BILL REQ. #:  S-2033.1 



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SUBSTITUTE SENATE BILL 5597
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State of Washington60th Legislature2007 Regular Session

By Senate Committee on Health & Long-Term Care (originally sponsored by Senators Franklin, Benton, Zarelli, Kauffman, Kline, Carrell, Poulsen, Keiser, Kohl-Welles, Delvin and Roach)

READ FIRST TIME 02/23/07.   



     AN ACT Relating to contracts with chiropractors; adding a new section to chapter 48.43 RCW; and creating new sections.

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

NEW SECTION.  Sec. 1   A new section is added to chapter 48.43 RCW to read as follows:
     (1) Health carriers may not directly or indirectly, through contract or otherwise, refuse to reimburse for the health care services legally provided by employees of a contracted chiropractor working at the same location as the contracted chiropractor if the service would be a reimbursable benefit but for the contractor's refusal to recognize or reimburse the services performed by employees of the contracted chiropractor.
     (2) Health carriers may not require directly or indirectly, by contract or otherwise, that a chiropractor comply with health care reimbursement or delivery standards that conflict with those standards and practices authorized or adopted by the Washington state chiropractic quality assurance commission. A contract may not prohibit a chiropractor from delegating duties in accordance with rules governing the chiropractic profession, nor may a contractor refuse to reimburse the contracted chiropractor for such delegated services if those services would be reimbursed if not delegated. A carrier may require all contracted health care providers to participate in a quality assurance program that relies upon evidence-based health care delivery standards.
     (3) Any term or condition of any contract between a chiropractor and a carrier that violates a provision of this section and any attempt to waive, modify, or shift responsibility for compliance with this section is invalid.

NEW SECTION.  Sec. 2   This act does not affect any existing right acquired or liability or obligation incurred prior to the effective date of this act.

NEW SECTION.  Sec. 3   If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.

NEW SECTION.  Sec. 4   Every provider contract executed or renewed on or after January 1, 2008, shall conform to the provisions of this act.

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