WSR 04-04-003

AGENDA

HEALTH CARE AUTHORITY


[ Filed January 22, 2004, 9:03 a.m. ]


Washington State Health Care Authority

Melodie Bankers, Rules Coordinator (360) 923-2728


January 31, 2004 Semi-Annual Rule-Making Agenda



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3.

Approximate Preproposal

Date

Subject Area

Contact/Telephone Number

Purpose of the Rule

Why is this Significant?

Rule(s)

Mandate

Other Agencies who may have Interest in the Subject of Rule(s)
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2.

3.

Fall 2004

Chapter 182-50 WAC, Prescription drug program

Duane Thurman, (206) 521-2036

Update of rules. SB 6088, Section 10. MAA, L&I
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2.

3.

Preproposal filed September 2003

Recoupment of subsidy overpayments

Rosanne Reynolds, (360) 923-2948

Add detail previously omitted and update processes. No mandate. DSHS/MAA and L&I
1.

2.

3.

Spring 2004

WAC 182-12-115 (4) and (6)

Barbara Scott, (360) 923-2642

Defining "career seasonal/instructional employees" and "part-time faculty" consistent with settlement in Mader vs. Health Care Authority.
1.

2.

3.

January 2004

Premium payments and refunds

Barbara Scott, (360) 923-2642

Amend the rule to allow the administrator to approve refunds for up to 12 months of premium in cases where the requestor can demonstrate that extraordinary circumstances existed. No mandate. State agencies, state institutions of higher education and PEBB participating K-12 school districts, educational service districts and local governments.
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2.

3.

February 2004

Group coverage when not in pay status

Barbara Scott, (360) 923-2642

Clarify provisions in chapters 182-08 and 182-12 WAC for continuation of health and life insurance coverage during periods of leave without pay and family medical leave. No mandate. State agencies, state institutions of higher education and PEBB participating K-12 school districts, educational service districts and local governments.
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2.

3.

February 2004

Eligible dependents

Barbara Scott, (360) 923-2642

HCA plans to review and possibly amend dependent eligibility provisions in chapter 182-12 WAC for clarity and to update procedures and requirements. No mandate. State agencies, state institutions of higher education and PEBB participating K-12 school districts, educational service districts and local governments.
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2.

3.

February 2004

Deferring coverage at or following retirement

Barbara Scott, (360) 923-2642

Rule clean up for readability. No mandate. State agencies, state institutions of higher education and PEBB participating K-12 school districts, educational service districts and local governments.
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2.

3.

February 2004

Employer groups

Barbara Scott, (360) 923-2642

HCA plans to review and possibly amend eligibility provisions in subsection (4) of WAC 182-12-111 to achieve uniform eligibility rules. No mandate. Local governments participating in PEBB benefits.
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2.

3.

February 2004

Appeals and hearings

Barbara Scott, (360) 923-2642

The rule needs revised to meet requirements of patient bill of rights (PBOR). No mandate. State agencies, state institutions of higher education and PEBB participating K-12 school districts, educational service districts and local governments.

Melodie Bankers

Rules Coordinator

Legislature Code Reviser 

Register

Washington State Code Reviser's Office