CERTIFICATION OF ENROLLMENT

SUBSTITUTE SENATE BILL 5313

56th Legislature

1999 Regular Session

Passed by the Senate March 16, 1999

YEAS 48 NAYS 0

President of the Senate

Passed by the House April 8, 1999

YEAS 96 NAYS 0

CERTIFICATE

I, Tony M. Cook, Secretary of the Senate of the State of Washington, do hereby certify that the attached is SUBSTITUTE SENATE BILL 5313 as passed by the Senate and the House of Representatives on the dates hereon set forth.

Speaker of the

House of Representatives

Secretary

Speaker of the

House of Representatives

Approved

FILED

Governor of the State of Washington

Secretary of State

State of Washington

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SUBSTITUTE SENATE BILL 5313

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Passed Legislature - 1999 Regular Session

State of Washington 56th Legislature 1999 Regular Session

By Senate Committee on Health & Long‑Term Care (originally sponsored by Senators Wojahn, Zarelli, Thibaudeau, Deccio and Winsley)

Read first time 03/03/1999.

AN ACT Relating to the scope of mental health record audits; and adding a new section to chapter 48.43 RCW.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

NEW SECTION. Sec. 1. A new section is added to chapter 48.43 RCW to read as follows:

Every health carrier that provides coverage for any outpatient mental health service shall comply with the following requirements:

(1) In performing a utilization review of mental health services for a specific enrollee, the utilization review is limited to accessing only the specific health care information contained in the enrollee's record.

(2) In performing an audit of a provider that has furnished mental health services to a carrier's enrollees, the audit is limited to accessing only the records of enrollees covered by the specific health carrier for which the audit is being performed, except as otherwise permitted by RCW 70.02.050 and 71.05.630.