SSB 5725 -
By Committee on Health Care & Wellness
ADOPTED AND ENGROSSED 4/14/09
Strike everything after the enacting clause and insert the following:
"NEW SECTION. Sec. 1 A new section is added to chapter 48.43 RCW
to read as follows:
(1) A health benefit plan that is issued or renewed on or after
January 1, 2010, and that provides coverage for organ and tissue
transplants, may not permit a separate lifetime limit on transplants of
any less than three hundred fifty thousand dollars. The lifetime limit
on transplants shall apply from one day prior to the date of the
transplant or the date of hospital admission, for a patient who
receives a transplant during the course of a longer hospital stay,
through one hundred days after the transplant. Donor-related services
may apply to the lifetime limit on transplants any time. The major
medical lifetime limit shall apply to health care services provided
before and after this time period. Benefits provided are subject to
all other terms and conditions of the health benefit plan, including
but not limited to any applicable coinsurances, deductibles, and
copayments.
(2) "Organ and tissue transplant" means the same as defined under
the applicable health benefit plan."
Correct the title.