BILL REQ. #: H-1631.1
| State of Washington | 58th Legislature | 2003 Regular Session |
READ FIRST TIME 02/17/03.
AN ACT Relating to evidence-based health services purchasing by state purchased health care programs; adding a new section to chapter 41.05 RCW; adding a new section to chapter 43.70 RCW; adding a new section to chapter 51.04 RCW; adding a new section to chapter 72.09 RCW; adding a new section to chapter 74.09 RCW; and creating a new section.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1 A new section is added to chapter 41.05 RCW
to read as follows:
(1) The authority shall coordinate state agency efforts to develop
and implement uniform policies across state purchased health care
programs that will ensure prudent, cost-effective health services
purchasing, maximize efficiencies in administration of state purchased
health care programs, improve the quality of care provided through
state purchased health care programs, and reduce administrative burdens
on health care providers participating in state purchased health care
programs. The policies adopted should be based, to the extent
possible, upon the best available scientific and medical evidence and
shall endeavor to address:
(a) Methods of formal assessment, such as health technology
assessment, in the evaluation of health care services as defined in RCW
48.43.005(17). In developing methods of formal assessment, the
agencies shall consider whether the health care service has been shown
to be safe and effective by the best available scientific evidence.
Consideration of the best available scientific evidence does not
preclude consideration of experimental or investigational treatment or
services under a clinical investigation approved by an institutional
review board. A cross-agency centralized health technology assessment
policy and process must be in place by July 2004;
(b) Monitoring of health outcomes, adverse events, quality, and
cost-effectiveness of health services provided through state purchased
health care programs;
(c) Development of a common definition of medical necessity for
state purchased health care programs; and
(d) Exploration of common strategies for disease management and
demand management programs across state purchased health care programs.
(2) The administrator may invite health care provider
organizations, carriers, other health care purchasers, and consumers to
participate in efforts undertaken under this section.
(3) Decisions under this section shall be consistent with policies
developed and implemented under chapter . . . (Engrossed Second
Substitute House Bill No. 1214), Laws of 2003.
NEW SECTION. Sec. 2 A new section is added to chapter 43.70 RCW
to read as follows:
The secretary shall cooperate to the maximum extent possible in the
development and implementation of policies under section 1 of this act.
NEW SECTION. Sec. 3 A new section is added to chapter 51.04 RCW
to read as follows:
The director shall cooperate to the maximum extent possible in the
development and implementation of policies under section 1 of this act.
NEW SECTION. Sec. 4 A new section is added to chapter 72.09 RCW
to read as follows:
The secretary shall cooperate to the maximum extent possible in the
development and implementation of policies under section 1 of this act.
NEW SECTION. Sec. 5 A new section is added to chapter 74.09 RCW
to read as follows:
The secretary shall cooperate to the maximum extent possible in the
development and implementation of policies under section 1 of this act.
NEW SECTION. Sec. 6 Agencies administering state purchased
health care programs shall cooperatively adopt rules necessary to
implement this act.