WSR 20-23-047
PROPOSED RULES
HEALTH CARE AUTHORITY
[Filed November 12, 2020, 11:38 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 20-19-107.
Title of Rule and Other Identifying Information: WAC 182-505-0215 Children's Washington apple health with premiums.
Hearing Location(s): On December 22, 2020, at 10:00 a.m. In response to the coronavirus disease 2019 (COVID-19) public health emergency, the agency will not provide a physical location for this hearing. This promotes social distancing and the safety of the citizens of Washington state. A virtual public hearing, without a physical meeting space, will be held. To attend the virtual public hearing, you must register at the following link: https://attendee.gotowebinar.com/register/1401671028006212364, Webinar ID: 814-017-931. After registering, you will receive a confirmation email containing the information about joining the webinar.
Date of Intended Adoption: Not sooner than December 23, 2020.
Submit Written Comments to: HCA Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, email arc@hca.wa.gov, fax 360-586-9727, by December 22, 2020.
Assistance for Persons with Disabilities: Contact Amber Lougheed, phone 360-725-1349, fax 360-586-9727, telecommunication[s] relay service 711, email amber.lougheed@hca.wa.gov, by December 11, 2020.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The agency is amending WAC 182-505-0215 to expand the children's health insurance program to include coverage for eligible children of public employees.
Reasons Supporting Proposal: See purpose.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Health care authority (HCA), governmental.
Name of Agency Personnel Responsible for Drafting: Brian Jensen, P.O. Box 42716, Olympia, WA 98504-2716, 360-725-0815; Implementation and Enforcement: Shaunie McLeod, P.O. Box 45505, Olympia, WA 98504-5505, 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 client program eligibility and does not impose any costs on businesses.
November 12, 2020
Wendy Barcus
Rules Coordinator
AMENDATORY SECTION(Amending WSR 19-21-103, filed 10/16/19, effective 1/1/20)
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; or
(b) Has creditable health insurance coverage as defined in WAC 182-500-0020((;
(c))).
(3) A child with creditable health insurance coverage may be eligible for Washington apple health with premiums if the child:
(a) Is eligible for either:
(i) 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))(ii) 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; and
(b) Meets the requirements in subsection (1) of this section.