee who separates from district
service and is eligible at the time of separation from service to receive, immediately
following separation from service, a retirement allowance under chapter 41.32
or 41.40 RCW.
(4) The superintendent of public instruction
shall adopt administrative rules to implement this section.
Sec. 3.
RCW 41.04.205 and 1992 c 199 s 1 are each amended to read as follows:
(1) Notwithstanding the provisions of RCW
41.04.180, the employees, with their dependents, of any county, municipality,
or other political subdivision of this state shall be eligible to participate
in any insurance or self-insurance program for employees administered
under chapter 41.05 RCW if the legislative authority of any such county,
municipality, or other political subdivisions of this state determines a
transfer to an insurance or self-insurance program administered under chapter
41.05 RCW should be made. In the event of a special district employee transfer
pursuant to this section, members of the governing authority shall be eligible
to be included in such transfer if such members are authorized by law as of
June 25, 1976 to participate in the insurance program being transferred from
and subject to payment by such members of all costs of insurance for members.
(2) When the legislative authority of a county,
municipality, or other political subdivision determines to so transfer, the
state health care authority shall:
(a) Establish the conditions under which the
transfer may be made, which shall include the requirements that:
(i) All the eligible employees of the political
subdivision transfer as a unit, and
(ii) The political subdivision involved
obligate itself to make employer contributions in an amount at least equal to
those provided by the state as employer; and
(b) Hold public hearings on the application for
transfer; and
(c) Have the sole right to reject the
application.
Approval of the application by the state health
care authority shall effect a transfer of the employees involved to the
insurance, self-insurance, or health care program applied for.
(3) Any application of this section to members
of the law enforcement officers' and fire fighters' retirement system under
chapter 41.26 RCW is subject to chapter 41.56 RCW.
(4) The requirements in subsection (2)(a)
(i) and (ii) of this section need not be applied to school districts, except
that all eligible employees in a bargaining unit of a school district may
transfer only as a unit and all nonrepresented employees in a district may
transfer only as a unit.
Sec. 4.
RCW 41.04.235 and 1983 c 3 s 89 are each amended to read as follows:
Participants in a health care benefit plan
approved pursuant to RCW 41.04.180, ((41.05.025)) 41.05.065, or
28A.400.350, whichever is applicable, who are retired public employees, may
authorize the deduction from their retirement allowances, of the amount or
amounts of their subscription payments, premiums, or contributions to any
person, firm, or corporation furnishing or providing medical, surgical, and
hospital care or other health care insurance upon the approval by the
retirement board of an application for such deduction on the prescribed form,
and the treasurer of the state shall duly and timely draw and issue proper
warrants directly to and in favor of the person, firm, or corporation, or
organization named in the authorization for the amount authorized to be
deducted.
Sec. 5.
RCW 41.05.011 and 1990 c 222 s 2 are each amended to read as follows:
Unless the context clearly requires otherwise,
the definitions in this section shall apply throughout this chapter.
(1) "Administrator" means the
administrator of the authority.
(2) "State purchased health care" or
"health care" means medical and health care, pharmaceuticals, and
medical equipment purchased with state and federal funds by the department of
social and health services, the department of health, the basic health plan,
the state health care authority, the department of labor and industries, the
department of corrections, the department of veterans affairs, and local school
districts.
(3) "Authority" means the Washington
state health care authority.
(4) "Insuring entity" means an
insurance carrier as defined in chapter 48.21 or 48.22 RCW, a health care
service contractor as defined in chapter 48.44 RCW, or a health maintenance
organization as defined in chapter 48.46 RCW.
(5) "Flexible benefit plan" means a
benefit plan that allows employees to choose the level of health care coverage
provided and the amount of employee contributions from among a range of choices
offered by the authority.
(6) "Employee" includes all full-time
and career seasonal employees of the state, whether or not covered by civil
service; elected and appointed officials of the executive branch of government,
including full-time members of boards, commissions, or committees; and includes
any or all part-time and temporary employees under the terms and conditions
established under this chapter by the authority; justices of the supreme court
and judges of the court of appeals and the superior courts; and members of the
state legislature or of the legislative authority of any county, city, or town
who are elected to office after February 20, 1970. "Employee" also
includes employees of a county, municipality, or other political subdivision of
the state if the legislative authority of the county, municipality, or other
political subdivision of the state seeks and receives the approval of the authority
to provide any of its insurance programs by contract with the authority, as
provided in RCW 41.04.205, and employees of a school district if the board of
directors of the school district seeks and receives the approval of the
authority to provide any of its insurance programs by contract with the
authority as provided in RCW 28A.400.350.
(7) "Board" means the state
employees' benefits board established under RCW 41.05.055.
(8) "Retired or disabled school
employee" means:
(a) Persons who separated from employment
with a school district or educational service district and are receiving a
retirement allowance under chapter 41.32 or 41.40 RCW as of September 30, 1993;
(b) Persons who separate from employment
with a school district or educational service district on or after October 1,
1993, and immediately upon separation receive a retirement allowance under
chapter 41.32 or 41.40 RCW;
(c) Persons who separate from employment
with a school district or educational service district on or after October 1,
1993, due to a total and permanent disability, and are eligible to receive a
deferred retirement allowance under chapter 41.32 or 41.40 RCW.
Sec. 6.
RCW 41.05.021 and 1990 c 222 s 3 are each amended to read as follows:
The Washington state health care authority is
created within the executive branch. The authority shall have an administrator
appointed by the governor, with the consent of the senate. The administrator
shall serve at the pleasure of the governor. The administrator may employ up
to seven staff members, who shall be exempt from chapter 41.06 RCW, and any
additional staff members as are necessary to administer this chapter. The
primary duties of the authority shall be to administer state employees'
insurance benefits and retired or disabled school employees' insurance
benefits and to study state-purchased health care programs in order to
maximize cost containment in these programs while ensuring access to quality
health care. The authority's duties include, but are not limited to, the
following:
(1) To administer ((a)) health care
benefit programs for employees and retired or disabled school
employees as specifically authorized in RCW 41.05.065 and in accordance
with the methods described in RCW 41.05.075, 41.05.140, and other provisions of
this chapter;
(2) To analyze state-purchased health care
programs and to explore options for cost containment and delivery alternatives
for those programs that are consistent with the purposes of those programs,
including, but not limited to:
(a) Creation of economic incentives for the
persons for whom the state purchases health care to appropriately utilize and
purchase health care services, including the development of flexible benefit
plans to offset increases in individual financial responsibility;
(b) Utilization of provider arrangements that
encourage cost containment and ensure access to quality care, including but not
limited to prepaid delivery systems, utilization review, and prospective
payment methods;
(c) Coordination of state agency efforts to
purchase drugs effectively as provided in RCW 70.14.050;
(d) Development of recommendations and methods
for purchasing medical equipment and supporting services on a volume discount
basis; and
(e) Development of data systems to obtain
utilization data from state-purchased health care programs in order to identify
cost centers, utilization patterns, provider and hospital practice patterns,
and procedure costs, utilizing the information obtained pursuant to RCW
41.05.031;
(3) To analyze areas of public and private
health care interaction;
(4) To provide information and technical and
administrative assistance to the board;
(5) To review and approve or deny applications
from counties, municipalities, other political subdivisions of the state, and
school districts to provide state-sponsored insurance or self-insurance
programs to their employees in accordance with the provisions of RCW 41.04.205
and 28A.400.350, setting the premium contribution for approved groups as
outlined in RCW 41.05.050;
(6) To appoint a health care policy technical
advisory committee as required by RCW 41.05.150; ((and))
(7) To establish billing procedures and
collect funds from school districts and educational service districts under
section 13 of this act in a way that minimizes the administrative burden on
districts; and
(8) To promulgate and adopt rules
consistent with this chapter as described in RCW 41.05.160.
Sec. 7.
RCW 41.05.050 and 1988 c 107 s 18 are each amended to read as follows:
(1) Every department, division, or separate
agency of state government, and such county, municipal, or other political
subdivisions as are covered by this chapter, shall provide contributions to
insurance and health care plans for its employees and their dependents, the
content of such plans to be determined by the authority. Contributions, paid
by the county, the municipality, or other political subdivision for their
employees, shall include an amount determined by the authority to pay such
administrative expenses of the authority as are necessary to administer the
plans for employees of those groups. Contributions to be paid by school
districts or educational service districts shall be adjusted by the authority
to reflect that retired school employees are covered under section 14 of this
act, and are not covered under RCW 41.05.080. All such contributions will
be paid into the state employees' health insurance account.
(2) The contributions of any department,
division, or separate agency of the state government, and such county,
municipal, or other political subdivisions as are covered by this chapter,
shall be set by the authority, subject to the approval of the governor for
availability of funds as specifically appropriated by the legislature for that
purpose. However, insurance and health care contributions for ferry employees
shall be governed by RCW 47.64.270.
(3) The administrator with the assistance of
the state employees' benefits board shall survey private industry and public
employers in the state of Washington to determine the average employer
contribution for group insurance programs under the jurisdiction of the
authority. Such survey shall be conducted during each even-numbered year but may
be conducted more frequently. The survey shall be reported to the authority
for its use in setting the amount of the recommended employer contribution to
the employee insurance benefit program covered by this chapter. The authority
shall transmit a recommendation for the amount of the employer contribution to
the governor and the director of financial management for inclusion in the
proposed budgets submitted to the legislature.
Sec. 8.
RCW 41.05.055 and 1989 c 324 s 1 are each amended to read as follows:
(1) The state employees' benefits board is
created within the authority. The function of the board is to design and
approve insurance benefit plans for state employees and retired or disabled
school employees.
(2) The board shall be composed of ((seven))
nine members appointed by the governor as follows:
(a) Three representatives of state employees,
one of whom shall represent an employee association certified as exclusive
representative of at least one bargaining unit of classified employees, one of
whom shall represent an employee union certified as exclusive representative of
at least one bargaining unit of classified employees, and one of whom is
retired, is covered by a program under the jurisdiction of the board, and
represents an organized group of retired public employees;
(b) ((Three)) One representative of
retired or disabled school employees;
(c) Four members with experience in
health benefit management and cost containment; and
(((c))) (d) The administrator.
(3) The governor shall appoint the initial
members of the board to staggered terms not to exceed four years. Members
appointed thereafter shall serve two-year terms. Members of the board shall be
compensated in accordance with RCW 43.03.250 and shall be reimbursed for their
travel expenses while on official business in accordance with RCW 43.03.050 and
43.03.060. The board shall prescribe rules for the conduct of its business.
The administrator shall serve as chair of the board. Meetings of the board
shall be at the call of the chair.
Sec. 9.
RCW 41.05.065 and 1988 c 107 s 8 are each amended to read as follows:
(1) The board shall study all matters connected
with the provision of health care coverage, life insurance, liability
insurance, accidental death and dismemberment insurance, and disability income
insurance or any of, or a combination of, the enumerated types of insurance for
employees and their dependents on the best basis possible with relation both to
the welfare of the employees and to the state: PROVIDED, That liability
insurance shall not be made available to dependents.
(2) The state employees' benefits board shall
develop employee benefit plans that include comprehensive health care benefits
for all employees. In developing these plans, the board shall consider the
following elements:
(a) Methods of maximizing cost containment
while ensuring access to quality health care;
(b) Development of provider arrangements that
encourage cost containment and ensure access to quality care, including but not
limited to prepaid delivery systems and prospective payment methods;
(c) Wellness incentives that focus on proven
strategies, such as smoking cessation, exercise, and automobile and motorcycle
safety;
(d) Utilization review procedures including,
but not limited to prior authorization of services, hospital inpatient length
of stay review, requirements for use of outpatient surgeries and second
opinions for surgeries, review of invoices or claims submitted by service
providers, and performance audit of providers; and
(e) Effective coordination of benefits.
(3) The board shall design benefits and
determine the terms and conditions of employee participation and coverage,
including establishment of eligibility criteria.
(4) The board may authorize premium
contributions for an employee and the employee's dependents. Such authorization
shall require a vote of five members of the board for approval.
(5) Employees may choose participation in only
one of the health care benefit plans developed by the board.
(6) The board shall review plans proposed by
insurance carriers that desire to offer property insurance and/or accident and
casualty insurance to state employees through payroll deduction. The board may
approve any such plan for payroll deduction by carriers holding a valid
certificate of authority in the state of Washington and which the board
determines to be in the best interests of employees and the state. The board
shall promulgate rules setting forth criteria by which it shall evaluate the
plans.
(7) The board shall develop benefit plans
that provide health care benefits for retired or disabled school employees and
their dependents, and shall establish terms and conditions of coverage under
the plans. The board shall make available separate and appropriate plans that
supplement medicare for retired or disabled school employees who are eligible
for federal medicare coverage. The board shall also consider the elements
referenced in subsection (2) of this section in developing the plans.
Sec. 10.
RCW 41.05.075 and 1988 c 107 s 9 are each amended to read as follows:
(1) The administrator shall provide ((employee))
benefit plans designed by the board through a contract or contracts with
insuring entities, through self-funding, self-insurance, or other methods of
providing insurance coverage authorized by RCW 41.05.140.
(2) The administrator shall establish a
contract bidding process that encourages competition among insuring entities,
is timely to the state budgetary process, and sets conditions for awarding
contracts to any insuring entity.
(3) The administrator shall establish a
requirement for review of utilization and financial data from participating
insuring entities on a quarterly basis.
(4) The administrator shall centralize the
enrollment files for all employee and retired or disabled school employee
health plans offered under chapter 41.05 RCW and develop enrollment
demographics on a plan-specific basis.
(5) The administrator shall establish methods
for collecting, analyzing, and disseminating to covered individuals information
on the cost and quality of services rendered by individual health care
providers.
(6) All claims data shall be the property of
the state. The administrator may require of any insuring entity that submits a
bid to contract for coverage all information deemed necessary to fulfill the
administrator's duties as set forth in this chapter.
(7) All contracts with insuring entities for
the provision of health care benefits shall provide that the beneficiaries of
such benefit plans may use on an equal participation basis the services of
practitioners licensed pursuant to chapters 18.22, 18.25, 18.32, 18.53, 18.57,
18.71, 18.74, 18.83, and 18.88 RCW. However, nothing in this subsection may
preclude the administrator from establishing appropriate utilization controls
approved pursuant to RCW 41.05.065(2) (a)(i), (b), and (d).
(8) Beginning in January 1990, and each January
thereafter, the administrator shall publish and distribute to each school
district a description of health care benefit plans available through the
authority and the estimated cost if school district employees were enrolled.
Sec. 11.
RCW 41.05.080 and 1977 ex.s. c 136 s 6 are each amended to read as follows:
Retired or disabled state employees, or
employees of county, municipal, or other political subdivisions covered by this
chapter who are retired, but not including retired or disabled school
employees, may continue their participation in insurance plans and
contracts after retirement or disablement, under the qualifications, terms,
conditions, and benefits set by the board: PROVIDED, That the rates charged
such retired or disabled employees for health care will be developed from the
same experience pool as active employees: PROVIDED FURTHER, That such retired
or disabled employees shall bear the full cost of premiums required to provide
such coverage: PROVIDED FURTHER, That such self pay rates will be established
based on a separate rate for the employee, the spouse, and the children:
PROVIDED FURTHER, That rates for a retired or disabled employee, spouse, or
child who is eligible for and who elects to apply for medicare will be
actuarially reduced to reflect the value of Part A and Part B of medicare. The
term "retired state employees" for the purpose of this section shall
include but not be limited to members of the legislature whether voluntarily or
involuntarily leaving state office.
Sec. 12.
RCW 41.05.140 and 1988 c 107 s 12 are each amended to read as follows:
(1) The authority may self-fund, self-insure,
or enter into other methods of providing insurance coverage for insurance
programs under its jurisdiction except property and casualty insurance. The
authority shall contract for payment of claims or other administrative services
for programs under its jurisdiction. If a program does not require the
prepayment of reserves, the authority shall establish such reserves within a
reasonable period of time for the payment of claims as are normally required
for that type of insurance under an insured program.
(2) Reserves established by the
authority for employee benefit programs shall be held in a separate
trust fund by the state treasurer and shall be known as the state employees'
insurance reserve fund. The state investment board shall act as the investor
for the funds and, except as provided in RCW 43.33A.160, one hundred percent of
all earnings from these investments shall accrue directly to the state
employees' insurance reserve fund.
(((2))) (3) Reserves established by
the authority for programs for retired or disabled school employees shall be
held in a separate trust fund by the state treasurer and shall be known as the
retired school employees' insurance reserve fund hereby created. The state
investment board shall act as the investor for the funds and, except as
provided in RCW 43.33A.160, one hundred percent of all earnings from these
investments shall accrue directly to the retired school employees' insurance
reserve fund.
(4) Any savings realized as a result of
a program created for employees under this section shall not be used to
increase benefits unless such use is authorized by statute.
(((3))) (5) Any program created
under this section shall be subject to the examination requirements of chapter
48.03 RCW as if the program were a domestic insurer. In conducting an
examination, the commissioner shall determine the adequacy of the reserves
established for the program.
(((4))) (6) The authority shall
keep full and adequate accounts and records of the assets, obligations,
transactions, and affairs of any program created under this section.
(((5))) (7) The authority shall
file a quarterly statement of the financial condition, transactions, and
affairs of any program created under this section in a form and manner
prescribed by the insurance commissioner. The statement shall contain
information as required by the commissioner for the type of insurance being
offered under the program. A copy of the annual statement shall be filed with
the speaker of the house of representatives and the president of the senate.
NEW SECTION. Sec. 13. A
new section is added to chapter 28A.400 RCW to read as follows:
(1) In a manner prescribed by the state health
care authority, school districts and educational service districts shall remit
to the health care authority for deposit in the retired school employees'
subsidy account established in section 15 of this act:
(a) During the period beginning October 1,
1993, and ending September 30, 1994:
(i) For each full-time employee of the
district, ten dollars for each month of the school year;
(ii) For each part-time employee of the
district who, at the time of the remittance, is employed in an eligible
position as defined in RCW 41.32.010 or 41.40.010 and is eligible for employer
fringe benefit contributions for basic benefits as defined in RCW 28A.400.270,
ten dollars for each month of the school year, prorated by the proportion of
employer fringe benefit contributions for a full-time employee that the
part-time employee receives;
(b) Beginning October 1, 1994:
(i) For each full-time employee of the
district, an amount equal to four and seven-tenths percent multiplied by the
insurance benefit allocation rate in the appropriations act for a certificated
or classified staff, for each month of the school year;
(ii) For each part-time employee of the
district who, at the time of the remittance, is employed in an eligible
position as defined in RCW 41.32.010 or 41.40.010 and is eligible for employer
fringe benefit contributions for basic benefits as defined in RCW 28A.400.270,
an amount equal to four and seven-tenths percent multiplied by the insurance
benefit allocation rate in the appropriations act for a certificated or
classified staff, for each month of the school year, prorated by the proportion
of employer fringe benefit contributions for a full-time employee that the
part-time employee receives.
(2) The legislature reserves the right to
increase or decrease the percent or amount required to be remitted in this
section.
NEW SECTION. Sec. 14. A
new section is added to chapter 41.05 RCW to read as follows:
(1) After October 1, 1993, retired or disabled
school employees and their dependents may purchase health care insurance
coverage from the authority under terms and conditions established by this
chapter and by the board.
(2) Retired or disabled school employees may
enroll in benefit plans under the authority during enrollment periods
established by the board.
(3) Retired or disabled school employees and
their dependents shall pay the cost of premiums for the insurance offered by
the authority. The authority shall charge as premiums, the cost to the
authority of providing insurance coverage for retired and disabled school
employees and their dependents, including any amounts necessary for reserves
and administration. However, the premiums charged to a retired or disabled
school employee shall be reduced by the amount of the subsidy provided in section
15 of this act.
NEW SECTION. Sec. 15. A
new section is added to chapter 41.05 RCW to read as follows:
(1) The retired school employees' subsidy
account is hereby established in the custody of the state treasurer, to be used
by the administrator for the deposit of the remittance paid by school districts
and educational service districts under section 13 of this act.
(2) Moneys available in the account, as
determined by the administrator, shall be used to reduce the health care
insurance premiums charged to retired or disabled school employees under this
chapter. The amount of any premium reduction shall be established by the
board. However, use of moneys from the account shall not result in a premium
reduction for retired or disabled school employees of more than fifty percent.
Moneys from the account may be used to reduce premiums charged to dependents at
the discretion of the board.
(3) From October 1, 1993, through September 30,
1994, moneys available in the account shall also be used to reduce premiums
charged to persons who meet the definition of retired or disabled school
employee in RCW 41.05.011, are not eligible for federal medicare coverage, and
are covered under a group-purchased health insurance plan through a school
district or educational service district. The moneys shall be paid to the
appropriate insurance carrier, or in the case of self-insurance, to the
district. Payments shall be made subject to submission of information to the
satisfaction of the administrator that the recipient of the premium reduction
is eligible to receive the reduction and that the moneys are used for their
intended purpose. If health care insurance for active school district and
educational service district employees is required to be provided solely
through the authority beginning on or before October 1, 1993, the provisions of
this subsection (3) shall have no effect.
(4) Should the legislature revoke or reduce any
remuneration or benefits granted under this section, an affected retired or
disabled employee shall not be entitled thereafter to receive such benefits as
a matter of contractual right.
(5) Moneys from the account shall be disbursed
by the state treasurer by warrants on vouchers duly authorized by the
administrator.
(6) The state treasurer and the state
investment board may invest moneys in the retired school employees' subsidy
account. All such investments shall be in accordance with RCW 43.84.080 or
43.84.150, whichever is applicable. The administrator shall determine whether
the state treasurer or the state investment board or both shall invest moneys
in the account.
NEW SECTION. Sec. 16. A
new section is added to chapter 41.05 RCW to read as follows:
(1) The retired school employees' insurance account is
hereby established in the custody of the state treasurer, to be used by the
administrator for the deposit of contributions, premium payments from retired
or disabled school employees, subsidy amounts from the retired school
employees' subsidy account, reserves, dividends, and refunds, and for payment
of premiums for retired or disabled school employee benefit contracts and
operating expenses incurred by the authority in the administration of benefit
plans for retired or disabled school employees. Moneys from the account shall
be disbursed by the state treasurer by warrants on vouchers duly authorized by
the administrator. (2) Disbursements from the account are not subject to
appropriation, but shall be subject to the allotment procedure provided under
chapter 43.88 RCW.
(3) The state treasurer and the state
investment board may invest moneys in the retired school employees' insurance
account. All such investments shall be in accordance with RCW 43.84.080 or
43.84.150, whichever is applicable. The administrator shall determine whether
the state treasurer or the state investment board or both shall invest moneys in
the account.
NEW SECTION. Sec. 17.
Sections 3, 7, and 11 of this act shall take effect October 1, 1993.
NEW SECTION. Sec. 18.
Sections 1, 2, 4 through 6, 8 through 10, and 12 through 16 of this act are
necessary for the immediate preservation of the public peace, health, or
safety, or support of the state government and its existing public
institutions, and shall take effect immediately.
NEW SECTION. Sec. 19.
Section 8 of this act is null and void if Engrossed Second Substitute Senate
Bill No. 5304 is enacted into law by July 1, 1993, and contains an amendment to
RCW 41.05.055.
