5274 AMS HASE S2790.4
SB 5274 - S AMD 327
By Senator Hasegawa
ADOPTED 03/13/2019
On page 3, after line 19, insert the following:
Sec. 3. "RCW 43.71A.020 and 2018 c 161 s 3 are each amended to read as follows:
(1) An individual is eligible for the COFA premium assistance program if the individual:
(a) Is a resident;
(b) Is a COFA citizen;
(c) Enrolls in a silver qualified health plan;
(d) Has income that is less than one hundred thirty-three percent of the federal poverty level; and
(e) Is ineligible for a federal or state medical assistance program administered by the authority under chapter 74.09 RCW.
(2) Subject to the availability of amounts appropriated for this specific purpose, the authority shall pay the premium cost for a qualified health plan and the out-of-pocket costs for the coverage provided by the plan for an individual who is eligible for the premium assistance program under subsection (1) of this section.
(3) The authority may disqualify a participant from the program if the participant:
(a) No longer meets the eligibility criteria in subsection (1) of this section;
(b) Fails, without good cause, to comply with procedural or documentation requirements established by the authority in accordance with subsection (4) of this section;
(c) Fails, without good cause, to notify the authority of a change of address in a timely manner;
(d) Withdraws the participant's application or requests termination of coverage; or
(e) Performs an act, practice, or omission that constitutes fraud, and, as a result, an insurer rescinds the participant's policy for the qualified health plan.
(4) The authority shall establish:
(a) Application, enrollment, and renewal processes for the COFA premium assistance program;
(b) The qualified health plans that are eligible for reimbursement under the program;
(c) Procedural requirements for continued participation in the program, including participant documentation requirements that are necessary for the authority to administer the program; and
(d) Open enrollment periods and special enrollment periods consistent with the enrollment periods for the health ((insurance [health benefit]))benefit exchange((; and
(e) A comprehensive community education and outreach campaign, working with stakeholder and community organizations, to facilitate applications for, and enrollment in, the program. Subject to the availability of amounts appropriated for this specific purpose, the education and outreach program shall provide culturally and linguistically accessible information to facilitate participation in the program, including but not limited to enrollment procedures, benefit utilization, and patient responsibilities.
(5) The community education and outreach campaign conducted by the authority must begin no later than September 1, 2018)).
(((6)))(5) The first open enrollment period for the COFA premium assistance program must begin no later than November 1, 2018.
NEW SECTION.  Sec. 4. A new section is added to chapter 43.71A RCW to read as follows:
The authority, in consultation with the Washington state commission on Asian Pacific American affairs, shall establish an annual comprehensive community education and outreach program to COFA citizens, including contracting with a Washington organization that has multilingual language capacity, and working with stakeholder and community organizations, to facilitate applications for, and enrollment in, the COFA premium assistance and dental care programs. Subject to the availability of amounts appropriated for this specific purpose, the education and outreach program shall provide culturally and linguistically accessible information to facilitate participation in the programs, including but not limited to enrollment procedures, benefit utilization, and patient responsibilities."
Renumber the remaining sections consecutively and correct any internal references accordingly.
On page 4, line 19, after "periods" insert "consistent with the enrollment periods for the health benefit exchange"
On page 4, beginning on line 20, after "(5)" strike all material through "(6)" on line 31
On page 4, line 32, after "November 1," strike "2019" and insert "2020"
SB 5274 - S AMD 327
By Senator Hasegawa
ADOPTED 03/13/2019
On page 1, line 2 of the title, after "43.71A.010" strike "and 43.71A.800; adding a new section to chapter 43.71A RCW" and insert ", 43.71A.020, and 43.71A.800; adding new sections to chapter 43.71A RCW"
EFFECT: (1) Combines the outreach programs for the COFA dental and premium assistance programs, makes the outreach annual and ongoing, makes the outreach subject to appropriations, and has the Health Care Authority consult with the Washington state commission on Asian Pacific American affairs in setting up the outreach program;
(2) Clarifies that open and special enrollment periods must be consistent with enrollment periods for the health benefit exchange; and
(3) Moves the first open enrollment for the dental program from November 1, 2019, to November 1, 2020.
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