WSR 99-15-098

PREPROPOSAL STATEMENT OF INQUIRY

HEALTH CARE AUTHORITY


(Basic Health Plan)

[ Order 99-06-- Filed July 21, 1999, 11:34 a.m. ]

Subject of Possible Rule Making: Revise WAC 182-25-010, 182-25-030, 182-25-040, and 182-25-090 to allow the agency to close nonsubsidized enrollment and for transitional coverage for basic health enrollees who lose eligibility for premium subsidy.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 70.47.050, 70.47.060.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Rule revisions are needed because of a possible decrease in the number of health plans participating in basic health's nonsubsidized program for plan year 2000. Basic health may need to limit new nonsubsidized enrollment in areas where no health plan (managed health care system) has contracted to accept new members, or disenroll current nonsubsidized members in areas where no health plan is available. The proposed revisions would enable Basic Health to limit or close nonsubsidized enrollment. The revisions would also enable current subsidized enrollees who lose eligibility for a premium subsidy to continue their coverage and remain with their current health plan through the end of the plan year if they pay the full cost of their coverage.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: No other state or federal agencies regulate this subject.

Process for Developing New Rule: Stakeholder mailings and public hearing.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Rosanne Reynolds (L3), Basic Health Plan, P.O. Box 42683, Olympia, WA 98504-2683, phone (360) 923-2948, fax (360) 412-4276.

July 21, 1999

Elin Meyer

Rules Coordinator

Washington State Code Reviser's Office