6199-S2 AMS DECC ANDE 005

2SSB 6199 - S AMD - 019

    By Senator Deccio

                                               NOT ADOPTED 1/26/00

    On page 7, after line 7 , strike all of subsection (2) and insert the following:

    "(2) The commissioner may adopt, in rule, standards for this section. To the extent consistent with Washington state law, the commissioner shall align such rules with standards of nationally recognized and impartial accrediting organizations, such as the National Committee for Quality Assurance (NCQA) or other accrediting or certifying bodies recognized by the commissioner to be competent in accrediting health carriers in the area of utilization review and state agencies that purchase managed health care services.

    Renumber the sections consecutively and correct any internal references accordingly.

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EFFECT: Allows the OIC to adopt rules on health care decision making and utilization review.  If rules are adopted they must that align with standards from nationally recognized accrediting bodies.

    Gives the OIC the authority to choose other UR accrediting bodies.

    Controls the cost of the bill by giving the OIC the option to adopt     rules should they be necessary.