Revised Code of Washington - RCW Title 41 Public Employment, Civil Service, And Pensions - Chapter 41.05 State Health Care Authority

41.05.006 Purpose
(1) The legislature recognizes that (a) the state is a major purchaser of health care services, (b) the increasing costs of such health care services ...

41.05.008 Duties of employing agencies
(1) Every employing agency shall fully cooperate with the authority and shall carry out all actions necessary for the operation of benefit plans, education of ...

41.05.011 Definitions
Unless the context clearly requires otherwise, the definitions in this section shall apply throughout this chapter. (1) "Administrator" means the administrator of the authority. (2) ...

41.05.013 State purchased health care programs -- Uniform policies -- Report to the legislature
(1) The authority shall coordinate state agency efforts to develop and implement uniform policies across state purchased health care programs that will ensure prudent, cost-effective ...

41.05.015 Medical director
The administrator shall designate a medical director who is licensed under chapter 18.57 or 18.71 RCW.[2000 c 5 § 16.]Notes: Intent -- Purpose -- 2000 ...

41.05.017 Provisions applicable to health plans offered under this chapter
Each health plan that provides medical insurance offered under this chapter, including plans created by insuring entities, plans not subject to the provisions of Title ...

41.05.021 State health care authority -- Administrator--Cost control and delivery strategies--Health information technology -- Managed competition
(1) The Washington state health care authority is created within the executive branch. The authority shall have an administrator appointed by the governor, with the ...

41.05.022 State agent for purchasing health services--Single community-rated risk pool
(1) The health care authority is hereby designated as the single state agent for purchasing health services. (2) On and after January 1, 1995, at ...

41.05.023 Chronic care management program -- Uniform medical plan -- Definitions
(1) The health care authority, in collaboration with the department of health, shall design and implement a chronic care management program for state employees enrolled ...

41.05.026 Contracts -- Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data -- Exemption from public inspection -- Executive sessions
(1) When soliciting proposals for the purpose of awarding contracts for goods or services, the administrator shall, upon written request by the bidder, exempt from ...

41.05.029 Washington state quality forum -- Established -- Duties
The Washington state quality forum is established within the authority. In collaboration with the Puget Sound health alliance and other local organizations, the forum shall: ...

41.05.031 Agencies to establish health care information systems
The following state agencies are directed to cooperate with the authority to establish appropriate health care information systems in their programs: The department of social ...

41.05.033 Shared decision-making demonstration project -- Preference-sensitive care
(1) The legislature finds that there is growing evidence that, for preference-sensitive care involving elective surgery, patient-practitioner communication is improved through the use of high-quality ...

41.05.035 Exchange of health information -- Pilot -- Advisory board, discretionary -- Administrator's authority
(1) The administrator shall design and pilot a consumer-centric health information infrastructure and the first health record banks that will facilitate the secure exchange of ...

41.05.037 Nurse hotline, when funded
To the extent that sufficient funding is provided specifically for this purpose, the administrator, in collaboration with the department of social and health services, shall ...

41.05.050 Contributions for employees and dependents
(1) Every department, division, or separate agency of state government, and such county, municipal, school district, educational service district, or other political subdivisions as are ...

41.05.053 Community and technical colleges -- Part-time academic employees -- Continuous health care eligibility -- Employer contributions
(1) Part-time academic employees, as defined in RCW 28B.50.489, who have established eligibility as determined from the payroll records of the employing community or technical ...

41.05.055 Public employees' benefits board -- Members
(1) The public employees' benefits board is created within the authority. The function of the board is to design and approve insurance benefit plans for ...

41.05.065 Public employees' benefits board -- Duties
(1) The board shall study all matters connected with the provision of health care coverage, life insurance, liability insurance, accidental death and dismemberment insurance, and ...

41.05.066 Same sex domestic partner benefits
A certificate of domestic partnership issued to a couple of the same sex under the provisions of RCW 26.60.030 shall be recognized as evidence of ...

41.05.068 Federal employer incentive program -- Authority to participate
The authority may participate as an employer-sponsored program established in section 1860D-22 of the medicare prescription drug, improvement, and modernization act of 2003, P.L. 108-173 ...

41.05.075 Employee benefit plans -- Contracts with insuring entities -- Performance measures -- Financial incentives -- Health information technology
(1) The administrator shall provide benefit plans designed by the board through a contract or contracts with insuring entities, through self-funding, self-insurance, or other methods ...

41.05.080 Participation in insurance plans and contracts -- Retired, disabled, or separated employees -- Certain surviving spouses and dependent children
(1) Under the qualifications, terms, conditions, and benefits set by the board: (a) Retired or disabled state employees, retired or disabled school employees, or employees ...

41.05.085 Retired or disabled school employee health insurance subsidy
(1) Beginning with the appropriations act for the 2005-2007 biennium, the legislature shall establish as part of both the state employees' and the school and ...

41.05.090 Continuation of coverage of employee, spouse, or covered dependent ineligible under state plan -- Exceptions
(1) When an employee, spouse, or covered dependent becomes ineligible under the state plan and wishes to continue coverage on an individual basis with the ...

41.05.095 Unmarried dependents under the age of twenty-five
(1) Any plan offered to employees under this chapter must offer each employee the option of covering any unmarried dependent of the employee under the ...

41.05.100 Chapter not applicable to certain employees of Cooperative Extension Service
The provisions of this chapter shall not be applicable to any employee of the Washington State University Cooperative Extension Service who holds a federal civil ...

41.05.110 Chapter not applicable to officers and employees of state convention and trade center
The provisions of this chapter shall not be applicable to the officers and employees of the nonprofit corporation formed under chapter 67.40 RCW.[1984 c 210 ...

41.05.120 Public employees' and retirees' insurance account
(1) The public employees' and retirees' insurance account is hereby established in the custody of the state treasurer, to be used by the administrator for ...

41.05.123 Medical flexible spending account
(1) The medical flexible spending account is created in the custody of the state treasurer. All receipts from the following must be deposited in the ...

41.05.130 State health care authority administrative account
The state health care authority administrative account is hereby created in the state treasury. Moneys in the account, including unanticipated revenues under RCW 43.79.270, may ...

41.05.140 Payment of claims -- Self-insurance--Insurance reserve funds created
(1) Except for property and casualty insurance, the authority may self-fund, self-insure, or enter into other methods of providing insurance coverage for insurance programs under ...

41.05.143 Uniform medical plan benefits administration account -- Uniform dental plan benefits administration account -- Public employees' benefits board medical benefits administration account
(1) The uniform medical plan benefits administration account is created in the custody of the state treasurer. Only the administrator or the administrator's designee may ...

41.05.160 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 ...

41.05.165 Rules -- Insurance benefit reimbursement
The authority shall adopt rules that provide for members of the legislature who choose reimbursement under RCW 44.04.230 in lieu of insurance benefits under this ...

41.05.170 Neurodevelopmental therapies -- Employer-sponsored group contracts
(1) Each health plan offered to public employees and their covered dependents under this chapter which is not subject to the provisions of Title 48 ...

41.05.177 Prostate cancer screening -- Required coverage
(1) Each plan offered to public employees and their covered dependents under this chapter that is not subject to the provisions of Title 48 RCW ...

41.05.180 Mammograms -- Insurance coverage
Each health plan offered to public employees and their covered dependents under this chapter that is not subject to the provisions of Title 48 RCW ...

41.05.183 General anesthesia services for dental procedures--Public employee benefit plans
(1) Each employee benefit plan offered to public employees that provides coverage for hospital, medical, or ambulatory surgery center services must cover general anesthesia services ...

41.05.185 Diabetes benefits -- State-purchased health care
The legislature finds that diabetes imposes a significant health risk and tremendous financial burden on the citizens and government of the state of Washington, and ...

41.05.195 Medicare supplemental insurance policies
Notwithstanding any other provisions of this chapter or rules or procedures adopted by the authority, the authority shall make available to retired or disabled employees ...

41.05.197 Medicare supplemental insurance policies
The medicare supplemental insurance policies authorized under RCW 41.05.195 shall be made available to any resident of the state who: (1) Is enrolled in parts ...

41.05.205 Tricare supplemental insurance policy -- Authority to offer -- Rules
(1) Notwithstanding any other provisions of this chapter or rules or procedures adopted by the authority under this chapter, the authority may make available a ...

41.05.220 Community and migrant health centers--Maternity health care centers--People of color--Underserved populations
(1) State general funds appropriated to the department of health for the purposes of funding community health centers to provide primary health and dental care ...

41.05.225 Blind licensees in the business enterprises program -- Plan of health insurance
(1) The board shall offer a plan of health insurance to blind licensees who are actively operating facilities and participating in the business enterprises program ...

41.05.230 Multicultural health care technical assistance program
(1) Consistent with funds appropriated specifically for this purpose, the authority shall provide matching grants to support community-based multicultural health care technical assistance programs. The ...

41.05.240 American Indian health care delivery plan
[1993 c 492 § 468.] Recodified as RCW 43.70.590 pursuant to 1995 c 43 § 5; and also repealed by 1995 1st sp.s. c 6 ...

41.05.280 Department of corrections -- Inmate health care
The department of corrections shall consult with the state health care authority to identify how the department of corrections shall develop a working plan to ...

41.05.295 Dependent care assistance program -- Health care authority -- Powers, duties, and functions
(1) All powers, duties, and functions of the department of retirement systems pertaining to the dependent care assistance program are transferred to the health care ...

41.05.300 Benefits contribution plan -- Authorized
(1) The state of Washington may enter into benefits contribution plans with employees of the state pursuant to the internal revenue code, 26 U.S.C. Sec. ...

41.05.310 Benefits contribution plan -- Policies and procedures -- Plan document
The authority shall have responsibility for the formulation and adoption of a plan, policies, and procedures designed to guide, direct, and administer the benefits contribution ...

41.05.320 Benefits contribution plan -- Eligibility -- Participation, withdrawal
(1) Elected officials and all permanent employees of the state are eligible to participate in the benefits contribution plan and contribute amount(s) by agreement with ...

41.05.330 Benefits contribution plan -- Accounts and records
The authority shall keep or cause to be kept full and adequate accounts and records of the assets, obligations, transactions, and affairs of a benefits ...

41.05.340 Benefits contribution plan -- Termination -- Amendment
(1) The state may terminate the benefits contribution plan at the end of the plan year or upon notification of federal action affecting the status ...

41.05.350 Benefits contribution plan -- Rules
The authority shall adopt rules necessary to implement RCW 41.05.300 through 41.05.340.[1995 1st sp.s. c 6 § 16.]Notes: Effective date -- 1995 1st sp.s. c ...

41.05.360 Benefits contribution plan -- Construction
RCW 41.05.300 through 41.05.350 shall be construed to effectuate the purposes of 26 U.S.C. Sec. 125 and other applicable sections of the internal revenue code ...

41.05.400 Plan of health care coverage -- Available funds -- Components -- Eligibility -- Administrator's duties
(1) The administrator shall design and offer a plan of health care coverage as described in subsection (2) of this section, for any person eligible ...

41.05.500 Prescription drug price discounts -- Eligibility -- Penalty -- Enrollment fee
(1) In negotiating price discounts with prescription drug manufacturers for state purchased health care programs, the health care authority shall also negotiate such discounts for ...

41.05.510 Prescription drug purchasing account
The consolidated prescription drug purchasing account is created in the custody of the state treasurer. All fees collected under RCW 41.05.500(3) shall be deposited into ...

41.05.520 Pharmacy connection program -- Notice
(1) The administrator shall establish and advertise a pharmacy connection program through which health care providers and members of the public can obtain information about ...

41.05.530 Prescription drug assistance, education -- Rules
The authority may adopt rules to implement chapter 29, Laws of 2003 1st sp. sess.[2003 1st sp.s. c 29 § 10.]Notes: Finding -- Intent -- ...

41.05.540 State employee health program -- Requirements -- Report
(1) The health care authority, in coordination with the department of health, health plans participating in public employees' benefits board programs, and the University of ...

41.05.541 State employee health demonstration project -- Required elements -- Reports
(1) The health care authority through the state employee health program shall implement a state employee health demonstration project. The agencies selected must: (a) Show ...

41.05.550 Prescription drug assistance foundation -- Nonprofit and tax-exempt corporation -- Liability
(1) The definitions in this subsection apply throughout this section unless the context clearly requires otherwise. (a) "Federal poverty level" means the official poverty level ...

41.05.600 Mental health services -- Definition -- Coverage required, when
(1) For the purposes of this section, "mental health services" means medically necessary outpatient and inpatient services provided to treat mental disorders covered by the ...

41.05.601 Mental health services -- Rules
The administrator may adopt rules to implement RCW 41.05.600.[2005 c 6 § 12.]Notes: Findings -- Intent -- Severability -- 2005 c 6: See notes following ...

41.05.900 Short title
This chapter shall be known as the Washington state health care reform act of 1988.[1988 c 107 § 1.] ...

41.05.901 Implementation -- Effective dates -- 1988 c 107
(1) The state health care authority shall be established and shall take such steps as are necessary to ensure that this act is fully implemented ...