HOUSE BILL REPORT
HB 1690
As Passed House:
March 11, 2005
Title: An act relating to the applicability of certain taxes and assessments to state funded health care services.
Brief Description: Regarding the applicability of certain taxes and assessments to state funded health care services.
Sponsors: By Representatives Cody and Moeller.
Brief History:
Finance: 3/3/05, 3/7/05 [DP].
Floor Activity:
Passed House: 3/11/05, 93-0.
Brief Summary of Bill |
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HOUSE COMMITTEE ON FINANCE
Majority Report: Do pass. Signed by 8 members: Representatives McIntire, Chair; Hunter, Vice Chair; Orcutt, Ranking Minority Member; Roach, Assistant Ranking Minority Member; Conway, Ericksen, Hasegawa and Santos.
Staff: Rick Peterson (786-7150).
Background:
A health maintenance organization (HMO) is an organization that provides comprehensive
health care to enrolled participants through a group medical practice and charges per capita
prepayments. Group Health Cooperative is an example of an HMO. A health care service
contractor (HCSC) is an organization that provides health care in exchange for prepayments,
but is organized differently than HMOs or insurance companies. Blue Cross affiliates are
examples of HCSCs.
Every year HMOs and HCSCs are required to pay 2 percent of all premiums and prepayments
for health care services to the Office of the Insurance Commissioner. The funds collected are
deposited in the Health Services Account. The Health Services Account is an appropriated
account that may be used for purposes related to access to health services for low-income
residents; the public health system; maintenance and expansion of the capacity of the health
care system; the containment of health care costs; and the regulation and administration of
the health care system.
The Washington State Health Insurance Pool (WSHIP) is an entity established in statute to
provide comprehensive health insurance to persons who, due to their health status, are unable
to obtain coverage through the private market. Enrollees' premiums are capped, and losses in
the pool are made up through an assessment charged all health carriers in the state. The
assessment for a health care carrier is based on the ratio of the number of persons insured by
the carrier to the total number of persons insured by all carriers.
General Assistance - Unemployable (GA-U) is a state-funded program that provides cash and
medical benefits for individuals who are physically and/or mentally incapacitated and
unemployable.
Summary of Bill:
Exemptions from the 2 percent health care premiums and prepayments tax are created for
repayments received from Washington State for health services under the GA-U program and
health services under a demonstration or pilot medicaid program for elderly or disabled
persons.
Health plans that provide health services under the GA-U program or health services under a
demonstration or pilot medicaid program for elderly or disabled persons are exempt from
Washington State Health Insurance Pool assessments.
Appropriation: None.
Fiscal Note: Available.
Effective Date: The bill takes effect 90 days after adjournment of session in which bill is passed.
Testimony For: The state is having problems providing health care. It is a big challenge to determine how to provide the best care. The state is trying to move disabled clients into managed care programs. The state is paying for the programs and so is paying the tax. The bill will further efforts to design a program that better meets the health needs of the elderly and disabled. The state is using managed care providers as a means to control cost and make expenditures more predictable. These programs offer cost savings to the state. The premium tax and the assessments are not built into the rate the state pays for these programs.
Testimony Against: None.
Persons Testifying: Representative Cody, prime sponsor; MaryAnne Lindeblad, Department of Social and Health Services, Medical Assistance Administration; and Julie Johnston and Cassandra Undlin, Evercare.