Technical Assistance Advisory
Subject: Application of RCW 48.43.115.
RCW 48.43.115, otherwise known as the Erin Act, does recognize the role of health-care providers as the appropriate authority to determine and establish the delivery of quality health-care services to maternity patients and their newly born children. RCW 48.43.115 (3)(a) through (e) allows for such decisions on delivery and quality of health-care services to be made by the attending provider, in consultation with the mother.
RCW 48.43.115 (3)(f) provides that when the mother's coverage under the plan has maternity benefits, the newborn will receive three weeks of coverage under the plan whether ultimately enrolled in the plan or not.
Some providers have taken the position that the three weeks of coverage for a newborn was contingent upon enrollment of the child in the plan and the purchase of coverage within sixty days of birth pursuant to RCW 48.44.212(2). While ultimate enrollment of the newborn for future care may be an option available to the mother, the initial three weeks of coverage of the newborn is automatic.