BILL REQ. #:  H-2278.1 

READ FIRST TIME 02/23/09.   

     AN ACT Relating to diagnostic imaging services; adding a new chapter to Title 70 RCW; and declaring an emergency.

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

NEW SECTION.  Sec. 1   The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
     (1) "Advanced diagnostic imaging services" means magnetic resonance imaging services, computed tomography services, positron emission tomography services, and cardiac nuclear medicine services.
     (2) "Authority" means the Washington state health care authority.
     (3) "Payor" means public purchasers and carriers licensed under chapters 48.21, 48.41, 48.44, 48.46, and 48.62 RCW.
     (4) "Public purchaser" means the department of social and health services, the department of health, the department of labor and industries, the authority, and the Washington state health insurance pool.
     (5) "State purchased health care" has the same meaning as in RCW 41.05.011.

NEW SECTION.  Sec. 2   (1) The department of labor and industries shall convene a work group to analyze and identify evidence-based best practice guidelines or protocols applicable to advanced diagnostic imaging services and any decision support tools available to implement the guidelines or protocols.
     (2) The work group shall consist of the following members:
     (a) One member of the authority's health technology clinical committee;
     (b) One representative of the Washington state medical association;
     (c) One representative of the Washington state radiological society;
     (d) One representative of the Puget Sound health alliance;
     (e) One representative of the Washington health care forum;
     (f) One representative of the Washington state hospital association;
     (g) One representative of health carriers as defined in chapter 48.43 RCW; and
     (h) One representative of state agencies that purchase health care services.
     (3) The work group shall:
     (a) No later than July 1, 2009, identify evidence-based best practice guidelines or protocols applicable to advanced diagnostic imaging services, and decision support tools to be used by all state purchased health care programs for those health care services purchased directly by the state. When identifying the guidelines or protocols, the work group may consult with organizations such as the Minnesota institute for clinical systems improvement; and
     (b) Explore the feasibility of using the guidelines or protocols for all payors in the state by January 1, 2011, for the reimbursement and provision of advanced diagnostic imaging services.
     (4) The work group may solicit such federal or private funds and in-kind contributions as may be necessary to complete its work in a timely fashion. However, no member of the work group shall be compensated for his or her service.
     (5) The work group shall report its findings and recommendations to the governor and the appropriate committees of the legislature no later than July 1, 2009.

NEW SECTION.  Sec. 3   No later than September 1, 2009, all state purchased health care programs shall, for those health care services purchased directly by the state, implement evidence-based best practice guidelines or protocols applicable to advanced diagnostic imaging services, and the decision support tools to implement the guidelines or protocols, identified under section 2 of this act.

NEW SECTION.  Sec. 4   Any current or future time frames, procedures, rules, regulations, or guidance regarding accreditation requirements for advanced diagnostic imaging services established in, or promulgated pursuant to, section 135(a) of the medicare improvements for patients and providers act of 2008, shall also be applicable to any person or entity in this state not already subject to its provisions that receives payment for the furnishing of the technical component of advanced diagnostic imaging services as defined under that act.

NEW SECTION.  Sec. 5   This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately.

NEW SECTION.  Sec. 6   Sections 1 through 4 of this act constitute a new chapter in Title 70 RCW.