6458.E AMH HCW H4393.1

ESB 6458  - H COMM AMD
     By Committee on Health Care & Wellness

ADOPTED 03/07/2014

     Strike everything after the enacting clause and insert the following:

"Sec. 1   RCW 48.02.060 and 2010 c 27 s 1 are each amended to read as follows:
     (1) The commissioner has the authority expressly conferred upon him or her by or reasonably implied from the provisions of this code.
     (2) The commissioner must execute his or her duties and must enforce the provisions of this code.
     (3) The commissioner may:
     (a) Make reasonable rules for effectuating any provision of this code, except those relating to his or her election, qualifications, or compensation. Rules are not effective prior to their being filed for public inspection in the commissioner's office.
     (b) Conduct investigations to determine whether any person has violated any provision of this code.
     (c) Conduct examinations, investigations, hearings, in addition to those specifically provided for, useful and proper for the efficient administration of any provision of this code.
     (4) When the governor proclaims a state of emergency under RCW 43.06.010(12), the commissioner may issue an order that addresses any or all of the following matters related to insurance policies issued in this state:
     (a) Reporting requirements for claims;
     (b) Grace periods for payment of insurance premiums and performance of other duties by insureds;
     (c) Temporary postponement of cancellations and nonrenewals; and
     (d) Medical coverage to ensure access to care.
     (5) An order by the commissioner under subsection (4) of this section may remain effective for not more than sixty days unless the commissioner extends the termination date for the order for an additional period of not more than thirty days. The commissioner may extend the order if, in the commissioner's judgment, the circumstances warrant an extension. An order of the commissioner under subsection (4) of this section is not effective after the related state of emergency is terminated by proclamation of the governor under RCW 43.06.210. The order must specify, by line of insurance:
     (a) The geographic areas in which the order applies, which must be within but may be less extensive than the geographic area specified in the governor's proclamation of a state of emergency and must be specific according to an appropriate means of delineation, such as the United States postal service zip codes or other appropriate means; and
     (b) The date on which the order becomes effective and the date on which the order terminates.
     (6) The commissioner may adopt rules that establish general criteria for orders issued under subsection (4) of this section and may adopt emergency rules applicable to a specific proclamation of a state of emergency by the governor.
     (7) The rule-making authority set forth in subsection (6) of this section does not limit or affect the rule-making authority otherwise granted to the commissioner by law.
     (8) In addition to the requirements of the administrative procedure act established in chapter 34.05 RCW, the commissioner must provide notice of proposed rule making on matters related to health care insurance to the health care committees of the legislature, the health benefit exchange established under chapter 43.71 RCW, the health care authority established under chapter 41.05 RCW, and the governor. In the event a dispute arises among the state officials and entities implementing the federal patient protection and affordable care act, the governor shall convene a meeting of the following officials and entities to resolve the dispute:
     (a) The insurance commissioner;
     (b) The health care authority;
     (c) The department of health;
     (d) The department of social and health services;
     (e) The governor's legislative affairs and policy office;
     (f) The office of financial management;
     (g) The health benefit exchange; and
     (h) Any other officials or entities the governor deems appropriate, including:
     (i) The department of corrections;
     (ii) The department of veterans affairs; and
     (iii) The department of labor and industries.
     (9) The governor may utilize the governor's health leadership team established in Executive Order 13-05 as a forum to convene the meeting required in subsection (8) of this section.
     (10) The governor shall report the resolution of the meeting to the appropriate committees of the legislature and the joint select committee on health care oversight.
"

     Correct the title.

EFFECT:  Removes provisions allowing the chairs of the health care committees of the Legislature to notify the Joint Administrative Rules Review Committee when a party objects to health insurance rules adopted by the Insurance Commissioner. Requires the Governor to convene a meeting in the event a dispute arises regarding the implementation of the federal Patient Protection and Affordable Care Act. Requires the meeting to include the Insurance Commissioner, the Health Care Authority, the Department of Health, the Department of Social and Health Services, the Governor's Legislative Affairs and Policy Office, the Office of Financial Management, the Health Benefit Exchange, and any other officials or entities the Governor deems appropriate, including the Department of Corrections, the Department of Veterans Affairs, and the Department of Labor and Industries. Allows the Governor to utilize the Governor's Health Leadership Team as a forum to convene the meeting. Requires the Governor to report the resolution of the meeting to the appropriate committees of the Legislature and to the Joint Select Committee on Health Care Oversight.

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