6054.E AMH .... H5095.1
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92) FAILED, WITHDRAWN, NOT CONSIDERED 03/06/92
By Representatives Paris and Beck
On page 2, line 5 of the amendment, after "deals" insert "only"
On page 2, line 7 of the amendment, after "effects," insert "including"
On page 2, line 12 of the amendment, after "procedure is" strike "complementary or"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, line 15 of the amendment, after "shall be" strike "complementary and"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 2, beginning on line 25 of the amendment, after "providers." strike all material through "chapter." on line 28
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, after line 9 of the amendment, insert the following:
"(6) To the extent that practice of chiropractic includes practice of medicine as defined in chapter 18.71 RCW, chiropractors shall be held to the same standard of care as physicians."
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, beginning on line 8 of the amendment, after "medical procedures" strike all material through "spine" on line 9
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, after line 2 of the amendment, insert the following:
"NEW SECTION. Sec. 6. This act shall expire four years from the effective date of this act unless legislation to reenact it is passed by the legislature. This act shall be reviewed by the department of health which shall make a report on expansion of costs by this act to the legislature by January 1, 1996."
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 9 of the title amendment, after "section;" insert "providing an expiration date;"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"NEW SECTION. Sec. 5. A new section is added to chapter 18.25 RCW to read as follows:
For the purpose of this chapter, the chiropractic board shall adopt rules requiring that each spinal procedure be recorded for its diagnostic relation to spinal adjustment."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 8 of the title amendment, after "adding" strike "a new section" and insert "new sections"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, after line 9 of the amendment, insert the following:
"(6) A person licensed under this chapter shall not engage in the practice of medicine, as defined in chapter 18.71 RCW."
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 1, beginning on line 10 of the amendment, strike all of section 2
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 7 of the title amendment, after "RCW" strike "18.25.025 and"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, beginning on line 10 of the amendment, strike all of section 3
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, beginning on line 7 of the title amendment, after "18.25.025" strike "and 18.25.006"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, beginning on line 4 of the amendment, after "complex" strike all material through "providers" on line 7
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, beginning on line 27 of the amendment, after "(6)" strike all material through "(7)" on page 4, line 1
Renumber the remaining subsections consecutively.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, beginning on line 1 of the amendment, after "(7)" strike all material through "(8)" on line 3
Renumber the remaining subsections consecutively.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 2, line 7 of the amendment, after "its" strike all material through "body" on line 9 and insert "spinal effects"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"NEW SECTION. Sec. 5. A new section is added to chapter 48.44 RCW to read as follows:
(1) Each group contract for chiropractic services which is entered into, or renewed, on or after the effective date of this act, between a health care service contractor and the person or persons to receive such care shall offer coverage for medical services on the same basis as any other care.
(2) A patient of a physician shall not be denied benefits under a contract because the practitioner is not licensed under chapter 18.25 RCW.
(3) This section shall not apply to a group contract for comprehensive health care services entered into in accordance with a collective bargaining agreement between management and labor representatives. Benefits for the medical care shall be offered by the employer in good faith on the same basis as any other care as a subject for collective bargaining for group contracts for health care services."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 8 of the title amendment, after "RCW;" insert "adding a new section to chapter 48.44 RCW;"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"Sec. 5. RCW 41.05.075 and 1988 c 107 s 9 are each amended to read as follows:
(1) The administrator shall provide employee benefit plans designed by the board through a contract or contracts with insuring entities, through self-funding, self-insurance, or other methods of providing insurance coverage authorized by RCW 41.05.140.
(2) The administrator shall establish a contract bidding process that encourages competition among insuring entities, is timely to the state budgetary process, and sets conditions for awarding contracts to any insuring entity.
(3) The administrator shall establish a requirement for review of utilization and financial data from participating insuring entities on a quarterly basis.
(4) The administrator shall centralize the enrollment files for all employee health plans and develop enrollment demographics on a plan-specific basis.
(5) The administrator shall establish methods for collecting, analyzing, and disseminating to covered individuals information on the cost and quality of services rendered by individual health care providers.
(6) All claims data shall be the property of the state. The administrator may require of any insuring entity that submits a bid to contract for coverage all information deemed necessary to fulfill the administrator's duties as set forth in this chapter.
(7) All contracts with insuring entities for the provision of health care benefits shall provide that the beneficiaries of such benefit plans may use on an equal participation basis the services of practitioners licensed pursuant to chapters 18.22, 18.25, 18.32, 18.53, 18.57, 18.71, 18.74, 18.83, and 18.88 RCW. However, nothing in this subsection may preclude the administrator from establishing appropriate utilization controls approved pursuant to RCW 41.05.065(2) (a)(i), (b), and (d).
(8) Beginning in January 1990, and each January thereafter, the administrator shall publish and distribute to each school district a description of health care benefit plans available through the authority and the estimated cost if school district employees were enrolled.
(9) This section shall not apply to the services added to chiropractic scope of practice by this chapter."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, beginning on line 7 of the title amendment, after "18.25.025" strike "and 18.25.006" and insert ", 18.25.006, and 41.05.075"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"NEW SECTION. Sec. 5. A new section is added to chapter 7.70 RCW to read as follows:
In actions against chiropractors licensed pursuant to chapter 18.25 RCW, to the extent that the subject matter of the lawsuit involves a service also included within chapter 18.71 RCW, chiropractors shall be held to the same standard of care as physicians licensed pursuant to chapter 18.71 RCW."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 8 of the title amendment, after "RCW;" insert "adding a new section to chapter 7.70 RCW;"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"Sec. 5. RCW 48.44.310 and 1986 c 223 s 8 are each amended to read as follows:
(1) Each group contract for comprehensive health care service which is entered into, or renewed, on or after September 8, 1983, between a health care service contractor and the person or persons to receive such care shall offer coverage for chiropractic care on the same basis as any other care.
(2) A patient of a chiropractor shall not be denied benefits under a contract because the practitioner is not licensed under chapter 18.57 or 18.71 RCW.
(3) This section shall not apply to a group contract for comprehensive health care services entered into in accordance with a collective bargaining agreement between management and labor representatives. Benefits for chiropractic care shall be offered by the employer in good faith on the same basis as any other care as a subject for collective bargaining for group contracts for health care services.
(4) This section shall not apply to the services added to chiropractic scope of practice by this chapter."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"NEW SECTION. Sec. 5. A new section is added to chapter 48.21 RCW to read as follows:
Notwithstanding any provision of any group disability insurance contract or blanket disability insurance contract as provided for in this chapter, benefits shall not be denied thereunder for any health service performed by a holder of a license issued pursuant to chapter 18.71 RCW if: (1) The service performed was within the lawful scope of such person's license; and (2) such contract would have provided benefits if such service had been performed by a holder of license issued pursuant to chapter 18.25 RCW: PROVIDED, That no provision of chapter 18.25 RCW shall be asserted to deny benefits under this section.
The provisions of this section are intended to be remedial and procedural to the extent they do not impair the obligation of any existing contract."
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 8 of the title amendment, after "RCW;" insert "adding a new section to chapter 48.21 RCW;"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"Sec. 5. RCW 48.21.142 and 1971 ex.s. c 13 s 2 are each amended to read as follows:
Notwithstanding any provision of any group disability insurance contract or blanket disability insurance contract as provided for in this chapter, benefits shall not be denied thereunder for any health service performed by a holder of a license issued pursuant to chapter 18.25 RCW if (1) the service performed was within the lawful scope of such person's license, and (2) such contract would have provided benefits if such service had been performed by a holder of a license issued pursuant to chapter 18.71 RCW: PROVIDED, HOWEVER, That no provision of chapter 18.71 RCW shall be asserted to deny benefits under this section.
The provisions of this section are intended to be remedial and procedural to the extent they do not impair the obligation of any existing contract.
This section shall not apply to the services added to chiropractic scope of practice by this chapter."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, beginning on line 7 of the title amendment, after "18.25.025" strike "and 18.25.006" and insert ", 18.25.006, and 48.21.142"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"NEW SECTION. Sec. 5. A new section is added to chapter 18.25 RCW to read as follows:
All health care insurers subject to the regulation of the insurance commissioner shall have the authority to set service and fee limitations on chiropractic costs. They may establish arrangements under which chiropractors are paid on a prepaid capitated basis."
Renumber the remaining sections consecutively and correct any internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 8 of the title amendment, after "adding" strike "a new section" and insert "new sections"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, after line 25 of the amendment, insert the following:
"NEW SECTION. Sec. 5. If any section of this act is found to exceed the intent of section 1 of this act, the entire act shall be null and void."
Renumber the remaining sections consecutively and correct internal references accordingly.
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, beginning on line 8 of the title amendment, after "creating" strike "a new section" and insert "new sections"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, beginning on line 26 of the amendment, strike all of section 5
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 5, line 8 of the title amendment, after "18.25 RCW;" insert "and"
On page 5, line 9 of the title amendment, after "section" strike "; and declaring an emergency"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, after line 9 of the amendment, insert the following:
"(6) A person licensed under this chapter may not engage in the practice of medicine as defined in chapter 18.71 RCW."
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 2, at the beginning of line 6 of the amendment, strike "diagnosis" and insert "detection"
On page 2, line 22 of the amendment, after "differential" strike "diagnosis" and insert "detection"
On page 2, line 27 of the amendment, after "use of" strike "diagnostic" and insert "detection"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 4, line 3 of the amendment, after "differential" strike "diagnosis" means a diagnosis" and insert "detection" means a detection"
ESB 6054 - H AMD TO HC COMM AMD (H-5006.1/92)
By Representative
On page 3, beginning on line 3 of the amendment, strike all of subsection (5)