BILL REQ. #:  Z-0477.1 

Read first time 01/19/09.   Referred to Committee on Health Care & Wellness.

     AN ACT Relating to reducing organ transplant benefit waiting periods based upon prior creditable coverage; adding a new section to chapter 48.43 RCW; and creating a new section.

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

NEW SECTION.  Sec. 1   It is the intent of the legislature to reduce organ transplant benefit waiting periods for covered persons who have had prior continuous coverage and have changed health carriers or health benefit plans.

NEW SECTION.  Sec. 2   A new section is added to chapter 48.43 RCW to read as follows:
     (1) For each health benefit plan that is issued or renewed on or after January 1, 2010, a health carrier shall reduce any organ transplant benefit waiting period by the amount of time a covered person had prior creditable coverage. 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) The following definitions apply to this section:
     (a) "Covered person" means the same as set forth in RCW 48.43.005(8).
     (b) "Creditable coverage" means the same as set forth in section 2701 of the federal health insurance portability and accountability act of 1996 (42 U.S.C. Sec. 300gg) and also includes coverage which terminated during the period beginning ninety days and ending sixty-four days before the date of application for the new plan if that coverage would otherwise have qualified as creditable coverage under the federal act (42 U.S.C. Sec. 300gg).
     (c) "Organ transplant" means the same as defined under the applicable health benefit plan.