H-2272.1 _______________________________________________
HOUSE BILL 2223
_______________________________________________
State of Washington 55th Legislature 1997 Regular Session
By Representatives Dyer and Backlund
Read first time 02/27/97. Referred to Committee on Health Care.
AN ACT Relating to health plan requirements; and amending RCW 48.43.045.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
Sec. 1. RCW 48.43.045 and 1995 c 265 s 8 are each amended to read as follows:
(1)
Effective January 1, 1998, every health plan delivered, issued for
delivery, or renewed by a health carrier ((on and after January 1, 1996))
in compliance with the model basic health plan benefits package, as required
by RCW 70.47.060(2)(d), shall:
(((1)))
(a) Permit every category of health care provider to provide health
services or care for conditions included in the model basic health plan
((services)) benefits package, as required by RCW 70.47.060(2)(d),
to the extent that:
(((a)))
(i) The provision of such health services or care is within the health
care providers' permitted scope of practice; and
(((b)))
(ii) The providers agree to abide by standards related to:
(((i)))
(A) Provision, utilization review, and cost containment of health
services;
(((ii)))
(B) Management and administrative procedures; and
(((iii)))
(C) Provision of cost-effective and clinically efficacious health
services.
(2) Effective January 1, 1998, every health carrier shall annually report the names and addresses of all officers, directors, or trustees of the health carrier during the preceding year, and the amount of wages, expense reimbursements, or other payments to such individuals.
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