Passed by the House March 10, 2009 Yeas 83 Nays 13 ________________________________________ Speaker of the House of Representatives Passed by the Senate April 14, 2009 Yeas 44 Nays 2 ________________________________________ President of the Senate		CERTIFICATE I, Barbara Baker, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is ENGROSSED SUBSTITUTE HOUSE BILL 2105 as passed by the House of Representatives and the Senate on the dates hereon set forth. ________________________________________ Chief Clerk
Approved ________________________________________ Governor of the State of Washington		FILED Secretary of State State of Washington

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

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, cardiac nuclear medicine services, and similar new imaging 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) Consistent with the authority granted in RCW 41.05.013, the authority 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 administrator of the authority shall appoint work group members, including at least:
     (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 each public purchaser.
     (3) The work group shall:
     (a) No later than July 1, 2009, identify evidence-based best practice guidelines or protocols and decision support tools applicable to advanced diagnostic imaging services to be implemented by all state purchased health care programs, except for state purchased health care services that are purchased from or through health carriers as defined in RCW 48.43.005. 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 state purchased health care services that are purchased from or through health carriers and all payors in the state by January 1, 2011, for the reimbursement 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.
     (6) The work group shall cease to exist on July 1, 2010.

NEW SECTION. Sec. 3 No later than September 1, 2009, all state purchased health care programs shall, except for state purchased health care services that are purchased from or through health carriers as defined in RCW 48.43.005, 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.