AGENDA
Melodie Bankers, Rules Coordinator, (360) 923-2728
July 31, 2003, Semi-Annual Rule-Making Agenda
| Approximate Preproposal | ||||
| 1. 2. 3. |
Date Subject Area Contact/Telephone Number |
Purpose of the Rule Why is this Significant? |
Rule(s) Mandate |
Other Agencies who may have Interest in the Subject of Rule(s) |
| 1. 2. 3. |
Winter 2003-4 Prescription drug programs Duane Thurman, (206) 521-2036 |
Required to implement interagency prescription drug project and effectuate SB 6088. | DSHS/MAA, L&I | |
| 1. 2. 3. |
September 2003 Recoupment of subsidy overpayment Rosanne Reynolds, (360) 923-2948 |
Define criteria for approving extended payment schedules for Basic Health members who are billed for a subsidy overpayment. | No mandate | Department of Social and Health Services |
| 1. 2. 3. |
November 2003 Twelve month wait to reenroll after disenrollment Rosanne Reynolds, (360) 923-2948 |
Revise rules that require former members who are disenrolled from Basic Health to wait at least twelve months before reenrolling. | No mandate | Department of Social and Health Services |
| 1. 2. 3. |
September 2003 Limitations on award Bob Blacksmith, (360) 923-2755 |
Limitations on award per chapter 25, Laws of 2003, E1 for nonprofit community clinics funded under the community health services program. | Chapter 25, Laws of 2003, E1 | None |
| 1. 2. 3. |
July 2003 PEBB program Barbara Scott, (360) 923-2642 |
HCA plans to review and possibly amend sections of chapters 182-08 and 182-12 WAC for clarity and to update procedures and requirements. | No mandate | State agencies, state institutions of higher education, state K-12 school districts |
| 1. 2. 3. |
CR-102 (AO #02-07) filed June 18,
2003 Chapters 182-08 and 182-12 WAC Barbara Scott, (360) 923-2642 |
HCA completed an annual review of chapters 182-08 and 182-12 WAC and filed proposed amendments to clarify eligibility rules affecting PEBB-sponsored coverage for active and retired public employees. | No mandate | State agencies, state institutions of higher education, state K-12 school districts and state political subdivisions that participate in the PEBB program. |
| Proposed amendments to chapter 182-08 WAC will clarify employee enrollment options, the consequences for late payment of employer or member premium payment, the member's responsibility for reporting eligibility changes and the HCA's policy for refunding premium payments. | No mandate | |||
| Proposed amendments to WAC 182-12-111 effectuate statutory changes passed by the 2003 legislature, affecting health care premium cost sharing between K-12 school districts or educational service districts and their employees who participate in the PEBB-sponsored benefit program. | Chapter 158, Laws of 2003 | |||
| Proposed amendments to WAC 182-12-117 will clarify retiree enrollment election and premium payment requirements and clarify the retiree's responsibility for providing requested information such as would affect their and/or their dependents eligibility. | No mandate | |||
| Proposed amendments to WAC 182-12-119 simplify the eligibility for dependent children, making it less of an administrative burden for the member and produces efficiency for the HCA. | No mandate | |||
| Proposed amendment to WAC 182-12-132 will modify retiree eligibility to allow for deferral or waiving of enrollment in PEBB retiree coverage while the member is enrolled in retirement coverage through their and/or their spouses employer. | No mandate | |||
Melodie Bankers
Rules Coordinator