AN ACT Relating to health care insurance claims; adding a new section to chapter 48.20 RCW; adding a new section to chapter 48.21 RCW; adding a new section to chapter 48.44 RCW; adding a new section to chapter 48.46 RCW; adding a new section to chapter 48.84 RCW; adding a new section to chapter 43.20A RCW; adding new sections to chapter 41.05 RCW; adding a new section to Title 51 RCW; and adding a new section to chapter 70.47 RCW.

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

NEW SECTION. Sec. 1. A new section is added to chapter 48.20 RCW to read as follows:

(1) After January 1, 1994, all disability insurance policies that provide coverage for hospital or medical expenses must use for all billing purposes in either paper or electronic format either the health care financing administration (HCFA) 1500 form, or its successor, or the uniform billing (UB) 82 form, or its successor. For billing purposes, this subsection does not apply to pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

(2) As of January 1, 1994, the forms developed under section 10 of this act shall be used by providers of health care and carriers under this chapter.

NEW SECTION. Sec. 2. A new section is added to chapter 48.21 RCW to read as follows:

(1) After January 1, 1994, all group disability insurance policies that provide coverage for hospital or medical expenses must use for all billing purposes in either paper or electronic format either the health care financing administration (HCFA) 1500 form, or its successor, or the uniform billing (UB) 82 form, or its successor. For billing purposes, this subsection does not apply to pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

(2) As of January 1, 1994, the forms developed under section 10 of this act shall be used by providers of health care and carriers under this chapter.

NEW SECTION. Sec. 3. A new section is added to chapter 48.44 RCW to read as follows:

(1) After January 1, 1994, all health care insurance contracts that provide coverage for hospital or medical expenses must use for all billing purposes in either paper or electronic format either the health care financing administration (HCFA) 1500 form, or its successor, or the uniform billing (UB) 82 form, or its successor. For billing purposes, this subsection does not apply to pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

(2) As of January 1, 1994, the forms developed under section 10 of this act shall be used by providers of health care and carriers under this chapter.

NEW SECTION. Sec. 4. A new section is added to chapter 48.46 RCW to read as follows:

(1) After January 1, 1994, all health maintenance agreements that provide coverage for hospital or medical expenses must use for all billing purposes in either paper or electronic format either the health care financing administration (HCFA) 1500 form, or its successor, or the uniform billing (UB) 82 form, or its successor. For billing purposes, this subsection does not apply to pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

(2) As of January 1, 1994, the forms developed under section 10 of this act shall be used by providers of health care and carriers under this chapter.

NEW SECTION. Sec. 5. A new section is added to chapter 48.84 RCW to read as follows:

(1) After January 1, 1994, all providers of long-term care that provide coverage for hospital or medical expenses must use for all billing purposes in either paper or electronic format either the health care financing administration (HCFA) 1500 form, or its successor, or the uniform bill (UB) 82 form, or its successor. For billing purposes, this subsection does not apply to pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

(2) As of January 1, 1994, the forms developed under section 10 of this act shall be used by providers of health care and carriers under this chapter.

NEW SECTION. Sec. 6. A new section is added to chapter 41.05 RCW to read as follows:

After July 1, 1994, the health care financing administration (HCFA) 1500 form, or its successor, and the uniform billing (UB) 82 form, or its successor, shall be used in either paper or electronic format for state-paid health care services provided through the health care authority. The forms developed under section 10 of this act shall be used for billing purposes for pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

NEW SECTION. Sec. 7. A new section is added to chapter 43.20A RCW to read as follows:

After July 1, 1994, the health care financing administration (HCFA) 1500 form, or its successor, and the uniform billing (UB) 82 form, or its successor, shall be used in either paper or electronic format for state-paid health care services provided by the department. The forms developed under section 10 of this act shall be used for billing purposes for pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

NEW SECTION. Sec. 8. A new section is added to Title 51 RCW to read as follows:

After July 1, 1994, the health care financing administration (HCFA) 1500 form, or its successor, and the uniform billing (UB) 82 form, or its successor, shall be used in either paper or electronic format for state-paid health care services provided under this title. The forms developed under section 10 of this act shall be used for billing purposes for pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

NEW SECTION. Sec. 9. A new section is added to chapter 70.47 RCW to read as follows:

After July 1, 1994, the health care financing administration (HCFA) 1500 form, or its successor, and the uniform billing (UB) 82 form, or its successor, shall be used in either paper or electronic format for state-paid health care services provided under the basic health plan. The forms developed under section 10 of this act shall be used for billing purposes for pharmacists, dentists, home health/nursing services, eyeglasses, transportation, or vocational services.

NEW SECTION. Sec. 10. A new section is added to chapter 41.05 RCW to read as follows:

By January 1, 1993, the basic health plan administrator, the health care authority administrator, the secretary of social and health services, and the director of the department of labor and industries shall jointly develop and adopt by rule in paper and electronic format billing forms to be used by pharmacists, dentists, home health/nursing services, eyeglasses, transportation, and vocational services. These forms shall be made available to providers of health care coverage licensed under chapters 48.20, 48.21, 48.44, 48.46, and 48.84 RCW.