reglab/housing_qa huggingface dataset:
WA Rev Code § 41.05.026 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.026 - Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data—Exemption from public inspection—Executive sessions.

RCW 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 director shall, upon written request by the bidder, exempt from public inspection and copying such proprietary data, trade secrets, or other information contained in the bidder's proposal that relate to the bidder's unique methods of conducting business or of determining prices or premium rates to be charged for services under terms of the proposal.(2) When soliciting information for the development, acquisition, or implementation of state purchased health care services, the director shall, upon written request by the respondent, exempt from public inspection and copying such proprietary data, trade secrets, or other information submitted by the respondent that relate to the respondent's unique methods of conducting business, data unique to the product or services of the respondent, or to determining prices or rates to be charged for services.(3) Actuarial formulas, statistics, cost and utilization data, or other proprietary information submitted upon request of the director, board, or a technical review committee created to facilitate the development, acquisition, or implementation of state purchased health care under this chapter by a contracting insurer, health care service contractor, health maintenance organization, vendor, or other health services organization may be withheld at any time from public inspection when necessary to preserve trade secrets or prevent unfair competition.(4) The board or a technical review committee created to facilitate the development, acquisition, or implementation of state purchased health care under this chapter, may hold an executive session in accordance with chapter 42.30 RCW during any regular or special meeting to discuss information submitted in accordance with subsections (1) through (3) of this section.(5) A person who challenges a request for or designation of information as exempt under this section is entitled to seek judicial review pursuant to chapter 42.56 RCW.[ 2018 c 260 § 9; 2017 3rd sp.s. c 13 § 805; 2005 c 274 § 277; 2003 c 277 § 2; 1991 c 79 § 1; 1990 c 222 § 6.]NOTES:Intent—2017 3rd sp.s. c 13: See note following RCW 28A.150.410.
WA Rev Code § 41.05.031 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.031 - Agencies to establish health care information systems.

RCW 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 and health services, the department of health, the department of labor and industries, the basic health plan, the department of veterans affairs, the department of corrections, and the superintendent of public instruction.The authority, in conjunction with these agencies, shall determine:(1) Definitions of health care services;(2) Health care data elements common to all agencies;(3) Health care data elements unique to each agency; and(4) A mechanism for program and budget review of health care data.[ 1990 c 222 § 4; 1988 c 107 § 5.]
WA Rev Code § 41.05.033 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.033 - Shared decision-making demonstration project—Preference-sensitive care.

RCW 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 decision aids that detail the benefits, harms, and uncertainty of available treatment options. Improved communication leads to more fully informed patient decisions. The legislature intends to increase the extent to which patients make genuinely informed, preference-based treatment decisions, by promoting public/private collaborative efforts to broaden the development, certification, use, and evaluation of effective decision aids and by recognition of shared decision making and patient decision aids in the state's laws on informed consent.(2) The health care authority shall implement a shared decision-making demonstration project. The demonstration project shall be conducted at one or more multispecialty group practice sites providing state purchased health care in the state of Washington, and may include other practice sites providing state purchased health care. The demonstration project shall include the following elements:(a) Incorporation into clinical practice of one or more decision aids for one or more identified preference-sensitive care areas combined with ongoing training and support of involved practitioners and practice teams, preferably at sites with necessary supportive health information technology;(b) An evaluation of the impact of the use of shared decision making with decision aids, including the use of preference-sensitive health care services selected for the demonstration project and expenditures for those services, the impact on patients, including patient understanding of the treatment options presented and concordance between patient values and the care received, and patient and practitioner satisfaction with the shared decision-making process; and(c) As a condition of participating in the demonstration project, a participating practice site must bear the cost of selecting, purchasing, and incorporating the chosen decision aids into clinical practice.(3) The health care authority may solicit and accept funding and in-kind contributions to support the demonstration and evaluation, and may scale the evaluation to fall within resulting resource parameters.[ 2007 c 259 § 2.]NOTES:Severability—2007 c 259: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 2007 c 259 § 68.]Subheadings not law—2007 c 259: "Subheadings used in this act are not any part of the law." [ 2007 c 259 § 71.]
WA Rev Code § 41.05.036 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.036 - Health information—Definitions.

RCW 41.05.036 Health information—Definitions.The definitions in this section apply throughout RCW 41.05.039 through 41.05.046 unless the context clearly requires otherwise.(1) "Director" means the director of the state health care authority under this chapter.(2) "Exchange" means the methods or medium by which health care information may be electronically and securely exchanged among authorized providers, payors, and patients within Washington state.(3) "Health care provider" or "provider" has the same meaning as in RCW 48.43.005.(4) "Health data provider" means an organization that is a primary source for health-related data for Washington residents, including but not limited to:(a) The children's health immunizations linkages and development profile immunization registry provided by the department of health pursuant to chapter 43.70 RCW;(b) Commercial laboratories providing medical laboratory testing results;(c) Prescription drugs clearinghouses, such as the national patient health information network; and(d) Diagnostic imaging centers.(5) "Lead organization" means a private sector organization or organizations designated by the director to lead development of processes, guidelines, and standards under chapter 300, Laws of 2009.(6) "Payor" means public purchasers, as defined in this section, carriers licensed under chapters 48.20, 48.21, 48.44, 48.46, and 48.62 RCW, and the Washington state health insurance pool established in chapter 48.41 RCW.(7) "Public purchaser" means the department of social and health services, the department of labor and industries, and the health care authority.(8) "Secretary" means the secretary of the department of health.[ 2011 1st sp.s. c 15 § 57; 2009 c 300 § 2.]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.Finding—2009 c 300: "The legislature finds that:(1) The inability to securely share critical health information between practitioners inhibits the delivery of safe, efficient care, as evidenced by:(a) Adverse drug events that result in an average of seven hundred seventy thousand injuries and deaths each year; and(b) Duplicative services that add to costs and jeopardize patient well-being;(2) Consumers are unable to act as fully informed participants in their care unless they have ready access to their own health information;(3) The blue ribbon commission on health care costs and access found that the development of a system to provide electronic access to patient information anywhere in the state was a key to improving health care; and(4) In 2005, the legislature established a health information infrastructure advisory board to develop a strategy for the adoption and use of health information technologies that are consistent with emerging national standards and promote interoperability of health information systems." [ 2009 c 300 § 1.]
WA Rev Code § 41.05.037 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.037 - Nurse hotline, when funded.

RCW 41.05.037 Nurse hotline, when funded.To the extent that funding is provided specifically for this purpose, the director shall provide all persons enrolled in health plans under this chapter and chapters 70.47 and 74.09 RCW with access to a twenty-four hour, seven day a week nurse hotline.[ 2011 1st sp.s. c 15 § 58; 2007 c 259 § 15.]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.Severability—Subheadings not law—2007 c 259: See notes following RCW 41.05.033.
WA Rev Code § 41.05.042 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.042 - Health information—Processes, guidelines, and standards.

RCW 41.05.042 Health information—Processes, guidelines, and standards.By December 1, 2011, the lead organization shall, consistent with the federal health insurance portability and accountability act, develop processes, guidelines, and standards that address:(1) Identification and prioritization of high value health data from health data providers. High value health data include:(a) Prescriptions;(b) Immunization records;(c) Laboratory results;(d) Allergies; and(e) Diagnostic imaging;(2) Processes to request, submit, and receive data;(3) Data security, including:(a) Storage, access, encryption, and password protection;(b) Secure methods for accepting and responding to requests for data;(c) Handling unauthorized access to or disclosure of individually identifiable patient health information, including penalties for unauthorized disclosure; and(d) Authentication of individuals, including patients and providers, when requesting access to health information, and maintenance of a permanent audit trail of such requests, including:(i) Identification of the party making the request;(ii) The data elements reported; and(iii) Transaction dates;(4) Materials written in plain language that explain the exchange of health information and how patients can effectively manage such information, including the use of online tools for that purpose;(5) Materials for health care providers that explain the exchange of health information and the secure management of such information.[ 2009 c 300 § 4.]NOTES:Findings—2009 c 300: See note following RCW 41.05.036.
WA Rev Code § 41.05.046 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.046 - Health information—Conflict with federal requirements.

RCW 41.05.046 Health information—Conflict with federal requirements.If any provision in RCW 41.05.036, 41.05.039, and 41.05.042 conflicts with existing or new federal requirements, the *administrator shall recommend modifications, as needed, to assure compliance with the aims of RCW 41.05.036, 41.05.039, and 41.05.042 and federal requirements.[ 2009 c 300 § 5.]NOTES:*Reviser's note: The definition for "administrator" was changed to "director" by 2011 1st sp.s. c 15 § 57.Findings—2009 c 300: See note following RCW 41.05.036.
WA Rev Code § 41.05.055 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.055 - Public employees' benefits board—Members.

RCW 41.05.055 Public employees' benefits board—Members.(1) The public employees' benefits board is created within the authority. The function of the public employees' benefits board is to design and approve insurance benefit plans for employees and to establish eligibility criteria for participation in insurance benefit plans.(2) The public employees' benefits board shall be composed of nine members through December 31, 2019, and of eight members thereafter, appointed by the governor as follows:(a) Two representatives of state employees, one of whom shall represent an employee union certified as exclusive representative of at least one bargaining unit of classified employees, and one of whom is retired, is covered by a program under the jurisdiction of the public employees' benefits board, and represents an organized group of retired public employees;(b) Through December 31, 2019, two representatives of school district employees, one of whom shall represent an association of school employees as a nonvoting member, and one of whom is retired, and represents an organized group of retired school employees. Thereafter, and only while retired school employees are served by the public employees' benefits board, only the retired representative shall serve on the public employees' benefits board;(c) Four members with experience in health benefit management and cost containment, one of whom shall be a nonvoting member; and(d) The director.(3) The governor shall appoint the initial members of the public employees' benefits board to staggered terms not to exceed four years. Members appointed thereafter shall serve two-year terms. Members of the public employees' benefits board shall be compensated in accordance with RCW 43.03.250 and shall be reimbursed for their travel expenses while on official business in accordance with RCW 43.03.050 and 43.03.060. The public employees' benefits board shall prescribe rules for the conduct of its business. The director shall serve as chair of the public employees' benefits board. Meetings of the public employees' benefits board shall be at the call of the chair.[ 2018 c 260 § 11; 2017 3rd sp.s. c 13 § 807; 2009 c 537 § 6; 1995 1st sp.s. c 6 § 4; 1994 c 36 § 1; 1993 c 492 § 217; 1989 c 324 § 1; 1988 c 107 § 7.]NOTES:Intent—2017 3rd sp.s. c 13: See note following RCW 28A.150.410.Effective date—2009 c 537: See note following RCW 41.05.008.Effective date—1995 1st sp.s. c 6: See note following RCW 28A.400.410.Effective date—1994 c 36: "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and shall take effect immediately [March 21, 1994]." [ 1994 c 36 § 2.]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 § 41.05.066 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.066 - Domestic partner benefits.

RCW 41.05.066 Domestic partner benefits.A certificate of domestic partnership qualified under the provisions of RCW 26.60.030 shall be recognized as evidence of a qualified domestic partnership fulfilling all necessary eligibility criteria for the partner of the employee or school employee to receive benefits. Nothing in this section affects the requirements of domestic partners to complete documentation related to federal tax status that may currently be required by the board for employees or school employees choosing to make premium payments on a pretax basis.[ 2018 c 260 § 13; 2015 c 116 § 4; 2007 c 156 § 9.]
WA Rev Code § 41.05.068 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.068 - Federal employer incentive program—Authority to participate.

RCW 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 et seq., to receive federal employer subsidy funds for continuing to provide retired employee health coverage, including a pharmacy benefit. The *administrator, in consultation with the office of financial management, shall evaluate participation in the employer incentive program, including but not limited to any necessary program changes to meet the eligibility requirements that employer-sponsored retiree health coverage provide prescription drug coverage at least equal to the actuarial value of standard prescription drug coverage under medicare part D. Any employer subsidy moneys received from participation in the federal employer incentive program shall be deposited in the state general fund.[ 2009 c 479 § 25; 2005 c 195 § 2.]NOTES:*Reviser's note: The definition for "administrator" was changed to "director" by 2011 1st sp.s. c 15 § 57.Effective date—2009 c 479: See note following RCW 2.56.030.Effective date—2005 c 195: See note following RCW 41.05.065.
WA Rev Code § 41.05.074 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.074 - Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions.

RCW 41.05.074 Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions.(1) A health plan offered to public employees and their covered dependents under this chapter that imposes different prior authorization standards and criteria for a covered service among tiers of contracting providers of the same licensed profession in the same health plan shall inform an enrollee which tier an individual provider or group of providers is in by posting the information on its website in a manner accessible to both enrollees and providers.(2) The health plan may not require prior authorization for an evaluation and management visit or an initial treatment visit with a contracting provider in a new episode of chiropractic, physical therapy, occupational therapy, acupuncture and Eastern medicine, massage therapy, or speech and hearing therapies. Notwithstanding RCW 48.43.515(5) this section may not be interpreted to limit the ability of a health plan to require a referral or prescription for the therapies listed in this section.(3) The health care authority shall post on its website and provide upon the request of a covered person or contracting provider any prior authorization standards, criteria, or information the health plan uses for medical necessity decisions.(4) A health care provider with whom the administrator of the health plan consults regarding a decision to deny, limit, or terminate a person's covered health care services must hold a license, certification, or registration, in good standing and must be in the same or related health field as the health care provider being reviewed or of a specialty whose practice entails the same or similar covered health care service.(5) The health plan may not require a provider to provide a discount from usual and customary rates for health care services not covered under the health plan, policy, or other agreement, to which the provider is a party.(6) For purposes of this section:(a) "New episode of care" means treatment for a new or recurrent condition for which the enrollee has not been treated by the provider within the previous ninety days and is not currently undergoing any active treatment.(b) "Contracting provider" does not include providers employed within an integrated delivery system operated by a carrier licensed under chapter 48.44 or 48.46 RCW.[ 2019 c 308 § 20; 2015 c 251 § 1.]NOTES:Findings—2019 c 308: See note following RCW 18.06.010.Effective date—2015 c 251: "This act takes effect January 1, 2017." [ 2015 c 251 § 3.]
WA Rev Code § 41.05.085 (2021)
2021 Revised Code of Washington|Title 41 - Public Employment, Civil Service, and Pensions|Chapter 41.05 - State Health Care Authority.|41.05.085 - Retired state employee and retired or disabled school employee health insurance subsidy.

RCW 41.05.085 Retired state employee and 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 educational service district employees' insurance benefit allocation the portion of the allocation to be used to provide a prescription drug subsidy to reduce the health care insurance premiums charged to retired or disabled school district and educational service district employees, or retired state employees, who are eligible for parts A and B of medicare. The legislature may also establish a separate health care subsidy to reduce insurance premiums charged to individuals who select a medicare supplemental insurance policy option established in RCW 41.05.195.(2) The amount of any premium reduction shall be established by the public employees' benefits board. The amount established shall not result in a premium reduction of more than fifty percent, except as provided in subsection (3) of this section. The public employees' benefits board may also determine the amount of any subsidy to be available to spouses and dependents.(3) The amount of the premium reduction in subsection (2) of this section may exceed fifty percent, if the director, in consultation with the office of financial management, determines that it is necessary in order to meet eligibility requirements to participate in the federal employer incentive program as provided in RCW 41.05.068.[ 2018 c 260 § 16; 2005 c 195 § 3; 1994 c 153 § 8.]NOTES:Effective date—2005 c 195: See note following RCW 41.05.065.Intent—Effective dates—1994 c 153: See notes following RCW 41.05.011.