H-1070.1          _______________________________________________

 

                                  HOUSE BILL 1627

                  _______________________________________________

 

State of Washington              52nd Legislature             1991 Regular Session

 

By Representatives Fuhrman, Heavey, R. King, Morris, McLean, Prentice, Ballard, R. Meyers, Jones, Pruitt, Van Luven, Kremen, Hochstatter, Nealey, P. Johnson, Wynne, Casada and Dorn.

 

Read first time February 4, 1991.  Referred to Committee on Commerce & Labor.Including the provision of chiropractic services under industrial insurance.


     AN ACT Relating to provision of chiropractic services in industrial insurance; and amending RCW 51.04.030.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

 

     Sec. 1.  RCW 51.04.030 and 1989 c 189 s 1 are each amended to read as follows:

     The director shall, through the division of industrial insurance, supervise the providing of prompt and efficient care and treatment, including care provided by physicians' assistants governed by the provisions of chapters 18.57A and 18.71A RCW, acting under a supervising physician, and including care provided by chiropractors governed by the provisions of chapter 18.25 RCW, to workers injured during the course of their employment.  Such care shall be provided at the least cost consistent with promptness and efficiency, without discrimination or favoritism, and with as great uniformity as the various and diverse surrounding circumstances and locations of industries will permit and to that end shall, from time to time, establish and ((promulgate)) adopt and supervise the administration of printed forms, rules, ((regulations,)) and practices for the furnishing of such care and treatment:  PROVIDED, That, the department may recommend to an injured worker particular health care services and providers where specialized treatment is indicated or where cost effective payment levels or rates are obtained by the department:  AND PROVIDED FURTHER, That the department may enter into contracts for goods and services including, but not limited to, durable medical equipment so long as state-wide access to quality service is maintained for injured workers.

     The director shall make and, from time to time, change as may be, and promulgate a fee bill of the maximum charges to be made by any physician, surgeon, hospital, druggist, physicians' assistants as defined in chapters 18.57A and 18.71A RCW, acting under a supervising physician or other agency or person rendering services to injured workers.  No service covered under this title shall be charged or paid at a rate or rates exceeding those specified in such fee bill, and no contract providing for greater fees shall be valid as to the excess.

     The director or self-insurer, as the case may be, shall make a record of the commencement of every disability and the termination thereof and, when bills are rendered for the care and treatment of injured workers, shall approve and pay those which conform to the ((promulgated)) adopted rules((, regulations,)) and practices of the director and may reject any bill or item thereof incurred in violation of the principles laid down in this section or the rules ((and regulations promulgated)) adopted under it.