WSR 22-15-028
AGENDA
OFFICE OF THE
INSURANCE COMMISSIONER
[Filed July 12, 2022, 2:17 p.m.]
Semi-Annual Rule Development Agenda
July 2022
The commissioner has initiated rule making on the following rules. This list is current as of July 7, 2022. There may be additional rule-making activity not included on this agenda and all information referenced is subject to change. For the most up-to-date information, visit our rule-making website https://www.insurance.wa.gov/legislation-and-rulemaking.
For questions, please contact Ariele Page Landstrom, rulescoordinator@oic.wa.gov or 360-725-7056.
Summary | Statutory Authority | Potentially Impacted WAC | Status |
Health care sharing ministries (Insurance Commissioner Matter R 2021-17) | | WAC 284-43-8210, 284-43-8220, and 284-43-8230. | CR-101: WSR 21-14-097, filed 7/7/21; CR-102: WSR 21-20-108 filed 10/4/21; Supplemental CR-102: WSR 22-09-056, filed 4/18/22, public hearing 5/26/22 |
Transparency in insurance underwriting (Insurance Commissioner Matter R 2022-01) | | New sections are being added to chapter 284-30A WAC. | CR-101: WSR 22-04-091, filed 2/1/22 |
Implementation of E2SHB 1688 Balance Billing Protection Act and the federal No Surprises Act (Insurance Commissioner Matter R 2022-02) | Sections 5, 19, and 20, chapter 263, Laws of 2022 (E2SHB 1688). | WAC 284-43B-010, 284-43B-020, 284-43B-030, 284-43B-040, 284-43B-050, 284-43B-060, 284-43B-085, 284-43B-090, 284-170-200, and 284-170-210. New sections are being added to chapter 284-43 WAC. Other new or amended sections to be determined. | CR-101: WSR 22-10-078, filed 5/3/22 |
Accessing and receiving health care services and benefits (Insurance Commissioner Matter R 2022-03) | | WAC 284-170-130. Other new or amended sections to be determined. | CR-101: WSR 22-13-063, filed 6/9/2022 |
Statement requirement for consumer adverse benefit determination notices (Insurance Commissioner Matter R 2022-04) | | WAC 284-43-3070. | CR-101: WSR 22-13-064, filed 6/9/2022 |
Prescription drug cost sharing (Insurance Commissioner Matter R 2022-05) | Section 1(3), chapter 228, Laws of 2022 (SSB 5610). | WAC 284-44A-010, 284-44A-040, 284-44A-050, 284-46A-010, 284-46A-040, 284-46A-050, 284-58-025, and 284-58-030. | CR-101: WSR 22-13-066, filed 6/9/2022 |
General filing instructions for carrier submission of provider agreements and HCBM contracts (Insurance Commissioner Matter R 2022-06) | | WAC 284-43-5080. | CR-101: WSR 22-13-182, filed 6/22/2022 |
Small pharmacy appeal reporting requirements (Insurance Commissioner Matter R 2022-07) | | WAC 284-180-520, 284-180-530, and 284-180-540. | CR-101: WSR 22-14-072, filed 6/30/2022 |
Other Possible Rule-Making Topics: In addition to the rules referenced above, the commissioner continues his effort to update and clarify code, as well as implement recent legislation. A potential list of subjects that may be considered for future rule making include or may include:
Adjuster issues.
Annuity marketing and disclosure requirements.
Balance billing.
Barriers to patient care access resulting from contracting practices.
Coordination of benefits.
Data security and cybersecurity.
Dental insurance practices.
Discontinuation and renewal of health plan coverage.
Discrimination in health care plan design.
Electronic filing of state specific reporting.
Electronic notices and document delivery of insurance products.
Essential health benefits.
Fixing outdated references.
Health care coverage.
Health care benefit managers.
Holding company regulations.
Implementation credits.
Implementation of state or federal legislation or reform
Licensing requirements.
Life and disability issues.
Life and disability guaranty association.
Long-term care insurance.
Market stabilization.
Medical parity.
Minimum valuation standards.
NAIC model act and regulation implementation.
Pharmacy formulary tiers.
Pharmacy exceptions, substitutions and appeals process.
Pediatric dental.
Prelicensing insurance education.
Producer issues, including commissioner and education requirements.
Property and casualty issues.
Ride-sharing insurance coverage.
Summary of health insurance benefits coverage.
Rating variables.
Reproductive health issues.
In addition to the above-mentioned topics, any person may petition the office of the insurance commissioner under RCW
34.05.330 requesting the adoption, amendment, or repeal of any rule.
Mike Kreidler
Insurance Commissioner