AGENDA
| Approximate Preproposal 1. Date 2. Subject Area 3. Contact/Telephone Number |
Purpose of the Rule Why Is this Significant? |
Rule(s) Mandate | Other Agencies Who May Have Interest in the Subject of Rule(s) |
| 1. CR-101 2. September 2006 3. Rebecca Burch, (360) 923-2712 |
In the 2006 legislative session, the
legislature created the small
employer health insurance
partnership program (the
partnership). The partnership is
intended to assist employees of
small businesses (those with fifty or
fewer employees) in participating in
their employer's small group health
plan. The partnership will issue a
subsidy toward the eligible
employee's share of the health
insurance premium. Rules must be created to support the intent of the program. Issues to be addressed include, but are not limited to: • Definitions. • Eligibility. • Enrollment. • Issuance of subsidies. • Recertification. • Disenrollment. • Subsidy overpayments. • Appeals. As a part of the rule-making process, HCA will consult with various stakeholders, including small employers, carriers, and employee organizations, OIC and DSHS. |
Chapter 255, Laws of 2006 (E2SHB 2752). | • The office of the
insurance
commissioner. • The department of social and health services. |
| 1. July 2006 (expedited filing) 2. Chapter 182-12 WAC 3. Barbara Scott, (360) 923-2642 |
The 2006 legislature passed SB 6723 which expanded PEBB eligibility to include "surviving spouses and dependent children of emergency service personnel and members of the law enforcement officers' and fire fighters' retirement system plan 2 killed in the line of duty" prior to January 1, 1998. The proposed rules will establish conditions for enrollment and participation in PEBB coverage. | Chapter 345, Laws of 2006 and authorized under RCW 41.05.080. | Local governments, department of retirement systems, and department of labor and industries. |
| 1. July 2006 (expedited filing) 2. Title 182 WAC 3. Barbara Scott, (360) 923-2642 |
HCA will evaluate and possibly revise retiree eligibility rules to allow retirees to defer their PEBB coverage, based on coverage in a Medicaid program that results from their auto-enrollment in Medicare Part D. HCA will also evaluate revising eligibility rules to allow these retirees' dependents to continue their enrollment in PEBB retiree coverage during the retiree's "deferred" status. | No mandate, but authorized under RCW 41.05.065. | Department of social and health services. |
| 1. October 2006 (preproposal
filing) 2. Title 182 WAC 3. Barbara Scott, (360) 923-2642 |
HCA will undertake an extensive review of PEBB employee eligibility rules in Title 182 WAC. The purpose of the review is to ensure that PEBB employee eligibility rules are clear rules that can be consistently applied by employers and understood by employees. | No mandate, but authorized under RCW 41.05.065. | All state and higher education agencies; K-12 school districts and local governments purchasing employee benefits via the PEBB program; department of personnel; and the office of financial management. |
| 1. September 2006 2. CR-101 3. Dolores Reyes-Gonzalez, (360) 923-2781 |
Allocation of state noncitizen immigrant funds. The legislature created this program to be effective July 1, 2002, through June 30, 2003. Funding specifically for this program was terminated, however, WAC 182-20-250 was not removed making it confusing for some officials and stakeholders. Removing this section will update and clarify chapter 182-20 WAC. | None. | Department of social and health services. |
| 1. September 2006 2. CR 101 3. Dolores Reyes-Gonzalez, (360) 923-2781 and Jan Olmstead, (360) 923-2803 |
The health care
authority/community health
services will be amending chapter 182-20 WAC to incorporate health
care collaborative grant program.
The legislature created a new
program - health care collaborative
grant program and appropriated
funds in 2005-2007 biennium for
initial funding and allocation of the
second half of the funds in 2008.
The proposed rule will establish
requirements to develop a new grant
program for innovative programs
that target employed low-income
persons who are uninsured and
underinsured, through local
programs addressing one or more of
the following: a. Access to medical treatment. b. Efficient use of health care resources. c. Quality care. Selection criteria, performance measures and annual report will be developed. |
No mandate, but authorized under chapter 67, Laws of 2006. | DOH, DSHS and OIC. Other state and local agencies. |
| 1. November 2006 2. Chapter 182-50 WAC 3. Duane Thurman, (206) 521-2036 |
To be consistent with SSB 5838 (chapter 233, Laws of 2006) health care authority/prescription drug program will amend WAC 182-50-005(9) and 182-50-200 (1)(b) to exempt refills of prescriptions for immunomodulator/antiviral drugs used to treat hepatitis C from therapeutic substitution under WAC 182-50-200. | No mandate, but authorized by SSB 5838 (chapter 233, Laws of 2006). | DSHS, L&I, DOC. |