S-0895.2  _______________________________________________

 

                         SENATE BILL 5665

          _______________________________________________

 

State of Washington      57th Legislature     2001 Regular Session

 

By Senators Prentice, Winsley, Franklin, Hochstatter, Kohl‑Welles, Kastama, Hargrove, Fairley, Patterson, Kline, Shin, B. Sheldon and Jacobsen

 

Read first time 01/30/2001.  Referred to Committee on Judiciary.

Protecting genetic information.


    AN ACT Relating to protecting genetic information; amending RCW 9.91.010, 9A.36.080, 26.26.100, 35.81.170, 41.14.180, 43.01.100, 48.18.480, 48.30.300, 48.43.021, 48.43.505, 48.44.220, 48.46.370, 49.60.010, 49.60.020, 49.60.030, 49.60.040, 49.60.175, 49.60.176, 49.60.178, 49.60.180, 49.60.190, 49.60.200, 49.60.215, 49.60.223, 49.60.224, 49.60.225, and 70.02.010; reenacting and amending RCW 49.60.222; adding a new section to chapter 48.01 RCW; and creating a new section.

 

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

 

    NEW SECTION.  Sec. 1.  The legislature declares that every individual possesses a fundamental right of privacy with respect to his or her genetic information.

    (1) It is the public policy of the state of Washington that:

    (a) Every individual has the fundamental right to choose or refuse to release his or her genetic information;

    (b) The state shall not deny or interfere with a person's fundamental right to choose or refuse to release his or her genetic information; and

    (c) The state shall not discriminate against the exercise of these rights in the regulation or provision of benefits, facilities, services, or information.

    (2) It is the purpose of this act to (a) protect the results of genetic tests as private information; (b) prohibit discrimination based on genetic information; (c) prohibit disclosure of genetic information without the consent of the person to whom the information pertains; and (d) prohibit required genetic testing or the release of genetic information as a condition of employment, real estate transactions, credit transactions, or insurance.

 

    Sec. 2.  RCW 9.91.010 and 1953 c 87 s 1 are each amended to read as follows:

    Terms used in this section shall have the following definitions:

    (1)(a) "Every person" shall be construed to include any owner, lessee, proprietor, manager, agent or employee whether one or more natural persons, partnerships, associations, organizations, corporations, cooperatives, legal representatives, trustees, receivers, of this state and its political subdivisions, boards and commissions, engaged in or exercising control over the operation of any place of public resort, accommodation, assemblage, or amusement.

    (b) "Deny" is hereby defined to include any act which directly or indirectly, or by subterfuge, by a person or his agent or employee, results or is intended or calculated to result in whole or in part in any discrimination, distinction, restriction, or unequal treatment, or the requiring of any person to pay a larger sum than the uniform rates charged other persons, or the refusing or withholding from any person the admission, patronage, custom, presence, frequenting, dwelling, staying, or lodging in any place of public resort, accommodation, assemblage, or amusement except for conditions and limitations established by law and applicable alike to all persons, regardless of race, creed or color.

    (c) "Full enjoyment of" shall be construed to include the right to purchase any service, commodity or article of personal property offered or sold on, or by, any establishment to the public, and the admission of any person to accommodations, advantages, facilities or privileges of any place of public resort, accommodation, assemblage, or amusement, without acts directly or indirectly causing persons of any particular race, creed or color, to be treated as not welcome, accepted, desired or solicited.

    (d) "Any place of public resort, accommodation, assemblage, or amusement" is hereby defined to include, but not to be limited to, any public place, licensed or unlicensed, kept for gain, hire or reward, or where charges are made for admission, service, occupancy or use of any property or facilities, whether conducted for the entertainment, housing or lodging of transient guests, or for the benefit, use or accommodation of those seeking health, recreation or rest, or for the sale of goods and merchandise, or for the rendering of personal services, or for public conveyance or transportation on land, water or in the air, including the stations and terminals thereof and the garaging of vehicles, or where food or beverages of any kind are sold for consumption on the premises, or where public amusement, entertainment, sports or recreation of any kind is offered with or without charge, or where medical service or care is made available, or where the public gathers, congregates, or assembles for amusement, recreation or public purposes, or public halls, public elevators and public washrooms of buildings and structures occupied by two or more tenants, or by the owner and one or more tenants, or any public library or any educational institution wholly or partially supported by public funds, or schools of special instruction, or nursery schools, or day care centers or children's camps; nothing herein contained shall be construed to include, or apply to, any institute, bona fide club, or place of accommodation, which is by its nature distinctly private provided that where public use is permitted that use shall be covered by this section; nor shall anything herein contained apply to any educational facility operated or maintained by a bona fide religious or sectarian institution; and the right of a natural parent in loco parentis to direct the education and upbringing of a child under his control is hereby affirmed.

    (e) "Genetic information" means information about genes, gene products, or inherited characteristics, that may derive from an individual or a family member of such individual and includes but is not limited to information derived from genetic tests and information about a request for or the receipt of genetic services by such individual or family member of such individual.  "Genetic information" also includes information about the occurrence of a disease or disorder in family members.

    (f) "Genetic services" means health services, including genetic tests, provided to obtain, assess, or interpret genetic information for diagnostic and therapeutic purposes, and for genetic education and counseling.

    (g) "Genetic test" means the analysis of human DNA, RNA, mitochondrial DNA, chromosomes, proteins, and certain metabolites in order to detect genotypes, mutations, chromosomal damages, or the presence or absence of inherited or acquired characteristics in genetic material.

    (2) Every person who denies to any other person because of race, creed, ((or)) color, or genetic information, the full enjoyment of any of the accommodations, advantages, facilities or privileges of any place of public resort, accommodation, assemblage, or amusement, shall be guilty of a misdemeanor.

 

    Sec. 3.  RCW 9A.36.080 and 1993 c 127 s 2 are each amended to read as follows:

    (1) A person is guilty of malicious harassment if he or she maliciously and intentionally commits one of the following acts because of his or her perception of the victim's race, color, religion, ancestry, national origin, genetic information as defined in RCW 9.91.010, gender, sexual orientation, or mental, physical, or sensory handicap:

    (a) Causes physical injury to the victim or another person;

    (b) Causes physical damage to or destruction of the property of the victim or another person; or

    (c) Threatens a specific person or group of persons and places that person, or members of the specific group of persons, in reasonable fear of harm to person or property.  The fear must be a fear that a reasonable person would have under all the circumstances.  For purposes of this section, a "reasonable person" is a reasonable person who is a member of the victim's race, color, religion, ancestry, national origin, gender, or sexual orientation, or who has the same genetic characteristics or mental, physical, or sensory handicap as the victim.  Words alone do not constitute malicious harassment unless the context or circumstances surrounding the words indicate the words are a threat.  Threatening words do not constitute malicious harassment if it is apparent to the victim that the person does not have the ability to carry out the threat.

    (2) In any prosecution for malicious harassment, unless evidence exists which explains to the trier of fact's satisfaction that the person did not intend to threaten the victim or victims, the trier of fact may infer that the person intended to threaten a specific victim or group of victims because of the person's perception of the victim's or victims' race, color, religion, ancestry, national origin, gender, sexual orientation, or mental, physical, or sensory handicap if the person commits one of the following acts:

    (a) Burns a cross on property of a victim who is or whom the actor perceives to be of African American heritage; or

    (b) Defaces property of a victim who is or whom the actor perceives to be of Jewish heritage by defacing the property with a swastika.

    This subsection only applies to the creation of a reasonable inference for evidentiary purposes.  This subsection does not restrict the state's ability to prosecute a person under subsection (1) of this section when the facts of a particular case do not fall within (a) or (b) of this subsection.

    (3) It is not a defense that the accused was mistaken that the victim was a member of a certain race, color, religion, ancestry, national origin, gender, or sexual orientation, or had certain genetic characteristics or a mental, physical, or sensory handicap.

    (4) Evidence of expressions or associations of the accused may not be introduced as substantive evidence at trial unless the evidence specifically relates to the crime charged.  Nothing in this chapter shall affect the rules of evidence governing impeachment of a witness.

    (5) Every person who commits another crime during the commission of a crime under this section may be punished and prosecuted for the other crime separately.

    (6) "Sexual orientation" for the purposes of this section means heterosexuality, homosexuality, or bisexuality.

    (7) Malicious harassment is a class C felony.

    (8) The penalties provided in this section for malicious harassment do not preclude the victims from seeking any other remedies otherwise available under law.

    (9) Nothing in this section confers or expands any civil rights or protections to any group or class identified under this section, beyond those rights or protections that exist under the federal or state Constitution or the civil laws of the state of Washington.

 

    Sec. 4.  RCW 26.26.100 and 1997 c 58 s 946 are each amended to read as follows:

    (1) The court may, and upon request of a party shall, require the child, mother, and any alleged or presumed father who has been made a party to submit to blood tests or genetic tests of blood, tissues, or other bodily fluids.  If a party objects to a proposed order requiring blood or genetic tests, the court shall require the party making the allegation of possible paternity to provide sworn testimony, by affidavit or otherwise, stating the facts upon which the allegation is based.  The court shall order blood or genetic tests if it appears that a reasonable possibility exists that the requisite sexual contact occurred or where nonpaternity is alleged, that the requisite sexual contact did not occur.  The tests shall be performed by an expert in paternity blood or genetic testing appointed by the court.  The expert's verified report identifying the blood or genetic characteristics observed is admissible in evidence in any hearing or trial in the parentage action, if (a) the alleged or presumed father has had the opportunity to gain information about the security, validity, and interpretation of the tests and the qualifications of any experts, and (b) the report is accompanied by an affidavit from the expert which describes the expert's qualifications as an expert and analyzes and interprets the results.  Verified documentation of the chain of custody of the blood or genetic samples tested is admissible to establish the chain of custody.  The court may consider published sources as aids to interpretation of the test results.

    (2)(a) Any objection to genetic testing results must be made in writing and served upon the opposing party, within twenty days before any hearing at which such results may be introduced into evidence.

    (b) If an objection is not made as provided in this subsection, the test results are admissible as evidence of paternity without the need for foundation testimony or other proof of authenticity or accuracy.

    (3) The court, upon request by a party, shall order that additional blood or genetic tests be performed by the same or other experts qualified in paternity blood or genetic testing, if the party requesting additional tests advances the full costs of the additional testing within a reasonable time.  The court may order additional testing without requiring that the requesting party advance the costs only if another party agrees to advance the costs or if the court finds, after hearing, that (a) the requesting party is indigent, and (b) the laboratory performing the initial tests recommends additional testing or there is substantial evidence to support a finding as to paternity contrary to the initial blood or genetic test results.  The court may later order any other party to reimburse the party who advanced the costs of additional testing for all or a portion of the costs.

    (4) In all cases, the court shall determine the number and qualifications of the experts.

    (5) The court shall not make available any genetic information, as defined in RCW 9.91.010, obtained under the terms of this section for any purpose other than paternity determination.

 

    Sec. 5.  RCW 35.81.170 and 1965 c 7 s 35.81.170 are each amended to read as follows:

    For all of the purposes of this chapter, no person shall, because of race, creed, color, ((or)) national origin, or genetic information as defined in RCW 9.91.010, be subjected to any discrimination.

 

    Sec. 6.  RCW 41.14.180 and 1959 c 1 s 18 are each amended to read as follows:

    No commissioner or any other person, shall, ((by himself)) singly or in cooperation with others, defeat, deceive, or obstruct any person in respect of his or her right of examination or registration according to the rules and regulations, or falsely mark, grade, estimate, or report upon the examination or proper standing of any person examined, registered, or certified pursuant to this chapter, or aid in so doing, or make any false representation concerning the same, or concerning the person examined, or furnish any person any special or secret information for the purpose of improving or injuring the prospects or chances of any person so examined, registered or certified, or to be examined, registered, or certified, or persuade any other person, or permit or aid in any manner any other person to personate him or her, in connection with any examination or registration of application or request to be examined or registered.

    The right of any person to an appointment or promotion to any position in a sheriff's office shall not be withheld because of ((his)) race, color, creed, national origin, genetic information as defined in RCW 9.91.010, political affiliation or belief, nor shall any person be dismissed, demoted, or reduced in grade for such reason.

 

    Sec. 7.  RCW 43.01.100 and 1965 c 8 s 43.01.100 are each amended to read as follows:

    The inclusion of any question relative to an applicant's race ((or)), religion, or genetic information as defined in RCW 9.91.010 in any application blank or form for employment or license required to be filled in and submitted by an applicant to any department, board, commission, officer, agent, or employee of this state or the disclosure on any license of the race or religion of the licensee is hereby prohibited.

 

    NEW SECTION.  Sec. 8.  A new section is added to chapter 48.01 RCW to read as follows:

    As used in this title:

    (1) "Genetic information" means information about genes, gene products, or inherited characteristics, that may derive from an individual or a family member of such individual and includes but is not limited to information derived from genetic tests and information about a request for or the receipt of genetic services by such individual or family member of such individual.  "Genetic information" also includes information about the occurrence of a disease or disorder in family members.

    (2) "Genetic services" means health services, including genetic tests, provided to obtain, assess, or interpret genetic information for diagnostic and therapeutic purposes, and for genetic education and counseling.

    (3) "Genetic test" means the analysis of human DNA, RNA, mitochondrial DNA, chromosomes, proteins, and certain metabolites in order to detect genotypes, mutations, chromosomal damages, or the presence or absence of inherited or acquired characteristics in genetic material.

 

    Sec. 9.  RCW 48.18.480 and 1957 c 193 s 12 are each amended to read as follows:

    No insurer shall make or permit any unfair discrimination between insureds or subjects of insurance having substantially like insuring, risk, and exposure factors, and expense elements, in the terms or conditions of any insurance contract, or in the rate or amount of premium charged therefor, or in the benefits payable or in any other rights or privileges accruing thereunder.  This provision shall not prohibit fair discrimination by a life insurer as between individuals having unequal expectation of life, except that insurers shall neither require nor use genetic information as a basis for such discrimination.

 

    Sec. 10.  RCW 48.30.300 and 1993 c 492 s 287 are each amended to read as follows:

    Notwithstanding any provision contained in Title 48 RCW to the contrary:

    (1) No person or entity engaged in the business of insurance in this state shall refuse to issue any contract of insurance or cancel or decline to renew such contract because of the sex ((or)), marital status, or genetic information of the insured or prospective insured or the presence of any sensory, mental, or physical handicap of the insured or prospective insured.  The amount of benefits payable, or any term, rate, condition, or type of coverage shall not be restricted, modified, excluded, increased or reduced on the basis of the sex ((or)), marital status, or genetic information of the insured or prospective insured, or be restricted, modified, excluded or reduced on the basis of the presence of any sensory, mental, or physical handicap of the insured or prospective insured.  Subject to the provisions of subsection (2) of this section these provisions shall not prohibit fair discrimination on the basis of sex, or marital status, or the presence of any sensory, mental, or physical handicap when bona fide statistical differences in risk or exposure have been substantiated, except that insurers shall neither require nor use genetic information as a basis for such discrimination.

    (2) With respect to disability policies issued or renewed on and after July 1, 1994, that provide coverage against loss arising from medical, surgical, hospital, or emergency care services:

    (a) Policies shall guarantee continuity of coverage.  Such provision, which shall be included in every policy, shall provide that:

    (i) The policy may be canceled or nonrenewed without the prior written approval of the commissioner only for nonpayment of premium or as permitted under RCW 48.18.090; and

    (ii) The policy may be canceled or nonrenewed because of a change in the physical or mental condition or health of a covered person only with the prior written approval of the commissioner.  Such approval shall be granted only when the insurer has discharged its obligation to continue coverage for such person by obtaining coverage with another insurer, health care service contractor, or health maintenance organization, which coverage is comparable in terms of premiums and benefits as defined by rule of the commissioner.

    (b) It is an unfair practice for a disability insurer to modify the coverage provided or rates applying to an in-force disability insurance policy and to fail to make such modification in all such issued and outstanding policies.

    (c) Subject to rules adopted by the commissioner, it is an unfair practice for a disability insurer to:

    (i) Cease the sale of a policy form unless it has received prior written authorization from the commissioner and has offered all policyholders covered under such discontinued policy the opportunity to purchase comparable coverage without health screening; or

    (ii) Engage in a practice that subjects policyholders to rate increases on discontinued policy forms unless such policyholders are offered the opportunity to purchase comparable coverage without health screening.

    The insurer may limit an offer of comparable coverage without health screening to a period not less than thirty days from the date the offer is first made.

 

    Sec. 11.  RCW 48.43.021 and 2000 c 79 s 22 are each amended to read as follows:

    Except as otherwise required by statute or rule, a carrier and the Washington state health insurance pool, and persons acting at the direction of or on behalf of a carrier or the pool, who are in receipt of an enrollee's or applicant's personally identifiable health information included in the standard health questionnaire or any genetic information shall not disclose the identifiable health or genetic information unless such disclosure is explicitly authorized in writing by the person who is the subject of the information.

 

    Sec. 12.  RCW 48.43.505 and 2000 c 5 s 5 are each amended to read as follows:

    (1) Health carriers and insurers shall adopt policies and procedures that conform administrative, business, and operational practices to protect an enrollee's right to privacy including the privacy of genetic information or right to confidential health care services granted under state or federal laws.

    (2) The commissioner may adopt rules to implement this section after considering relevant standards adopted by national managed care accreditation organizations and the national association of insurance commissioners, and after considering the effect of those standards on the ability of carriers to undertake enrollee care management and disease management programs.

 

    Sec. 13.  RCW 48.44.220 and 1983 c 154 s 4 are each amended to read as follows:

    No health care service contractor shall deny coverage to any person solely on account of race, religion, national origin, genetic information, or the presence of any sensory, mental, or physical handicap.  Nothing in this section shall be construed as limiting a health care service contractor's authority to deny or otherwise limit coverage to a person when the person because of a medical condition does not meet the essential eligibility requirements established by the health care service contractor for purposes of determining coverage for any person, except that health care service contractors shall neither require nor use genetic information in determining coverage.

    No health care service contractor shall refuse to provide reimbursement or indemnity to any person for covered health care services for reasons that the health care services were provided by a holder of a license under chapter 18.22 RCW.

 

    Sec. 14.  RCW 48.46.370 and 1983 c 106 s 15 are each amended to read as follows:

    No health maintenance organization may deny coverage to a person solely on account of the presence of any sensory, mental, or physical handicap.  Nothing in this section may be construed as limiting a health maintenance organization's authority to deny or otherwise limit coverage to a person when the person because of a medical condition does not meet the essential eligibility requirements established by the health maintenance organization for purposes of determining coverage for any person, except that health maintenance organizations shall neither require nor use genetic information in determining coverage for any person.

 

    Sec. 15.  RCW 49.60.010 and 1997 c 271 s 1 are each amended to read as follows:

    This chapter shall be known as the "law against discrimination".  It is an exercise of the police power of the state for the protection of the public welfare, health, and peace of the people of this state, and in fulfillment of the provisions of the Constitution of this state concerning civil rights.  The legislature hereby finds and declares that practices of discrimination against any of its inhabitants because of race, creed, color, national origin, genetic information, families with children, sex, marital status, age, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person are a matter of state concern, that such discrimination threatens not only the rights and proper privileges of its inhabitants but menaces the institutions and foundation of a free democratic state.  A state agency is herein created with powers with respect to elimination and prevention of discrimination in employment, in credit and insurance transactions, in places of public resort, accommodation, or amusement, and in real property transactions because of race, creed, color, national origin, genetic information, families with children, sex, marital status, age, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person; and the commission established hereunder is hereby given general jurisdiction and power for such purposes.

 

    Sec. 16.  RCW 49.60.020 and 1993 c 510 s 2 are each amended to read as follows:

    The provisions of this chapter shall be construed liberally for the accomplishment of the purposes thereof.  Nothing contained in this chapter shall be deemed to repeal any of the provisions of any other law of this state relating to discrimination because of race, color, creed, national origin, genetic information, sex, marital status, age, or the presence of any sensory, mental, or physical disability, other than a law which purports to require or permit doing any act which is an unfair practice under this chapter.  Nor shall anything herein contained be construed to deny the right to any person to institute any action or pursue any civil or criminal remedy based upon an alleged violation of his or her civil rights.

 

    Sec. 17.  RCW 49.60.030 and 1997 c 271 s 2 are each amended to read as follows:

    (1) The right to be free from discrimination because of race, creed, color, national origin, genetic information, sex, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person is recognized as and declared to be a civil right.  This right shall include, but not be limited to:

    (a) The right to obtain and hold employment without discrimination;

    (b) The right to the full enjoyment of any of the accommodations, advantages, facilities, or privileges of any place of public resort, accommodation, assemblage, or amusement;

    (c) The right to engage in real estate transactions without discrimination, including discrimination against families with children;

    (d) The right to engage in credit transactions without discrimination;

    (e) The right to engage in insurance transactions or transactions with health maintenance organizations without discrimination:  PROVIDED, That a practice which is not unlawful under RCW 48.30.300, 48.44.220, or 48.46.370 does not constitute an unfair practice for the purposes of this subparagraph; and

    (f) The right to engage in commerce free from any discriminatory boycotts or blacklists.  Discriminatory boycotts or blacklists for purposes of this section shall be defined as the formation or execution of any express or implied agreement, understanding, policy or contractual arrangement for economic benefit between any persons which is not specifically authorized by the laws of the United States and which is required or imposed, either directly or indirectly, overtly or covertly, by a foreign government or foreign person in order to restrict, condition, prohibit, or interfere with or in order to exclude any person or persons from any business relationship on the basis of race, color, creed, religion, genetic information, sex, the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal by a disabled person, or national origin or lawful business relationship:  PROVIDED HOWEVER, That nothing herein contained shall prohibit the use of boycotts as authorized by law pertaining to labor disputes and unfair labor practices.

    (2) Any person deeming himself or herself injured by any act in violation of this chapter shall have a civil action in a court of competent jurisdiction to enjoin further violations, or to recover the actual damages sustained by the person, or both, together with the cost of suit including reasonable attorneys' fees or any other appropriate remedy authorized by this chapter or the United States Civil Rights Act of 1964 as amended, or the Federal Fair Housing Amendments Act of 1988 (42 U.S.C. Sec. 3601 et seq.).

    (3) Except for any unfair practice committed by an employer against an employee or a prospective employee, or any unfair practice in a real estate transaction which is the basis for relief specified in the amendments to RCW 49.60.225 contained in chapter 69, Laws of 1993, any unfair practice prohibited by this chapter which is committed in the course of trade or commerce as defined in the Consumer Protection Act, chapter 19.86 RCW, is, for the purpose of applying that chapter, a matter affecting the public interest, is not reasonable in relation to the development and preservation of business, and is an unfair or deceptive act in trade or commerce.

 

    Sec. 18.  RCW 49.60.040 and 1997 c 271 s 3 are each amended to read as follows:

    As used in this chapter:

    (1) "Person" includes one or more individuals, partnerships, associations, organizations, corporations, cooperatives, legal representatives, trustees and receivers, or any group of persons; it includes any owner, lessee, proprietor, manager, agent, or employee, whether one or more natural persons; and further includes any political or civil subdivisions of the state and any agency or instrumentality of the state or of any political or civil subdivision thereof;

    (2) "Commission" means the Washington state human rights commission;

    (3) "Employer" includes any person acting in the interest of an employer, directly or indirectly, who employs eight or more persons, and does not include any religious or sectarian organization not organized for private profit;

    (4) "Employee" does not include any individual employed by his or her parents, spouse, or child, or in the domestic service of any person;

    (5) "Labor organization" includes any organization which exists for the purpose, in whole or in part, of dealing with employers concerning grievances or terms or conditions of employment, or for other mutual aid or protection in connection with employment;

    (6) "Employment agency" includes any person undertaking with or without compensation to recruit, procure, refer, or place employees for an employer;

    (7) "Marital status" means the legal status of being married, single, separated, divorced, or widowed;

    (8) "National origin" includes "ancestry";

    (9) "Full enjoyment of" includes the right to purchase any service, commodity, or article of personal property offered or sold on, or by, any establishment to the public, and the admission of any person to accommodations, advantages, facilities, or privileges of any place of public resort, accommodation, assemblage, or amusement, without acts directly or indirectly causing persons of any particular race, creed, color, sex, national origin, or with any sensory, mental, or physical disability, or the use of a trained dog guide or service animal by a disabled person, to be treated as not welcome, accepted, desired, or solicited;

    (10) "Any place of public resort, accommodation, assemblage, or amusement" includes, but is not limited to, any place, licensed or unlicensed, kept for gain, hire, or reward, or where charges are made for admission, service, occupancy, or use of any property or facilities, whether conducted for the entertainment, housing, or lodging of transient guests, or for the benefit, use, or accommodation of those seeking health, recreation, or rest, or for the burial or other disposition of human remains, or for the sale of goods, merchandise, services, or personal property, or for the rendering of personal services, or for public conveyance or transportation on land, water, or in the air, including the stations and terminals thereof and the garaging of vehicles, or where food or beverages of any kind are sold for consumption on the premises, or where public amusement, entertainment, sports, or recreation of any kind is offered with or without charge, or where medical service or care is made available, or where the public gathers, congregates, or assembles for amusement, recreation, or public purposes, or public halls, public elevators, and public washrooms of buildings and structures occupied by two or more tenants, or by the owner and one or more tenants, or any public library or educational institution, or schools of special instruction, or nursery schools, or day care centers or children's camps:  PROVIDED, That nothing contained in this definition shall be construed to include or apply to any institute, bona fide club, or place of accommodation, which is by its nature distinctly private, including fraternal organizations, though where public use is permitted that use shall be covered by this chapter; nor shall anything contained in this definition apply to any educational facility, columbarium, crematory, mausoleum, or cemetery operated or maintained by a bona fide religious or sectarian institution;

    (11) "Real property" includes buildings, structures, dwellings, real estate, lands, tenements, leaseholds, interests in real estate cooperatives, condominiums, and hereditaments, corporeal and incorporeal, or any interest therein;

    (12) "Real estate transaction" includes the sale, appraisal, brokering, exchange, purchase, rental, or lease of real property, transacting or applying for a real estate loan, or the provision of brokerage services;

    (13) "Dwelling" means any building, structure, or portion thereof that is occupied as, or designed or intended for occupancy as, a residence by one or more families, and any vacant land that is offered for sale or lease for the construction or location thereon of any such building, structure, or portion thereof;

    (14) "Sex" means gender;

    (15) "Aggrieved person" means any person who:  (a) Claims to have been injured by an unfair practice in a real estate transaction; or (b) believes that he or she will be injured by an unfair practice in a real estate transaction that is about to occur;

    (16) "Complainant" means the person who files a complaint in a real estate transaction;

    (17) "Respondent" means any person accused in a complaint or amended complaint of an unfair practice in a real estate transaction;

    (18) "Credit transaction" includes any open or closed end credit transaction, whether in the nature of a loan, retail installment transaction, credit card issue or charge, or otherwise, and whether for personal or for business purposes, in which a service, finance, or interest charge is imposed, or which provides for repayment in scheduled payments, when such credit is extended in the regular course of any trade or commerce, including but not limited to transactions by banks, savings and loan associations or other financial lending institutions of whatever nature, stock brokers, or by a merchant or mercantile establishment which as part of its ordinary business permits or provides that payment for purchases of property or service therefrom may be deferred;

    (19) "Families with children status" means one or more individuals who have not attained the age of eighteen years being domiciled with a parent or another person having legal custody of such individual or individuals, or with the designee of such parent or other person having such legal custody, with the written permission of such parent or other person.  Families with children status also applies to any person who is pregnant or is in the process of securing legal custody of any individual who has not attained the age of eighteen years;

    (20) "Covered multifamily dwelling" means:  (a) Buildings consisting of four or more dwelling units if such buildings have one or more elevators; and (b) ground floor dwelling units in other buildings consisting of four or more dwelling units;

    (21) "Premises" means the interior or exterior spaces, parts, components, or elements of a building, including individual dwelling units and the public and common use areas of a building;

    (22) "Dog guide" means a dog that is trained for the purpose of guiding blind persons or a dog that is trained for the purpose of assisting hearing impaired persons;

    (23) "Service animal" means an animal that is trained for the purpose of assisting or accommodating a disabled person's sensory, mental, or physical disability;

    (24) "Genetic information" means information about genes, gene products, or inherited characteristics, that may derive from an individual or a family member of such individual and includes but is not limited to information derived from genetic tests and information about a request for or the receipt of genetic services by such individual or family member of such individual.  "Genetic information" also includes information about the occurrence of a disease or disorder in family members;

    (25) "Genetic services" means health services, including genetic tests, provided to obtain, assess, or interpret genetic information for diagnostic and therapeutic purposes, and for genetic education and counseling;

    (26) "Genetic test" means the analysis of human DNA, RNA, mitochondrial DNA, chromosomes, proteins, and certain metabolites in order to detect genotypes, mutations, chromosomal damages, or the presence or absence of inherited or acquired characteristics in genetic material.

 

    Sec. 19.  RCW 49.60.175 and 1997 c 271 s 7 are each amended to read as follows:

    It shall be an unfair practice to use the sex, race, creed, color, national origin, genetic information, marital status, or the presence of any sensory, mental, or physical disability of any person, or the use of a trained dog guide or service animal by a disabled person, concerning an application for credit in any credit transaction to determine the credit worthiness of an applicant.

 

    Sec. 20.  RCW 49.60.176 and 1997 c 271 s 8 are each amended to read as follows:

    (1) It is an unfair practice for any person whether acting for himself, herself, or another in connection with any credit transaction because of race, creed, color, national origin, genetic information, sex, marital status, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person:

    (a) To deny credit to any person;

    (b) To increase the charges or fees for or collateral required to secure any credit extended to any person;

    (c) To restrict the amount or use of credit extended or to impose different terms or conditions with respect to the credit extended to any person or any item or service related thereto;

    (d) To attempt to do any of the unfair practices defined in this section.

    (2) Nothing in this section shall prohibit any party to a credit transaction from considering the credit history of any individual applicant.

    (3) Further, nothing in this section shall prohibit any party to a credit transaction from considering the application of the community property law to the individual case or from taking reasonable action thereon.

 

    Sec. 21.  RCW 49.60.178 and 1997 c 271 s 9 are each amended to read as follows:

    It is an unfair practice for any person whether acting for himself, herself, or another in connection with an insurance transaction or transaction with a health maintenance organization to cancel or fail or refuse to issue or renew insurance or a health maintenance agreement to any person because of sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person:  PROVIDED, That a practice which is not unlawful under RCW 48.30.300, 48.44.220, or 48.46.370 does not constitute an unfair practice for the purposes of this section.  For the purposes of this section, "insurance transaction" is defined in RCW 48.01.060, health maintenance agreement is defined in RCW 48.46.020, and "health maintenance organization" is defined in RCW 48.46.020.

    The fact that such unfair practice may also be a violation of chapter 48.30, 48.44, or 48.46 RCW does not constitute a defense to an action brought under this section.

    The insurance commissioner, under RCW 48.30.300, and the human rights commission, under chapter 49.60 RCW, shall have concurrent jurisdiction under this section and shall enter into a working agreement as to procedure to be followed in complaints under this section.

 

    Sec. 22.  RCW 49.60.180 and 1997 c 271 s 10 are each amended to read as follows:

    It is an unfair practice for any employer:

    (1) To refuse to hire any person because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person, unless based upon a bona fide occupational qualification:  PROVIDED, That the prohibition against discrimination because of such disability shall not apply if the particular disability prevents the proper performance of the particular worker involved.

    (2) To discharge or bar any person from employment because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person.

    (3) To discriminate against any person in compensation or in other terms or conditions of employment because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person:  PROVIDED, That it shall not be an unfair practice for an employer to segregate washrooms or locker facilities on the basis of sex, or to base other terms and conditions of employment on the sex of employees where the commission by regulation or ruling in a particular instance has found the employment practice to be appropriate for the practical realization of equality of opportunity between the sexes.

    (4) To print, or circulate, or cause to be printed or circulated any statement, advertisement, or publication, or to use any form of application for employment, or to make any inquiry in connection with prospective employment, which expresses any limitation, specification, or discrimination as to age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person, or any intent to make any such limitation, specification, or discrimination, unless based upon a bona fide occupational qualification:  PROVIDED, Nothing contained herein shall prohibit advertising in a foreign language.

    (5) To offer a person an inducement to undergo a genetic test or otherwise disclose genetic information; to question a person about his or her genetic information; to solicit submission to, require, or administer a genetic test to any person as a condition of employment; or to collect, solicit, or require disclosure of genetic information from any person as a condition of employment.

 

    Sec. 23.  RCW 49.60.190 and 1997 c 271 s 11 are each amended to read as follows:

    It is an unfair practice for any labor union or labor organization:

    (1) To deny membership and full membership rights and privileges to any person because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person.

    (2) To expel from membership any person because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person.

    (3) To discriminate against any member, employer, employee, or other person to whom a duty of representation is owed because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person.

    (4) To offer a person an inducement to undergo a genetic test or otherwise disclose genetic information; to question a person about his or her genetic information; to solicit submission to, require, or administer a genetic test to any person as a condition of membership; or to collect, solicit, or require disclosure of genetic information from any person as a condition of membership.

 

    Sec. 24.  RCW 49.60.200 and 1997 c 271 s 12 are each amended to read as follows:

    It is an unfair practice for any employment agency:

    (1) To fail or refuse to classify properly or refer for employment, or otherwise to discriminate against, an individual because of age, sex, marital status, race, creed, color, national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person, or to print or circulate, or cause to be printed or circulated any statement, advertisement, or publication, or to use any form of application for employment, or to make any inquiry in connection with prospective employment, which expresses any limitation, specification or discrimination as to age, sex, race, creed, color, or national origin, genetic information, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a disabled person, or any intent to make any such limitation, specification, or discrimination, unless based upon a bona fide occupational qualification:  PROVIDED, Nothing contained herein shall prohibit advertising in a foreign language.

    (2) To offer a person an inducement to undergo a genetic test or otherwise disclose genetic information; to question a person about his or her genetic information; to solicit submission to, require, or administer a genetic test to any person as a condition of employment classification, assignment, or referral; or to collect, solicit, or require disclosure of genetic information from any person as a condition of employment classification, assignment, or referral.

 

    Sec. 25.  RCW 49.60.215 and 1997 c 271 s 13 are each amended to read as follows:

    It shall be an unfair practice for any person or the person's agent or employee to commit an act which directly or indirectly results in any distinction, restriction, or discrimination, or the requiring of any person to pay a larger sum than the uniform rates charged other persons, or the refusing or withholding from any person the admission, patronage, custom, presence, frequenting, dwelling, staying, or lodging in any place of public resort, accommodation, assemblage, or amusement, except for conditions and limitations established by law and applicable to all persons, regardless of race, creed, color, national origin, genetic information, sex, the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal by a disabled person:  PROVIDED, That this section shall not be construed to require structural changes, modifications, or additions to make any place accessible to a disabled person except as otherwise required by law:  PROVIDED, That behavior or actions constituting a risk to property or other persons can be grounds for refusal and shall not constitute an unfair practice.

 

    Sec. 26.  RCW 49.60.222 and 1997 c 400 s 3 and 1997 c 271 s 14 are each reenacted and amended to read as follows:

    (1) It is an unfair practice for any person, whether acting for himself, herself, or another, because of sex, marital status, race, creed, color, national origin, genetic information, families with children status, the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal by a disabled person:

    (a) To refuse to engage in a real estate transaction with a person;

    (b) To discriminate against a person in the terms, conditions, or privileges of a real estate transaction or in the furnishing of facilities or services in connection therewith;

    (c) To refuse to receive or to fail to transmit a bona fide offer to engage in a real estate transaction from a person;

    (d) To refuse to negotiate for a real estate transaction with a person;

    (e) To represent to a person that real property is not available for inspection, sale, rental, or lease when in fact it is so available, or to fail to bring a property listing to his or her attention, or to refuse to permit the person to inspect real property;

    (f) To discriminate in the sale or rental, or to otherwise make unavailable or deny a dwelling, to any person; or to a person residing in or intending to reside in that dwelling after it is sold, rented, or made available; or to any person associated with the person buying or renting;

    (g) To make, print, circulate, post, or mail, or cause to be so made or published a statement, advertisement, or sign, or to use a form of application for a real estate transaction, or to make a record or inquiry in connection with a prospective real estate transaction, which indicates, directly or indirectly, an intent to make a limitation, specification, or discrimination with respect thereto;

    (h) To offer, solicit, accept, use, or retain a listing of real property with the understanding that a person may be discriminated against in a real estate transaction or in the furnishing of facilities or services in connection therewith;

    (i) To expel a person from occupancy of real property;

    (j) To discriminate in the course of negotiating, executing, or financing a real estate transaction whether by mortgage, deed of trust, contract, or other instrument imposing a lien or other security in real property, or in negotiating or executing any item or service related thereto including issuance of title insurance, mortgage insurance, loan guarantee, or other aspect of the transaction.  Nothing in this section shall limit the effect of RCW 49.60.176 relating to unfair practices in credit transactions; or

    (k) To attempt to do any of the unfair practices defined in this section.

    (2) For the purposes of this chapter discrimination based on the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a blind, deaf, or physically disabled person includes:

    (a) A refusal to permit, at the expense of the disabled person, reasonable modifications of existing premises occupied or to be occupied by such person if such modifications may be necessary to afford such person full enjoyment of the dwelling, except that, in the case of a rental, the landlord may, where it is reasonable to do so, condition permission for a modification on the renter agreeing to restore the interior of the dwelling to the condition that existed before the modification, reasonable wear and tear excepted;

    (b) To refuse to make reasonable accommodation in rules, policies, practices, or services when such accommodations may be necessary to afford a person with the presence of any sensory, mental, or physical disability and/or the use of a trained dog guide or service animal by a blind, deaf, or physically disabled person equal opportunity to use and enjoy a dwelling; or

    (c) To fail to design and construct covered multifamily dwellings and premises in conformance with the federal fair housing amendments act of 1988 (42 U.S.C. Sec. 3601 et seq.) and all other applicable laws or regulations pertaining to access by persons with any sensory, mental, or physical disability or use of a trained dog guide or service animal.  Whenever the requirements of applicable laws or regulations differ, the requirements which require greater accessibility for persons with any sensory, mental, or physical disability shall govern.

    Nothing in (a) or (b) of this subsection shall apply to:  (i) A single-family house rented or leased by the owner if the owner does not own or have an interest in the proceeds of the rental or lease of more than three such single-family houses at one time, the rental or lease occurred without the use of a real estate broker or salesperson, as defined in RCW 18.85.010, and the rental or lease occurred without the publication, posting, or mailing of any advertisement, sign, or statement in violation of subsection (1)(g) of this section; or (ii) rooms or units in dwellings containing living quarters occupied or intended to be occupied by no more than four families living independently of each other if the owner maintains and occupies one of the rooms or units as his or her residence.

    (3) Notwithstanding any other provision of this chapter, it shall not be an unfair practice or a denial of civil rights for any public or private educational institution to separate the sexes or give preference to or limit use of dormitories, residence halls, or other student housing to persons of one sex or to make distinctions on the basis of marital or families with children status.

    (4) Except pursuant to subsection (2)(a) of this section, this section shall not be construed to require structural changes, modifications, or additions to make facilities accessible to a disabled person except as otherwise required by law.  Nothing in this section affects the rights, responsibilities, and remedies of landlords and tenants pursuant to chapter 59.18 or 59.20 RCW, including the right to post and enforce reasonable rules of conduct and safety for all tenants and their guests, provided that chapters 59.18 and 59.20 RCW are only affected to the extent they are inconsistent with the nondiscrimination requirements of this chapter.  Nothing in this section limits the applicability of any reasonable federal, state, or local restrictions regarding the maximum number of occupants permitted to occupy a dwelling.

    (5) Notwithstanding any other provision of this chapter, it shall not be an unfair practice for any public establishment providing for accommodations offered for the full enjoyment of transient guests as defined by RCW 9.91.010(1)(c) to make distinctions on the basis of families with children status.  Nothing in this section shall limit the effect of RCW 49.60.215 relating to unfair practices in places of public accommodation.

    (6) Nothing in this chapter prohibiting discrimination based on families with children status applies to housing for older persons as defined by the federal fair housing amendments act of 1988, 42 U.S.C. Sec. 3607(b)(1) through (3), as amended by the housing for older persons act of 1995, P.L. 104-76, as enacted on December 28, 1995.  Nothing in this chapter authorizes requirements for housing for older persons different than the requirements in the federal fair housing amendments act of 1988, 42 U.S.C. Sec. 3607(b)(1) through (3), as amended by the housing for older persons act of 1995, P.L. 104-76, as enacted on December 28, 1995.

 

    Sec. 27.  RCW 49.60.223 and 1997 c 271 s 15 are each amended to read as follows:

    It is an unfair practice for any person, for profit, to induce or attempt to induce any person to sell or rent any real property by representations regarding the entry or prospective entry into the neighborhood of a person or persons because of ((a particular)) race, creed, color, sex, national origin, genetic information, families with children status, or with any sensory, mental, or physical disability and/or because of the use of a trained dog guide or service animal by a blind, deaf, or physically disabled person.

 

    Sec. 28.  RCW 49.60.224 and 1997 c 271 s 16 are each amended to read as follows:

    (1) Every provision in a written instrument relating to real property which purports to forbid or restrict the conveyance, encumbrance, occupancy, or lease thereof to individuals because of ((a specified)) race, creed, color, sex, national origin, genetic information, families with children status, or with any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a blind, deaf, or physically disabled person, and every condition, restriction, or prohibition, including a right of entry or possibility of reverter, which directly or indirectly limits the use or occupancy of real property on the basis of race, creed, color, sex, national origin, genetic information, families with children status, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a blind, deaf, or physically disabled person is void.

    (2) It is an unfair practice to insert in a written instrument relating to real property a provision that is void under this section or to honor or attempt to honor such a provision in the chain of title.

 

    Sec. 29.  RCW 49.60.225 and 1997 c 271 s 17 are each amended to read as follows:

    (1) When a reasonable cause determination has been made under RCW 49.60.240 that an unfair practice in a real estate transaction has been committed and a finding has been made that the respondent has engaged in any unfair practice under RCW 49.60.250, the administrative law judge shall promptly issue an order for such relief suffered by the aggrieved person as may be appropriate, which may include actual damages as provided by the federal fair housing amendments act of 1988 (42 U.S.C. Sec. 3601 et seq.), and injunctive or other equitable relief.  Such order may, to further the public interest, assess a civil penalty against the respondent:

    (a) In an amount up to ten thousand dollars if the respondent has not been determined to have committed any prior unfair practice in a real estate transaction;

    (b) In an amount up to twenty-five thousand dollars if the respondent has been determined to have committed one other unfair practice in a real estate transaction during the five-year period ending on the date of the filing of this charge; or

    (c) In an amount up to fifty thousand dollars if the respondent has been determined to have committed two or more unfair practices in a real estate transaction during the seven-year period ending on the date of the filing of this charge, for loss of the right secured by RCW 49.60.010, 49.60.030, 49.60.040, and 49.60.222 through 49.60.224, as now or hereafter amended, to be free from discrimination in real property transactions because of sex, marital status, race, creed, color, national origin, genetic information, families with children status, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a blind, deaf, or physically disabled person.  Enforcement of the order and appeal therefrom by the complainant or respondent may be made as provided in RCW 49.60.260 and 49.60.270.  If acts constituting the unfair practice in a real estate transaction that is the object of the charge are determined to have been committed by the same natural person who has been previously determined to have committed acts constituting an unfair practice in a real estate transaction, then the civil penalty of up to fifty thousand dollars may be imposed without regard to the period of time within which any subsequent unfair practice in a real estate transaction occurred.  All civil penalties assessed under this section shall be paid into the state treasury and credited to the general fund.

    (2) Such order shall not affect any contract, sale, conveyance, encumbrance, or lease consummated before the issuance of an order that involves a bona fide purchaser, encumbrancer, or tenant who does not have actual notice of the charge filed under this chapter.

    (3) Notwithstanding any other provision of this chapter, persons awarded damages under this section may not receive additional damages pursuant to RCW 49.60.250.

 

    Sec. 30.  RCW 70.02.010 and 1993 c 448 s 1 are each amended to read as follows:

    As used in this chapter, unless the context otherwise requires:

    (1) "Audit" means an assessment, evaluation, determination, or investigation of a health care provider by a person not employed by or affiliated with the provider to determine compliance with:

    (a) Statutory, regulatory, fiscal, medical, or scientific standards;

    (b) A private or public program of payments to a health care provider; or

    (c) Requirements for licensing, accreditation, or certification.

    (2) "Directory information" means information disclosing the presence, and for the purpose of identification, the name, residence, sex, and the general health condition of a particular patient who is a patient in a health care facility or who is currently receiving emergency health care in a health care facility.

    (3) "General health condition" means the patient's health status described in terms of "critical," "poor," "fair," "good," "excellent," or terms denoting similar conditions.

    (4) "Genetic information" means information about genes, gene products, or inherited characteristics, that may derive from an individual or a family member of such individual and includes but is not limited to information derived from genetic tests and information about a request for or the receipt of genetic services by such individual or family member of such individual.  "Genetic information" also includes information about the occurrence of a disease or disorder in family members.

    (5) "Genetic services" means health services, including genetic tests, provided to obtain, assess, or interpret genetic information for diagnostic and therapeutic purposes, and for genetic education and counseling.

    (6) "Genetic test" means the analysis of human DNA, RNA, mitochondrial DNA, chromosomes, proteins, and certain metabolites in order to detect genotypes, mutations, chromosomal damages, or the presence or absence of inherited or acquired characteristics in genetic material.

    (7) "Health care" means any care, service, or procedure provided by a health care provider:

    (a) To diagnose, treat, or maintain a patient's physical or mental condition; or

    (b) That affects the structure or any function of the human body.

    (((5))) (8) "Health care facility" means a hospital, clinic, nursing home, laboratory, office, or similar place where a health care provider provides health care to patients.

    (((6))) (9) "Health care information" means any information, whether oral or recorded in any form or medium, that identifies or can readily be associated with the identity of a patient and directly relates to the patient's health care.  The term includes genetic information and any record of disclosures of health care information.

    (((7))) (10) "Health care provider" means a person who is licensed, certified, registered, or otherwise authorized by the law of this state to provide health care in the ordinary course of business or practice of a profession.

    (((8))) (11) "Institutional review board" means any board, committee, or other group formally designated by an institution, or authorized under federal or state law, to review, approve the initiation of, or conduct periodic review of research programs to assure the protection of the rights and welfare of human research subjects.

    (((9))) (12) "Maintain," as related to health care information, means to hold, possess, preserve, retain, store, or control that information.

    (((10))) (13) "Patient" means an individual who receives or has received health care.  The term includes a deceased individual who has received health care.

    (((11))) (14) "Person" means an individual, corporation, business trust, estate, trust, partnership, association, joint venture, government, governmental subdivision or agency, or any other legal or commercial entity.

    (((12))) (15) "Reasonable fee" means the charges for duplicating or searching the record, but shall not exceed sixty-five cents per page for the first thirty pages and fifty cents per page for all other pages.  In addition, a clerical fee for searching and handling may be charged not to exceed fifteen dollars.  These amounts shall be adjusted biennially in accordance with changes in the consumer price index, all consumers, for Seattle-Tacoma metropolitan statistical area as determined by the secretary of health.  However, where editing of records by a health care provider is required by statute and is done by the provider personally, the fee may be the usual and customary charge for a basic office visit.

    (((13))) (16) "Third-party payor" means an insurer regulated under Title 48 RCW authorized to transact business in this state or other jurisdiction, including a health care service contractor, and health maintenance organization; or an employee welfare benefit plan; or a state or federal health benefit program.

 


                            --- END ---