5304-S2 AAS 3/12/93
2SSB 5304 - S AMD - 000209
By Senator Talmadge
ADOPTED 3/12/93 - Roll Call Vote 25-22
On page 13, line 7, after "(1)" strike "To" and insert "(a) Until December 31, 1999, to"
On page 13, after line 31, insert the following:
"(b) Effective January 1, 2001, the schedule of covered basic health care services under this chapter shall be identical to the uniform benefit package adopted under section 347 of this act."
2SSB 5304 - S AMD - 000162
By Senators Erwin and Roach
Adopted 3/12/93
On page 58, line 4, after "chapters" insert "18.36A,"
2SSB 5304 - S AMD - 000126
By Senator Moyer
Adopted 3/12/93
On page 59, line 36, after "license" insert "in this state"
Beginning on page 59, line
37, strike all material through "otherwise" on page 60, line 2 and
insert "((medicine and surgery in this state and otherwise)) as
a physician under chapter 18.71 or 18.57 RCW, a physician assistant under
chapter 18.71A or 18.57A RCW, an advanced registered nurse practitioner under
chapter 18.88 RCW, a dentist under chapter 18.32 RCW, or other health
professionals as may be deemed in short supply in the health personnel resource
plan under chapter 28B.125 RCW. All primary care providers must"
2SSB 5304 - S AMD - 000126
By Senator Moyer
ADOPTED 3/12/93
On page 60, line 10, after "abscesses" insert ". Primary dental care shall be limited to diagnosis, oral hygiene, restoration, and extractions and shall not include orthodontia, or other specialized care and treatment"
2SSB 5304 - S AMD - 000204
By Senators Sutherland, Bauer and Vognild
Adopted 3/12/93 - Roll Call 29-18
Beginning on page 66, line 24, strike all of section 275
Renumber the remaining sections consecutively and correct internal references accordingly.
2SSB 5304 - S AMD - 000204
By Senators Sutherland, Bauer and Vognild
Adopted 3/12/93
On page 68, line 2, strike
"((66.24.290(2),))" and insert "66.24.290(2),"
On page 68, beginning on line 26, after "rate of" strike all material through line 27 and insert "seven one-hundredths percent for the period January 1, 1994, through December 31, 1994, six-tenths percent for the period January 1, 1995, through December 31, 1995, one percent for the period January 1, 1996, through December 31, 1997, and one and one-tenth percent thereafter."
On page 68, line 33, strike "1995" and insert "1994"
On page 68, line 35, strike "1994" and insert "1993"
2SSB 5304 - S AMD - 000204
By Senators Sutherland, Bauer and Vognild
Adopted 3/12/93
On page 69, beginning on line 22, strike all material through line 23 and insert "seven one-hundredths percent for the period January 1, 1994, through December 31, 1994, six-tenths percent for the period January 1, 1995, through December 31, 1995, one percent for the period January 1, 1996, through December 31, 1997, and one and one-tenth percent thereafter."
On page 69, line 29, strike "1995" and insert "1994"
On page 69, line 31, strike "1994" and insert "1993"
2SSB 5304 - S AMD - 000204
By Senators Sutherland, Bauer and Vognild
Adopted 3/12/93
On page 70, beginning on line 15, after "rate of" strike all material through line 17 and insert "seven one-hundredths percent for the period January 1, 1994, through December 31, 1994, six-tenths percent for the period January 1, 1995, through December 31, 1995, one percent for the period January 1, 1996, through December 31, 1997, and one and one-tenth percent thereafter."
On page 70, line 22, strike "1995" and insert "1994"
On page 70, line 25, strike "1994" and insert "1993"
2SSB 5304 - S AMD - 000204
By Senators Sutherland, Bauer and Vognild
Adopted 3/12/93
On page 137, line 5, after "252" insert "and 277 through 280"
On page 137, beginning on line 7, strike all material through line 8
2SSB 5304 - S AMD - 000204
By Senators Sutherland, Bauer and Vognild
Adopted 3/12/93
On page 1, line 9 of the title, after "82.08.150," strike "66.24.290,"
2SSB 5304 - S AMD - 000132
By Senators Rinehart, Talmadge, McDonald and Moyer
Adopted 3/12/93
On page 68, line 27, after "thereafter." insert "The tax on prepayments for health care services established by this section shall not be applied to amounts received or collected by a health maintenance organization from the United States or any instrumentality of the United States as prepayments for comprehensive health care services provided under Title XVIII, medicare, of the social security act or the federal employees benefits plan."
2SSB 5304 - S AMD - 000132
By Senators Rinehart, Talmadge, McDonald and Moyer
Adopted 3/12/93
On page 69, line 23, after "thereafter." insert "The tax on prepayments for health care services established by this section shall not be applied to amounts received or collected by a health care service contractor from the United States or any instrumentality of the United States as prepayments for comprehensive health care services provided under Title XVIII, medicare, of the social security act or the federal employees benefits plan."
2SSB 5304 - S AMD - 000132
By Senators Rinehart, Talmadge, McDonald and Moore
Adopted 3/12/93
On page 70, line 17, after "thereafter." insert "The tax on prepayments for health care services established by this section shall not be applied to amounts received or collected by a certified health plan from the United States or any instrumentality of the United States as prepayments for comprehensive health care services provided under Title XVIII, medicare, of the social security act or the federal employees benefits plan."
2SSB 5304 - S AMD - 000213
By Senators Moyer, Niemi, and Vognild
Adopted 3/12/93
On page 75, line 27, strike "six" and insert "four"
On page 75, line 28, strike "363, 364, and 365" and insert "363 and 364"
2SSB 5304 - S AMD - 000213
By Senators Moyer, Niemi, and Vognild
Adopted 3/12/93
On page 84, after line 39, insert the following:
"(22) Establish guidelines for providers dealing with terminal or static conditions, taking into consideration the ethics of providers, patient and family wishes, costs, and survival possibilities."
2SSB 5304 - S AMD - 000213
By Senators Moyer, Niemi, and Vognild
Adopted 3/12/93
On page 126, beginning on line 20, strike all of section 365
Renumber the remaining sections consecutively and correct internal references accordingly.
2SSB 5304 - S AMD - 000210
By Senators Hargrove and Loveland
Adopted 3/12/93
On page 77, line 2, after "works" insert "for an employer"
On page 77, line 3, after "month" insert "or two hundred forty hours in a quarter or nine hundred sixty hours during a calendar year"
2SSB 5304 - S AMD - 000195
By Senators Hargrove and Talmadge
Adopted 3/12/93
On page 82, line 12, after "resident" strike "has" and insert "or any dependents have"
On page 82, line 14, after "sharing." insert "The commission shall endeavor to assure an equitable distribution, among both employers and employees, of the costs of coverage for those households composed of more than one member in the work force."
2SSB 5304 - S AMD - 000163
By Senator A. Smith
Adopted 3/12/93
On page 84, after line 29, insert the following:
"(20) Evaluate the extent to which Taft-Hartley health care trusts provide benefits to certain individuals in the state; review the federal laws under which these joint employee-employer entities are organized; and make appropriate recommendations to the governor and the legislature about how these trusts can be brought under the provisions of chapter . . ., Laws of 1993 (this act) when it is fully implemented."
Renumber the remaining subsections consecutively and correct internal references accordingly.
2SSB 5304 - S AMD - 000134
By Senators Sutherland, Snyder, Bauer and Talmadge
Adopted 3/12/93
On page 84, after line 39, insert the following:
"(22) Develop rules for implementation of individual and employer participation under sections 349 and 350 of this act specifically applicable to persons who work in this state but do not live in the state or persons who live in this state but work outside of the state. The rules shall be designed so that these persons receive coverage and financial requirements that are comparable to that received by persons who both live and work in the state."
2SSB 5304 - S AMD - 000131
By Senator Moyer
Adopted 3/12/93
On page 92, after line 34, insert the following:
"Sec. 317. RCW 7.70.030 and 1975-'76 2nd ex.s. c 56 s 8 are each amended to read as follows:
No award shall be made in any action or arbitration for damages for injury occurring as the result of health care which is provided after June 25, 1976, unless the plaintiff establishes one or more of the following propositions:
(1) That injury resulted from the failure of a health care provider to follow the accepted standard of care provided, however, that a health care provider, as a matter of law, follows the accepted standard of care if he or she follows a course of treatment accepted by recognized and competent health care professionals experienced in the treatment at issue, even if other recognized and competent health care professionals do not accept the course of treatment followed by the health care provider;
(2) That a health care provider promised the patient or his representative that the injury suffered would not occur;
(3) That injury resulted from health care to which the patient or his representative did not consent.
Unless otherwise provided in this chapter, the plaintiff shall have the burden of proving each fact essential to an award by a preponderance of the evidence."
Renumber the remaining sections consecutively and correct internal references accordingly.
2SSB 5304 - S AMD - 000131
By Senator Moyer
Adopted 3/12/93
On page 1, line 10 of the title, after "70.41.200," insert "7.70.030,"
2SSB 5304 - S AMD - 000190
By Senator Williams
Adopted 3/12/93
On page 114, beginning on line 6, strike all of section 349 and insert the following:
"NEW SECTION. Sec. 349. INDIVIDUAL PARTICIPATION. (1) It is the responsibility of individuals to participate in available and affordable health insurance.
(2) All residents of the state of Washington shall be provided the opportunity to participate in the basic health plan or a certified health plan no later than July 1, 1997.
(3) The Washington health services commission shall monitor the enrollment of individuals into certified health plans and shall make public periodic reports concerning the number of persons enrolled and not enrolled, the reasons why individuals are not enrolled, and recommendations to reduce the number of persons not enrolled."
2SSB 5304 - S AMD - 000174
By Senators Hargrove, Loveland and Talmadge
Adopted 3/12/93
On page 115, after line 39, insert the following:
"NEW SECTION. Sec. 351. Under the guidance and direction of the Washington health services commission not more than two depositories will be established where the pro rata share payments made by employers on behalf of less than full-time employees may be held in safekeeping for the benefit of such individuals. The commission shall establish, after consultation with representatives of employers and employees, especially those engaged in part-time or seasonal type businesses or occupations, appropriate procedures whereby such payments under section 350 of this act will be properly deposited to the credit of such persons on an individual basis, which they in turn may then access to their personal or family benefit in the purchase of coverage from the basic health plan or a certified health plan of their choice."
Renumber the remaining sections consecutively and correct internal references accordingly.
2SSB 5304 - S AMD - 000207
By Senators Talmadge and Quigley
Adopted 3/12/93
On page 116, beginning on line 1, strike all of section 351 and insert the following:
"NEW SECTION. Sec. 351. A new section is added to chapter 82.04 RCW to read as follows:
(1) On or after July 1, 1997, in computing tax under this chapter, employers with less than twenty-five full-time or part-time employees, or a combination of full and part-time employees, who comply with the requirements of section 350 of this act, may have credited against the amount of tax the following amount: The portion of the cost of the premium contributions made on behalf of employees and their dependents whose gross family incomes do not exceed limits established for subsidized enrollments in the basic health plan, chapter 70.47 RCW, on the basis of that sum multiplied by the percentage that amount equals in relation to the total premiums due such certified health plans or the basic health plan.
(2) The average annual tax credit per state resident under this section shall not exceed four hundred dollars in 1997, and may be adjusted periodically by a factor equal to the inflation allowed for the uniform benefit package premium under chapter . . ., Laws of 1993 (this act), and established by the department of revenue in rule. The department shall establish a schedule of tax credits for employees and their dependents considering the income, family size, and geographic area in which such employees and their dependents reside.
(3) The department of revenue shall, on an annual basis, advise the Washington health services commission and the fiscal committees of the legislature of the aggregate total of the tax credits allowed under this section. The legislature shall then reimburse the general fund in an amount equal to such credits by an appropriation from the health services trust account."
On page 116, line 27, after "through" strike "351" and insert "350"
2SSB 5304 - S AMD - 000207
By Senators Talmadge and Quigley
Adopted 3/12/93
On page 1, line 17 of the title, after "48.14 RCW;" strike "adding a new section" and insert "adding new sections"
2SSB 5304 - S AMD - 000226
BySenator Roach
Adopted 3/12/93
On page 127, after line 10, insert the following:
"NEW SECTION. Sec. 366. The Washington health services commission shall study and report to the legislature on the feasibility of offering employer-funded medical care savings account arrangements and reduced cost qualified higher deductible insurance policies as a choice to K-12 system, state, and local government employees in meeting their health care obligations."
2SSB 5304 - S AMD - 000124
By Senators Moyer and Talmadge
Adopted 3/12/93
On page 130, on line 37, after "liability" insert "arising out of an event, incident, or occurrence in the state of Washington"
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