SHB 2404 -
By Senator Jacobsen
On page 6, after line 33 of the amendment, insert the following:
"NEW SECTION. Sec. 7 (1) All retainer health care practices
shall contain or incorporate in its retainer agreement a guarantee of
the continuity of coverage of the retainer agreement. For the purposes
of this section, a retainer agreement is "renewed" when it is continued
beyond the earliest date upon which the retainer agreement could have
been terminated for other than nonpayment of the retainer fee.
(2) The guarantee of continuity of coverage required in retainer
agreements shall not prevent a retainer health care practice from
canceling or nonrenewing a retainer agreement for:
(a) Nonpayment of premium; or
(b) Change or implementation of federal or state laws that no
longer permit the continued offering of such coverage.
(3) This section does not apply in the following cases:
(a) A retainer health care practice has zero retainer agreements in
place;
(b) A retainer health care practice is withdrawing from offering
retainer agreements because the retainer health care practice has
demonstrated to the commissioner that its clinical, financial, or
administrative capacity to serve retainer subscribers would be
exceeded; or
(c) A retainer health care practice discontinues if: (i) The
retainer health care practice provides notice to each retainer
subscriber of such discontinuation at least ninety days prior to the
date of the discontinuation; (ii) the retainer health care practice
provides notice to the commissioner of its intent to discontinue
offering retainer agreements in the state; (iii) in exercising the
option to discontinue offering retainer agreements, the retainer health
care practice acts uniformly without regard to any health status-related factor of retainer subscribers; and (iv) the retainer health
care practice, or any provider within the retainer health care
practice, may not engage in any offering retainer agreements in this
state for a five-year period beginning on the date of the
discontinuation of the retainer agreement not so renewed."
Renumber the remaining sections consecutively and correct internal references accordingly.
EFFECT: Requires retainer medicine practices offer guaranteed renewability of retainer medicine agreements.