RCW 70.47.002 Intent—2002 c 2 (Initiative Measure No. 773). It is the intent of the people to improve the health of low-income children and adults by expanding access to basic health care and by reducing tobacco-related and other diseases and illnesses that disproportionately affect low-income persons. [ 2002 c 2 § 1 (Initiative Measure No. […]
RCW 70.47.005 Transfer power, duties, and functions to Washington state health care authority. The powers, duties, and functions of the Washington basic health plan are hereby transferred to the Washington state health care authority. All references to the *administrator of the Washington basic health plan in the Revised Code of Washington shall be construed to […]
RCW 70.47.010 Legislative findings—Purpose—Director to coordinate eligibility. (1)(a) The legislature finds that limitations on access to health care services for enrollees in the state, such as in rural and underserved areas, are particularly challenging for the basic health plan. Statutory restrictions have reduced the options available to the director to address the access needs of […]
RCW 70.47.015 Enrollment—Findings—Intent—Enrollee premium share—Expedited application and enrollment process—Commission for insurance producers. (1) The legislature finds that the basic health plan has been an effective program in providing health coverage for uninsured residents. Further, since 1993, substantial amounts of public funds have been allocated for subsidized basic health plan enrollment. (2) Effective January 1, 1996, […]
RCW 70.47.020 Definitions (as amended by 2011 c 284). As used in this chapter: (1) “Administrator” means the Washington basic health plan administrator, who also holds the position of administrator of the Washington state health care authority. (2) “Health coverage tax credit eligible enrollee” means individual workers and their qualified family members who lose their […]
RCW 70.47.030 Basic health plan trust account—Basic health plan subscription account. (1) The basic health plan trust account is hereby established in the state treasury. Any nongeneral fund-state funds collected for this program shall be deposited in the basic health plan trust account and may be expended without further appropriation. Moneys in the account shall […]
RCW 70.47.040 Basic health plan—Health care authority head to be administrator—Joint operations. (1) The Washington basic health plan is created as a program within the Washington state health care authority. The administrative head and appointing authority of the plan shall be the *administrator of the Washington state health care authority. The *administrator shall appoint a […]
RCW 70.47.050 Rules. The *administrator may promulgate and adopt rules consistent with this chapter to carry out the purposes of this chapter. All rules shall be adopted in accordance with chapter 34.05 RCW. [ 1987 1st ex.s. c 5 § 7.] NOTES: *Reviser’s note: The definition of “administrator” was changed to “director” in RCW 70.47.020 […]
RCW 70.47.060 Powers and duties of administrator—Schedule of services—Premiums, copayments, subsidies—Enrollment. The *administrator has the following powers and duties: (1) To design and from time to time revise a schedule of covered basic health care services, including physician services, inpatient and outpatient hospital services, prescription drugs and medications, and other services that may be necessary […]
RCW 70.47.0601 Income determination—Unemployment compensation. The *administrator shall not count the twenty-five dollar increase paid as part of an individual’s weekly benefit amount as provided in **RCW 50.20.1202 when determining an individual’s gross family income, eligibility, and premium share. [ 2011 c 4 § 18.] NOTES: Reviser’s note: *(1) The definition of “administrator” was changed […]
RCW 70.47.070 Benefits from other coverages not reduced. The benefits available under the basic health plan shall be excess to the benefits payable under the terms of any insurance policy issued to or on the behalf of an enrollee that provides payments toward medical expenses without a determination of liability for the injury. Except where […]
RCW 70.47.080 Enrollment of applicants—Participation limitations. On and after July 1, 1988, the *administrator shall accept for enrollment applicants eligible to receive covered basic health care services from the respective managed health care systems which are then participating in the plan. Thereafter, total subsidized enrollment shall not result in expenditures that exceed the total amount […]
RCW 70.47.090 Removal of enrollees. Any enrollee whose premium payments to the plan are delinquent or who moves his or her residence out of an area served by the plan may be dropped from enrollment status. An enrollee whose premium is the responsibility of the department of social and health services under RCW 70.47.110 may […]
RCW 70.47.100 Participation by a managed health care system—Expiration of subsections. (1) A managed health care system participating in the plan shall do so by contract with the director and shall provide, directly or by contract with other health care providers, covered basic health care services to each enrollee covered by its contract with the […]
RCW 70.47.110 Enrollment of medical assistance recipients. The health care authority may make payments to managed health care systems, as defined in RCW 74.09.522 or in this chapter, on behalf of any person who is a recipient of medical care under chapter 74.09 RCW, up to the maximum rate allowable for federal matching purposes under […]
RCW 70.47.115 Enrollment of persons in timber impact areas. (1) The *administrator, when specific funding is provided and where feasible, shall make the basic health plan available in timber impact areas. The *administrator shall prioritize making the plan available under this section to the timber impact areas meeting the following criteria, as determined by the […]
RCW 70.47.120 Administrator—Contracts for services. In addition to the powers and duties specified in RCW 70.47.040 and 70.47.060, the *administrator has the power to enter into contracts for the following functions and services: (1) With public or private agencies, to assist the *administrator in her or his duties to design or revise the schedule of […]
RCW 70.47.130 Exemption from insurance code. (1) The activities and operations of the Washington basic health plan under this chapter, including those of managed health care systems to the extent of their participation in the plan, are exempt from the provisions and requirements of Title 48 RCW except: (a) Benefits as provided in RCW 70.47.070; […]
RCW 70.47.140 Reservation of legislative power. The legislature reserves the right to amend or repeal all or any part of this chapter at any time and there shall be no vested private right of any kind against such amendment or repeal. All the rights, privileges, or immunities conferred by this chapter or any acts done […]
RCW 70.47.150 Confidentiality. Notwithstanding the provisions of chapter 42.56 RCW, (1) records obtained, reviewed by, or on file with the plan containing information concerning medical treatment of individuals shall be exempt from public inspection and copying; and (2) actuarial formulas, statistics, and assumptions submitted in support of a rate filing by a managed health care […]
