reglab/housing_qa huggingface dataset:
WA Rev Code § 70.47.040 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.040 - Basic health plan—Health care authority head to be administrator—Joint operations.

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 medical director. The medical director and up to five other employees of the plan shall be exempt from the civil service law, chapter 41.06 RCW.(2) The *administrator shall employ such other staff as are necessary to fulfill the responsibilities and duties of the *administrator, such staff to be subject to the civil service law, chapter 41.06 RCW. In addition, the *administrator may contract with third parties for services necessary to carry out its activities where this will promote economy, avoid duplication of effort, and make best use of available expertise. Any such contractor or consultant shall be prohibited from releasing, publishing, or otherwise using any information made available to it under its contractual responsibility without specific permission of the plan. The *administrator may call upon other agencies of the state to provide available information as necessary to assist the *administrator in meeting its responsibilities under this chapter, which information shall be supplied as promptly as circumstances permit.(3) The *administrator may appoint such technical or advisory committees as he or she deems necessary.(4) The *administrator may apply for, receive, and accept grants, gifts, and other payments, including property and service, from any governmental or other public or private entity or person, and may make arrangements as to the use of these receipts, including the undertaking of special studies and other projects relating to health care costs and access to health care.(5) Whenever feasible, the *administrator shall reduce the administrative cost of operating the program by adopting joint policies or procedures applicable to both the basic health plan and employee health plans.[ 2010 1st sp.s. c 7 § 7; 1993 c 492 § 211; 1987 1st ex.s. c 5 § 6.]NOTES:*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.Effective date—2010 1st sp.s. c 26; 2010 1st sp.s. c 7: See note following RCW 43.03.027.Findings—Intent—1993 c 492: See notes following RCW 43.20.050.Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
WA Rev Code § 70.47.050 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.050 - Rules.

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 by 2011 1st sp.s. c 15 § 83.
WA Rev Code § 70.47.0601 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.0601 - Income determination—Unemployment compensation.

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 to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.**(2) RCW 50.20.1202 was repealed by 2021 c 2 § 27.Effective date—2011 c 4 §§ 1-6 and 16-21: See note following RCW 50.20.120.Conflict with federal requirements—2011 c 4: See note following RCW 50.29.021.
WA Rev Code § 70.47.070 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.070 - Benefits from other coverages not reduced.

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 in conflict with federal or state law, the benefits of any other health plan or insurance which covers an enrollee shall be determined before the benefits of the basic health plan. The *administrator shall require that managed health care systems conduct and report on coordination of benefits activities as provided under this section.[ 2009 c 568 § 4; 1987 1st ex.s. c 5 § 9.]NOTES:*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.
WA Rev Code § 70.47.080 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.080 - Enrollment of applicants—Participation limitations.

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 that has been made available by the legislature in any act appropriating funds to the plan. To the extent that new funding is appropriated for expansion, the *administrator shall endeavor to secure participation contracts from managed health care systems in geographic areas of the state that are unserved by the plan at the time at which the new funding is appropriated. In the selection of any such areas the *administrator shall take into account the levels and rates of unemployment in different areas of the state, the need to provide basic health care coverage to a population reasonably representative of the portion of the state's population that lacks such coverage, and the need for geographic, demographic, and economic diversity.The *administrator shall at all times closely monitor growth patterns of enrollment so as not to exceed that consistent with the orderly development of the plan as a whole, in any area of the state or in any participating managed health care system. The annual or biennial enrollment limitations derived from operation of the plan under this section do not apply to nonsubsidized enrollees as defined in **RCW 70.47.020(5).[ 1993 c 492 § 213; 1987 1st ex.s. c 5 § 10.]NOTES:Reviser's note: *(1) The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.**(2) RCW 70.47.020 was amended by 2011 1st sp.s. c 9 § 3, changing subsection (5) to subsection (6).Findings—Intent—1993 c 492: See notes following RCW 43.20.050.Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
WA Rev Code § 70.47.090 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.090 - Removal of enrollees.

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 not be dropped solely because of nonpayment by the department. The *administrator shall provide delinquent enrollees with advance written notice of their removal from the plan and shall provide for a hearing under chapters 34.05 and 34.12 RCW for any enrollee who contests the decision to drop the enrollee from the plan. Upon removal of an enrollee from the plan, the *administrator shall promptly notify the managed health care system in which the enrollee has been enrolled, and shall not be responsible for payment for health care services provided to the enrollee (including, if applicable, members of the enrollee's family) after the date of notification. A managed health care system may contest the denial of payment for coverage of an enrollee through a hearing under chapters 34.05 and 34.12 RCW.[ 1987 1st ex.s. c 5 § 11.]NOTES:*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.
WA Rev Code § 70.47.110 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.110 - Enrollment of medical assistance recipients.

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 Title XIX of the social security act. Any enrollee on whose behalf the health care authority makes such payments may continue as an enrollee, making premium payments based on the enrollee's own income as determined under the sliding scale, after eligibility for coverage under chapter 74.09 RCW has ended, as long as the enrollee remains eligible under this chapter. Nothing in this section affects the right of any person eligible for coverage under chapter 74.09 RCW to receive the services offered to other persons under that chapter but not included in the schedule of basic health care services covered by the plan. The director shall seek to determine which enrollees or prospective enrollees may be eligible for medical care under chapter 74.09 RCW and may require these individuals to complete the eligibility determination process under chapter 74.09 RCW prior to enrollment or continued participation in the plan. The director shall adopt procedures to facilitate the transition of plan enrollees and payments on their behalf between the plan and the programs established under chapter 74.09 RCW.[ 2014 c 198 § 1; 2011 1st sp.s. c 15 § 84; 1991 sp.s. c 4 § 3; 1987 1st ex.s. c 5 § 13.]NOTES:Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.Effective date—1991 sp.s. c 4: See note following RCW 70.47.030.
WA Rev Code § 70.47.115 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.115 - Enrollment of persons in timber impact areas.

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 employment security department: (a) A lumber and wood products employment location quotient at or above the state average; (b) a direct lumber and wood products job loss of one hundred positions or more; and (c) an annual unemployment rate twenty percent above the state average.(2) Persons assisted under this section shall meet the requirements of enrollee as defined in **RCW 70.47.020(4).(3) For purposes of this section, "timber impact area" means:(a) A county having a population of less than five hundred thousand, or a city or town located within a county having a population of less than five hundred thousand, and meeting two of the following three criteria, as determined by the employment security department, for the most recent year such data is available: (i) A lumber and wood products employment location quotient at or above the state average; (ii) projected or actual direct lumber and wood products job losses of one hundred positions or more, except counties having a population greater than two hundred thousand but less than five hundred thousand must have direct lumber and wood products job losses of one thousand positions or more; or (iii) an annual unemployment rate twenty percent or more above the state average; or(b) Additional communities as the economic recovery coordinating board, established in ***RCW 43.31.631, designates based on a finding by the board that each designated community is socially and economically integrated with areas that meet the definition of a timber impact area under (a) of this subsection.[ 1992 c 21 § 7; 1991 c 315 § 22.]NOTES:Reviser's note: *(1) The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.**(2) RCW 70.47.020 was amended by 2004 c 192 § 1, changing subsection (4) to subsection (6), effective January 1, 2005. RCW 70.47.020 was alphabetized pursuant to RCW 1.08.015(2)(k), changing subsection (6) to subsection (9). RCW 70.47.020 was subsequently amended by 2011 1st sp.s. c 9 § 3, changing subsection (9) to subsection (10).***(3) RCW 43.31.631 was repealed by 1995 c 226 § 33 and 1995 c 269 § 1902, effective July 1, 1995.Intent—1991 c 315: See note following RCW 28B.50.030.Conflict with federal requirements—1991 c 315: See RCW 50.70.901.
WA Rev Code § 70.47.120 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.120 - Administrator—Contracts for services.

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 covered basic health care services, and/or to monitor or evaluate the performance of participating managed health care systems.(2) With public or private agencies, to provide technical or professional assistance to health care providers, particularly public or private nonprofit organizations and providers serving rural areas, who show serious intent and apparent capability to participate in the plan as managed health care systems.(3) With public or private agencies, including health care service contractors registered under RCW 48.44.015, and doing business in the state, for marketing and administrative services in connection with participation of managed health care systems, enrollment of enrollees, billing and collection services to the *administrator, and other administrative functions ordinarily performed by health care service contractors, other than insurance. Any activities of a health care service contractor pursuant to a contract with the *administrator under this section shall be exempt from the provisions and requirements of Title 48 RCW except that persons appointed or authorized to solicit applications for enrollment in the basic health plan shall comply with chapter 48.17 RCW.[ 1997 c 337 § 7; 1987 1st ex.s. c 5 § 14.]NOTES:*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.
WA Rev Code § 70.47.130 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.130 - Exemption from insurance code.

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;(b) Managed health care systems are subject to the provisions of RCW 48.43.022, 48.43.500, 70.02.045, 48.43.505 through 48.43.535, 48.43.537, 48.43.545, 48.43.550, 70.02.110, and 70.02.900;(c) Persons appointed or authorized to solicit applications for enrollment in the basic health plan, including employees of the health care authority, must comply with chapter 48.17 RCW. For purposes of this subsection (1)(c), "solicit" does not include distributing information and applications for the basic health plan and responding to questions;(d) Amounts paid to a managed health care system by the basic health plan for participating in the basic health plan and providing health care services for nonsubsidized enrollees in the basic health plan must comply with RCW 48.14.0201; and(e) Administrative simplification requirements as provided in chapter 298, Laws of 2009.(2) The purpose of the 1994 amendatory language to this section in chapter 309, Laws of 1994 is to clarify the intent of the legislature that premiums paid on behalf of nonsubsidized enrollees in the basic health plan are subject to the premium and prepayment tax. The legislature does not consider this clarifying language to either raise existing taxes nor to impose a tax that did not exist previously.[ 2016 c 139 § 5; 2009 c 298 § 4; 2004 c 115 § 2; 2000 c 5 § 21; 1997 c 337 § 8; 1994 c 309 § 6; 1987 1st ex.s. c 5 § 15.]NOTES:Intent—Purpose—2000 c 5: See RCW 48.43.500.Application—Short title—Captions not law—Construction—Severability—Application to contracts—Effective dates—2000 c 5: See notes following RCW 48.43.500.Contingency—1994 c 309 §§ 5 and 6: See note following RCW 70.47.060.
WA Rev Code § 70.47.140 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.140 - Reservation of legislative power.

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 pursuant thereto shall exist subject to the power of the legislature to amend or repeal this chapter at any time.[ 1987 1st ex.s. c 5 § 2.]
WA Rev Code § 70.47.150 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.150 - Confidentiality.

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 system or submitted to the *administrator upon his or her request shall be exempt from public inspection and copying in order to preserve trade secrets or prevent unfair competition.[ 2005 c 274 § 336; 1990 c 54 § 1.]NOTES:*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.
WA Rev Code § 70.47.170 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.170 - Annual reporting requirement.

RCW 70.47.170 Annual reporting requirement.(1) Beginning in November 2012, the health care authority, in coordination with the department of social and health services, shall by November 15th of each year report to the legislature:(a) The number of basic health plan enrollees who: (i) Upon enrollment or recertification had reported being employed, and beginning with the 2008 report, the month and year they reported being hired; or (ii) upon enrollment or recertification had reported being the dependent of someone who was employed, and beginning with the 2008 report, the month and year they reported the employed person was hired; and (iii) the total cost to the state for these enrollees. The information shall be reported by employer size for employers having more than fifty employees as enrollees or with dependents as enrollees. This information shall be provided for the preceding January and June of that year.(b) The following aggregated information: (i) The number of employees who are enrollees or with dependents as enrollees by private and governmental employers; (ii) the number of employees who are enrollees or with dependents as enrollees by employer size for employers with fifty or fewer employees, fifty-one to one hundred employees, one hundred one to one thousand employees, one thousand one to five thousand employees and more than five thousand employees; and (iii) the number of employees who are enrollees or with dependents as enrollees by industry type.(2) For each aggregated classification, the report will include the number of hours worked and total cost to the state for these enrollees. This information shall be for each quarter of the preceding year.[ 2009 c 568 § 7; 2006 c 264 § 1.]
WA Rev Code § 70.47.201 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.201 - Mental health services—Rules.

RCW 70.47.201 Mental health services—Rules.The *administrator may adopt rules to implement RCW 70.47.200.[ 2005 c 6 § 11.]NOTES:*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.Findings—Intent—Severability—2005 c 6: See notes following RCW 41.05.600.
WA Rev Code § 70.47.210 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.210 - Prostate cancer screening.

RCW 70.47.210 Prostate cancer screening.(1) Any schedule of benefits established or renewed by the Washington basic health plan after December 31, 2006, shall provide coverage for prostate cancer screening, provided that the screening is delivered upon the recommendation of the patient's physician, advanced registered nurse practitioner, or physician assistant.(2) This section shall not be construed to prevent the application of standard policy provisions applicable to other benefits, such as deductible or copayment provisions. This section does not limit the authority of the health care authority to negotiate rates and contract with specific providers for the delivery of prostate cancer screening services.[ 2006 c 367 § 7.]
WA Rev Code § 70.47.220 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.47 - Basic Health Plan—Health Care Access Act.|70.47.220 - Increase in reimbursement rates not applicable.

RCW 70.47.220 Increase in reimbursement rates not applicable.The increases in inpatient and outpatient reimbursement rates included in chapter 74.60 RCW shall not be reflected in hospital payment rates for services provided to basic health enrollees under this chapter.[ 2010 1st sp.s. c 30 § 15.]NOTES:Effective date—2010 1st sp.s. c 30: See RCW 74.60.903.