HEALTH CARE AUTHORITY
[Filed September 3, 2019, 12:36 p.m.]
Preproposal statement of inquiry was filed as WSR 19-13-058.
Title of Rule and Other Identifying Information: WAC 182-505-0215 Children's Washington apple health with premiums (CHIP).
Hearing Location(s): On October 8, 2019, at 10:00 a.m., at the Health Care Authority (HCA), Cherry Street Plaza, Sue Crystal Room 106A, 626 8th Avenue, Olympia, WA 98504. Metered public parking is available street side around building. A map is available at https://www.hca.wa.gov/assets/program/Driving-parking-checkin-instructions.pdf or directions can be obtained by calling 360-725-1000.
Date of Intended Adoption: Not sooner than October 9, 2019.
Submit Written Comments to: HCA Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, email firstname.lastname@example.org, fax 360-586-9727, by October 8, 2019.
Assistance for Persons with Disabilities: Contact Amber Lougheed, phone 360-725-1349, fax 360-586-9727, telecommunication relay services 711, email email@example.com, by September 27, 2019.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: During the 2017 legislative session, the Washington state legislature passed EHB 2242 which created the school employees' benefits board health insurance benefit beginning January 1, 2020. The availability of this benefit, beginning January 1, 2020, means these children no longer meet the definition of targeted low income children under 42 C.F.R. 457.310, and will not be eligible for CHIP.
Reasons Supporting Proposal: See purpose.
Rule is necessary because of federal law, 42 C.F.R. 457.310.
Name of Proponent: HCA, governmental.
Name of Agency Personnel Responsible for Drafting: Valerie Smith, P.O. Box 42716, Olympia, WA 98504-2716, 360-725-1344; Implementation and Enforcement: Kevin Cornell, P.O. Box 45534, Olympia, WA 98504-5534, 360-725-1423.
A school district fiscal impact statement is not required under RCW 28A.305.135
A cost-benefit analysis is not required under RCW 34.05.328
. RCW 34.05.328
does not apply to HCA rules unless requested by the joint administrative rules review committee or applied voluntarily.
The proposed rule does not impose more-than-minor costs on businesses. Following is a summary of the agency's analysis showing how costs were calculated. The proposed rule pertains to clients and therefore does not impose any costs on businesses.
September 3, 2019
AMENDATORY SECTION(Amending WSR 17-12-018, filed 5/30/17, effective 6/30/17)
WAC 182-505-0215Children's Washington apple health with premiums.
(1) A child is eligible for Washington apple health with premiums if the child:
(a) Meets the requirements in WAC 182-505-0210(1);
(b) Has countable income below the standard in WAC 182-505-0100 (6)(b); and
(c) Pays the required premium under WAC 182-505-0225, unless the child is exempt under WAC 182-505-0225 (2)(c).
(2) A child is not eligible for Washington apple health with premiums if the child:
(a) Is eligible for no-cost Washington apple health;
(b) Has creditable health insurance coverage as defined in WAC 182-500-0020; ((or))
(c) Is eligible for public employees benefits board (PEBB) health insurance coverage based on a family member's employment with a Washington state agency, or a Washington state university, community college, or technical college; or
(d) Is eligible for school employees benefits board (SEBB) health insurance coverage based on a family member's employment with a Washington school district, charter school, or educational service district.