2SSB 5958 -
By Senator Jacobsen
NOT ADOPTED 03/09/2007
On page 8, after line 22 of the amendment, insert the following:
"Sec. 14 RCW 48.14.0201 and 2005 c 405 s 1, 2005 c 223 s 6, and
2005 c 7 s 1 are each reenacted and amended to read as follows:
(1) As used in this section, "taxpayer" means a health maintenance
organization as defined in RCW 48.46.020, a health care service
contractor as defined in RCW 48.44.010, a direct practice as defined in
section 3 of this act, or a self-funded multiple employer welfare
arrangement as defined in RCW 48.125.010.
(2) Each taxpayer shall pay a tax on or before the first day of
March of each year to the state treasurer through the insurance
commissioner's office. The tax shall be equal to the total amount of
all premiums and prepayments for health care services received by the
taxpayer during the preceding calendar year multiplied by the rate of
two percent.
(3) Taxpayers shall prepay their tax obligations under this
section. The minimum amount of the prepayments shall be percentages of
the taxpayer's tax obligation for the preceding calendar year
recomputed using the rate in effect for the current year. For the
prepayment of taxes due during the first calendar year, the minimum
amount of the prepayments shall be percentages of the taxpayer's tax
obligation that would have been due had the tax been in effect during
the previous calendar year. The tax prepayments shall be paid to the
state treasurer through the commissioner's office by the due dates and
in the following amounts:
(a) On or before June 15, forty-five percent;
(b) On or before September 15, twenty-five percent;
(c) On or before December 15, twenty-five percent.
(4) For good cause demonstrated in writing, the commissioner may
approve an amount smaller than the preceding calendar year's tax
obligation as recomputed for calculating the health maintenance
organization's, health care service contractor's, self-funded multiple
employer welfare arrangement's, or certified health plan's prepayment
obligations for the current tax year.
(5) Moneys collected under this section shall be deposited in the
general fund through March 31, 1996, and in the health services account
under RCW 43.72.900 after March 31, 1996.
(6) The taxes imposed in this section do not apply to:
(a) Amounts received by any taxpayer from the United States or any
instrumentality thereof as prepayments for health care services
provided under Title XVIII (medicare) of the federal social security
act.
(b) Amounts received by any taxpayer from the state of Washington
as prepayments for health care services provided under:
(i) The medical care services program as provided in RCW 74.09.035;
(ii) The Washington basic health plan on behalf of subsidized
enrollees as provided in chapter 70.47 RCW; or
(iii) The medicaid program on behalf of elderly or disabled clients
as provided in chapter 74.09 RCW when these prepayments are received
prior to July 1, 2009, and are associated with a managed care contract
program that has been implemented on a voluntary demonstration or pilot
project basis.
(c) Amounts received by any health care service contractor, as
defined in RCW 48.44.010, as prepayments for health care services
included within the definition of practice of dentistry under RCW
18.32.020.
(d) Participant contributions to self-funded multiple employer
welfare arrangements that are not taxable in this state.
(7) Beginning January 1, 2000, the state does hereby preempt the
field of imposing excise or privilege taxes upon taxpayers and no
county, city, town, or other municipal subdivision shall have the right
to impose any such taxes upon such taxpayers. This subsection shall be
limited to premiums and payments for health benefit plans offered by
health care service contractors under chapter 48.44 RCW, health
maintenance organizations under chapter 48.46 RCW, direct practices as
defined in section 3 of this act, and self-funded multiple employer
welfare arrangements as defined in RCW 48.125.010. The preemption
authorized by this subsection shall not impair the ability of a county,
city, town, or other municipal subdivision to impose excise or
privilege taxes upon the health care services directly delivered by the
employees of a health maintenance organization under chapter 48.46 RCW.
(8)(a) The taxes imposed by this section apply to a self-funded
multiple employer welfare arrangement only in the event that they are
not preempted by the employee retirement income security act of 1974,
as amended, 29 U.S.C. Sec. 1001 et seq. The arrangements and the
commissioner shall initially request an advisory opinion from the
United States department of labor or obtain a declaratory ruling from
a federal court on the legality of imposing state premium taxes on
these arrangements. Once the legality of the taxes has been
determined, the multiple employer welfare arrangement certified by the
insurance commissioner must begin payment of these taxes.
(b) If there has not been a final determination of the legality of
these taxes, then beginning on the earlier of (i) the date the fourth
multiple employer welfare arrangement has been certified by the
insurance commissioner, or (ii) April 1, 2006, the arrangement shall
deposit the taxes imposed by this section into an interest bearing
escrow account maintained by the arrangement. Upon a final
determination that the taxes are not preempted by the employee
retirement income security act of 1974, as amended, 29 U.S.C. Sec. 1001
et seq., all funds in the interest bearing escrow account shall be
transferred to the state treasurer.
(9) The effect of transferring contracts for health care services
from one taxpayer to another taxpayer is to transfer the tax prepayment
obligation with respect to the contracts.
(10) On or before June 1st of each year, the commissioner shall
notify each taxpayer required to make prepayments in that year of the
amount of each prepayment and shall provide remittance forms to be used
by the taxpayer. However, a taxpayer's responsibility to make
prepayments is not affected by failure of the commissioner to send, or
the taxpayer to receive, the notice or forms."
2SSB 5958 -
By Senator Jacobsen
NOT ADOPTED 03/09/2007
On page 8, line 24 of the title amendment, after "48.44.010;" insert "reenacting and amending RCW 48.14.0201;"
EFFECT: Requires direct practices to also pay the premium tax.