SHB 2018 - H AMDS TO H AMD (H-2836.2/97) 302 FAILED 3-18-97

By Representative Wood

Beginning on page 3, line 18, strike all of sections 103-111 and insert

ANEW SECTION. Sec. 103. A new section is added to chapter 48.43 RCW to read as follows:

The office of the insurance commissioner shall consider review organization accreditation standards of the utilization review accreditation commission, the national committee for quality assurance, and other national accreditation organizations for appropriateness when adopting rules establishing requirements for review organizations.

NEW SECTION. Sec. 104. A new section is added to chapter 48.43 RCW to read as follows:

The office of the insurance commissioner shall consider grievance procedure accreditation standards of the national committee for quality assurance or other national accreditation organizations for appropriateness when adopting rules regarding grievance procedures for all health carriers.

NEW SECTION. Sec. 105. NETWORK ADEQUACY--STUDY AND RESTRICTION. The office of the insurance commissioner, in consultation with the department of health, the department of social and health services, the health care authority, consumers, providers, and health carriers, shall review the need for network adequacy requirements and, if deemed necessary, shall adopt network adequacy rules for all health carriers.@

Renumber the remaining sections consecutively.

On page 12, line 28, after Achapter@ strike A41.05@ and insert A48.43@

On page 13, beginning on line 16, strike all of subsection (3) and insert

A(3) The office of the insurance commissioner shall adopt rules to implement the requirements of this section.@