6199-S2 AMS DECC ANDE 006

2SSB 6199 - S AMD - 020

    By Senator Deccio

                                               NOT ADOPTED 1/26/00

    On page 7, after line 15, strike all of (2) and insert the following:

    "(2) The commissioner may adopt, in rule, standards for this section. To the extent consistent with Washington state law, the commissioner shall align such rules with standards of nationally recognized and impartial accrediting organizations, such as the National Committee for the Quality Assurance (NCQA)or other accrediting or certifying bodies recognized by the commissioner to be competent in accrediting health carriers and the state agencies that purchase managed health care services."

    Renumber the sections consecutively and correct any internal references accordingly.

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EFFECT: The OIC may adopt rules on prohibiting the retrospective denial of prior authorized series. Controls costs by allowing the OIC to not adopt rules if they are not necessary. Focuses the commissioner's rules on standards adopted by national bodies and giving clearer legislative direction to the commissioner on the intent of the legislature.