5807-S AMS BROW SEIB 001

SSB 5807 - S AMD 193 to S AMD (5807-S AMS PARL S2476.3)

By Senator Brown

3/14/03 NOT ADOPTED

On page 23, after line 34 of the amendment, insert the following:

"NEW SECTION. Sec. 12. A new section is added to chapter 70.47 RCW to read as follows:

(1) The administrator, in coordination with the department of social and health services medical assistance administration and interested entities, will identify and design pilot projects to improve health care coverage access, including review of proposals by entities that are able to demonstrate to the administrator that they have received funding through a reliable source, such as a federal grant program, that can reasonably be expected to be adequate to complete their portion of the pilot project. The administrator may approve pilot projects that are found to be feasible. Pilot projects may include applying basic health plan subsidy payments toward employer-sponsored health insurance or other health insurance premium shares, rather than as direct payments to managed health care systems participating in the basic health plan.

(2) The schedule of benefits for persons enrolled through an approved pilot project may differ from the benefits offered through the basic health plan, but must be reasonably comparable in value to those benefits.

(3) Any pilot project approved by the administrator must provide coverage through managed health care systems.

(4) By November 1, 2003, the administrator and the secretary of the department of social and health services shall jointly report to the health care committees of the senate and the house of representatives on their progress in developing the pilot projects authorized in this act, the anticipated implementation date of any pilot project under development, and the resources needed to implement the pilot project."

On page 5, line 5 of the amendment, after "plan.))", insert the following:

"Upon approval of a pilot project under section 12 of this act, "subsidized enrollee" also means an individual, or an individual's spouse or dependent children, who meets the requirements of (a), (b), (c), (e) and (f) of this subsection, who resides within the state of Washington, and who qualifies for a premium subsidy under a pilot project approved under section 12 of this act."

On page 5, line 7 of the amendment, after "system" insert "or through payments developed as part of a pilot project approved under section 12 of this act"

Renumber the sections consecutively and correct any internal references accordingly.

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EFFECT: Directs the health care authority to identify and design BHP pilot projects to improve health care coverage access.