ESHB 1220 -
By Senators Parlette, Sheldon
OUT OF ORDER 04/07/2011
On page 2, after line 32 of the amendment, insert the following:
"Sec. 2 RCW 48.43.041 and 2000 c 79 s 26 are each amended to read
as follows:
(1) All individual health benefit plans, other than catastrophic
health plans((, offered or renewed on or after October 1, 2000)) and
plans for young adults described in subsection (3) of this section,
shall include benefits described in this section. Nothing in this
section shall be construed to require a carrier to offer an individual
health benefit plan.
(a) Maternity services that include, with no enrollee cost-sharing
requirements beyond those generally applicable cost-sharing
requirements: Diagnosis of pregnancy; prenatal care; delivery; care
for complications of pregnancy; physician services; hospital services;
operating or other special procedure rooms; radiology and laboratory
services; appropriate medications; anesthesia; and services required
under RCW 48.43.115; and
(b) Prescription drug benefits with at least a two thousand dollar
benefit payable by the carrier annually.
(2) If a carrier offers a health benefit plan that is not a
catastrophic health plan to groups, and it chooses to offer a health
benefit plan to individuals, it must offer at least one health benefit
plan to individuals that is not a catastrophic health plan.
(3) Carriers may design and offer a separate health plan targeted
at young adults between nineteen and thirty-four years of age. The
plan may include the benefits required under subsections (1) and (2) of
this section but is not required to include these benefits. The health
plan designed for young adults is exempt from the requirements of RCW
48.43.045(1), 48.43.515(5), 48.44.327, 48.20.392, 48.46.277, 48.43.043,
48.20.580, 48.21.241, 48.44.341, and 48.46.291."
ESHB 1220 -
By Senators Parlette, Sheldon
OUT OF ORDER 04/07/2011
On page 3, line 2 of the title amendment, after "48.02.120" insert "and 48.43.041"
EFFECT: Allows carriers to offer a young adult policy with a limited number of mandates.