reglab/housing_qa huggingface dataset:
WA Rev Code § 48.44.450 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.450 - Neurodevelopmental therapies—Employer-sponsored group contracts.

RCW 48.44.450 Neurodevelopmental therapies—Employer-sponsored group contracts.(1) Each employer-sponsored group contract for comprehensive health care service which is entered into, or renewed, on or after twelve months after July 23, 1989, shall include coverage for neurodevelopmental therapies for covered individuals age six and under.(2) Benefits provided under this section shall cover the services of those authorized to deliver occupational therapy, speech therapy, and physical therapy. Benefits shall be payable only where the services have been delivered pursuant to the referral and periodic review of a holder of a license issued pursuant to chapter 18.71 or 18.57 RCW or where covered services have been rendered by such licensee. Nothing in this section shall prohibit a health care service contractor from requiring that covered services be delivered by a provider who participates by contract with the health care service contractor unless no participating provider is available to deliver covered services. Nothing in this section shall prohibit a health care service contractor from negotiating rates with qualified providers.(3) Benefits provided under this section shall be for medically necessary services as determined by the health care service contractor. Benefits shall be payable for services for the maintenance of a covered individual in cases where significant deterioration in the patient's condition would result without the service. Benefits shall be payable to restore and improve function.(4) It is the intent of this section that employers purchasing comprehensive group coverage including the benefits required by this section, together with the health care service contractor, retain authority to design and employ utilization and cost controls. Therefore, benefits delivered under this section may be subject to contractual provisions regarding deductible amounts and/or copayments established by the employer purchasing coverage and the health care service contractor. Benefits provided under this section may be subject to standard waiting periods for preexisting conditions, and may be subject to the submission of written treatment plans.(5) In recognition of the intent expressed in subsection (4) of this section, benefits provided under this section may be subject to contractual provisions establishing annual and/or lifetime benefit limits. Such limits may define the total dollar benefits available or may limit the number of services delivered as agreed by the employer purchasing coverage and the health care service contractor.[ 1989 c 345 § 1.]
WA Rev Code § 48.44.460 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.460 - Temporomandibular joint disorders—Insurance coverage.

RCW 48.44.460 Temporomandibular joint disorders—Insurance coverage.(1) Except as provided in this section, a group health care service contract entered into or renewed after December 31, 1989, shall offer optional coverage for the treatment of temporomandibular joint disorders.(a) Health care service contractors offering medical coverage only may limit benefits in such coverages to medical services related to treatment of temporomandibular joint disorders. Health care service contractors offering dental coverage only may limit benefits in such coverage to dental services related to treatment of temporomandibular joint disorders. No health care service contractor offering medical coverage only may define all temporomandibular joint disorders as purely dental in nature, and no health care service contractor offering dental coverage only may define all temporomandibular joint disorders as purely medical in nature.(b) Health care contractors offering optional temporomandibular joint disorder coverage as provided in this section may, but are not required to, offer lesser or no temporomandibular joint disorder coverage as part of their basic group disability contract.(c) Benefits and coverage offered under this section may be subject to negotiation to promote broad flexibility in potential benefit coverage. This flexibility shall apply to services to be reimbursed, determination of treatments to be considered medically necessary, systems through which services are to be provided, including referral systems and use of other providers, and related issues.(2) Unless otherwise directed by law, the insurance commissioner shall adopt rules, to be implemented on January 1, 1993, establishing minimum benefits, terms, definitions, conditions, limitations, and provisions for the use of reasonable deductibles and copayments.(3) A contractor need not make the offer of coverage required by this section to an employer or other group that offers to its eligible enrollees a self-insured health plan not subject to mandated benefit statutes under Title 48 RCW that does not provide coverage for temporomandibular joint disorders.[ 1989 c 331 § 3.]NOTES:Legislative finding—Effective date—1989 c 331: See notes following RCW 48.21.320.
WA Rev Code § 48.44.465 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.465 - Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.

RCW 48.44.465 Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.Health care service contractors who through an authorized representative have first approved, by any means, an individual prescription claim as eligible may not reject that claim at some later date. Pharmacists or drug dispensing outlets who obtain preapproval of claims shall keep a written record of the preapproval that consists of identification by name and telephone number of the person who approved the claim.[ 1993 c 253 § 4.]NOTES:Findings—Effective date—1993 c 253: See notes following RCW 48.20.525.
WA Rev Code § 48.44.470 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.470 - Nonresident pharmacies.

RCW 48.44.470 Nonresident pharmacies.For the purposes of this chapter, a nonresident pharmacy is defined as any pharmacy located outside this state that ships, mails, or delivers, in any manner, except when delivered in person to an enrolled participant or his/her representative, controlled substances, legend drugs, or devices into this state.After October 1, 1991, a health care service contractor providing coverage of prescription drugs from nonresident pharmacies may only provide coverage from licensed nonresident pharmacies. The health care service contractors shall obtain proof of current licensure in conformity with this section and RCW 18.64.350 through 18.64.400 from the nonresident pharmacy and keep that proof of licensure on file.The department may request from the health care service contractor the proof of current licensure for all nonresident pharmacies through which the insurer is providing coverage for prescription drugs for residents of the state of Washington. This information, which may constitute a full or partial customer list, shall be confidential and exempt from public disclosure, and from the requirements of chapter 42.56 RCW. The board or the department shall not be restricted in the disclosure of the name of a nonresident pharmacy that is or has been licensed under RCW 18.64.360 or 18.64.370 or of the identity of a nonresident pharmacy disciplined under RCW 18.64.350 through 18.64.400.[ 2005 c 274 § 314; 1991 c 87 § 9.]NOTES:Effective date—1991 c 87: See note following RCW 18.64.350.
WA Rev Code § 48.44.495 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.495 - Dental services that are not subject to contract or provider agreement.

RCW 48.44.495 Dental services that are not subject to contract or provider agreement.(1) Notwithstanding any other provisions of law, no contract of any health care service contractor subject to the jurisdiction of the state of Washington that covers any dental services, and no contract or participating provider agreement with a dentist may:(a) Require, directly or indirectly, that a dentist who is a participating provider provide services to an enrolled participant at a fee set by, or at a fee subject to the approval of, the health care service contractor unless the dental services are covered services, including services that would be reimbursable but for the application of contractual limitations such as benefit maximums, deductibles, coinsurance, waiting periods, or frequency limitations, under the applicable group contract or individual contract; nor(b) Prohibit, directly or indirectly, a dentist who is a participating provider from offering or providing to an enrolled participant dental services that are not covered services on any terms or conditions acceptable to the dentist and the enrolled participant.(2) For the purposes of this section, "covered services" means dental services that are reimbursable under the applicable subscriber agreement or would be reimbursable but for the application of contractual limitations such as benefit maximums, deductibles, coinsurance, waiting periods or frequency limitations.[ 2010 c 228 § 3.]
WA Rev Code § 48.44.500 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.500 - Denturist services.

RCW 48.44.500 Denturist services.Notwithstanding any provision of any health care service contract covering dental care as provided for in this chapter, effective January 1, 1995, benefits shall not be denied thereunder for any service performed by a denturist licensed under chapter 18.30 RCW if (1) the service performed was within the lawful scope of such person's license, and (2) such contract would have provided benefits if such service had been performed by a dentist licensed under chapter 18.32 RCW.[ 1995 c 1 § 24 (Initiative Measure No. 607, approved November 8, 1994).]NOTES:Short title—1995 c 1 (Initiative Measure No. 607): See RCW 18.30.900.
WA Rev Code § 48.44.530 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.530 - Disclosure of certain material transactions—Report—Information is confidential.

RCW 48.44.530 Disclosure of certain material transactions—Report—Information is confidential.(1) Every health care service contractor domiciled in this state shall file a report with the commissioner disclosing material acquisitions and dispositions of assets or material nonrenewals, cancellations, or revisions of ceded reinsurance agreements unless these acquisitions and dispositions of assets or material nonrenewals, cancellations, or revisions of ceded reinsurance agreements have been submitted to the commissioner for review, approval, or information purposes under other provisions of this title or other requirements.(2) The report required in subsection (1) of this section is due within fifteen days after the end of the calendar month in which any of the transactions occur.(3) One complete copy of the report, including any exhibits or other attachments filed as part of the report, shall be filed with the:(a) Commissioner; and(b) National association of insurance commissioners.(4) All reports obtained by or disclosed to the commissioner under this section and RCW 48.44.535 through 48.44.555 are exempt from public inspection and copying and shall not be subject to subpoena. These reports shall not be made public by the commissioner, the national association of insurance commissioners, or any other person, except to insurance departments of other states, without the prior written consent of the health care service contractor to which it pertains unless the commissioner, after giving the health care service contractor that would be affected by disclosure notice and a hearing under chapter 48.04 RCW, determines that the interest of policyholders, subscribers, shareholders, or the public will be served by the publication, in which event the commissioner may publish all or any part of the report in the manner he or she deems appropriate.[ 1995 c 86 § 13.]
WA Rev Code § 48.44.535 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.535 - Material acquisitions or dispositions.

RCW 48.44.535 Material acquisitions or dispositions.No acquisitions or dispositions of assets need be reported pursuant to RCW 48.44.530 if the acquisitions or dispositions are not material. For purposes of RCW 48.44.530 through 48.44.555, a material acquisition, or the aggregate of any series of related acquisitions during any thirty-day period; or disposition, or the aggregate of any series of related dispositions during any thirty-day period is an acquisition or disposition that is nonrecurring and not in the ordinary course of business and involves more than five percent of the reporting health care service contractor's total assets as reported in its most recent statutory statement filed with the commissioner.[ 1995 c 86 § 14.]
WA Rev Code § 48.44.540 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.540 - Asset acquisitions—Asset dispositions.

RCW 48.44.540 Asset acquisitions—Asset dispositions.(1) Asset acquisitions subject to RCW 48.44.530 through 48.44.555 include every purchase, lease, exchange, merger, consolidation, succession, or other acquisition other than the construction or development of real property by or for the reporting health care service contractor or the acquisition of materials for such purpose.(2) Asset dispositions subject to RCW 48.44.530 through 48.44.555 include every sale, lease, exchange, merger, consolidation, mortgage, hypothecation, abandonment, destruction, other disposition, or assignment, whether for the benefit of creditors or otherwise.[ 1995 c 86 § 15.]
WA Rev Code § 48.44.545 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.545 - Report of a material acquisition or disposition of assets—Information required.

RCW 48.44.545 Report of a material acquisition or disposition of assets—Information required.The following information is required to be disclosed in any report of a material acquisition or disposition of assets:(1) Date of the transaction;(2) Manner of acquisition or disposition;(3) Description of the assets involved;(4) Nature and amount of the consideration given or received;(5) Purpose of or reason for the transaction;(6) Manner by which the amount of consideration was determined;(7) Gain or loss recognized or realized as a result of the transaction; and(8) Names of the persons from whom the assets were acquired or to whom they were disposed.[ 1995 c 86 § 16.]
WA Rev Code § 48.44.550 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.550 - Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.

RCW 48.44.550 Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.(1) No nonrenewals, cancellations, or revisions of ceded reinsurance agreements need be reported under RCW 48.44.530 if the nonrenewals, cancellations, or revisions are not material. For purposes of RCW 48.44.530 through 48.44.555, a material nonrenewal, cancellation, or revision is one that affects:(a) More than fifty percent of a health care service contractor's total reserve credit taken for business ceded, on an annualized basis, as indicated in the health care service contractor's most recent annual statement;(b) More than ten percent of a health care service contractor's total cession when it is replaced by one or more unauthorized reinsurers; or(c) Previously established collateral requirements, when they have been reduced or waived as respects one or more unauthorized reinsurers representing collectively more than ten percent of a total cession.(2) However, a filing is not required if a health care service contractor's total reserve credit taken for business ceded represents, on an annualized basis, less than ten percent of the statutory reserve requirement prior to any cession.[ 1995 c 86 § 17.]
WA Rev Code § 48.44.555 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.555 - Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.

RCW 48.44.555 Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.The following is required to be disclosed in any report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements:(1) The effective date of the nonrenewal, cancellation, or revision;(2) The description of the transaction with an identification of the initiator;(3) The purpose of or reason for the transaction; and(4) If applicable, the identity of the replacement reinsurers.[ 1995 c 86 § 18.]
WA Rev Code § 48.44.900 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.900 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 48.44.900 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.[ 2009 c 521 § 126.]
WA Rev Code § 48.45.005 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.45 - Rural Health Care.|48.45.005 - Findings.

RCW 48.45.005 Findings.The legislature finds that the residents of rural communities are having difficulties in locating and purchasing affordable health insurance. The legislature further finds that many rural communities have sufficient funds to pay for needed services, but those funds are being expended elsewhere causing insufficient funding of local health services. As part of the solution to this problem, rural communities need to be able to structure the financing of local health services to better serve local residents. The legislature further finds that as rural communities need well financed and organized health care, it is in the interest of residents of rural communities that existing unauthorized entities comply with appropriate fiscal solvency standards and consumer safeguards, and that those entities be given an opportunity to come into compliance with existing state laws.[ 1990 c 271 § 20.]
WA Rev Code § 48.45.010 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.45 - Rural Health Care.|48.45.010 - Definitions.

RCW 48.45.010 Definitions.Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter.(1) "Rural community" means any grouping of consumers, seventy-five percent of whom reside in areas outside of a standard metropolitan statistical area as defined by the United States bureau of census.(2) "Consumer" means any person enrolled and eligible to receive benefits in the rural health care arrangement.(3) "Rural health care service arrangement" or "arrangement" means any arrangement which is established or maintained for the purpose of offering or providing through the purchase of insurance or otherwise, medical, surgical, or hospital care or benefits in the event of sickness, accident, or disability in a rural community, as defined in this section, that is subject to the jurisdiction of the insurance commissioner but is not now a currently authorized carrier.[ 1990 c 271 § 22.]
WA Rev Code § 48.45.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.45 - Rural Health Care.|48.45.020 - Rural health care service arrangements.

RCW 48.45.020 Rural health care service arrangements.Rural health care service arrangements existing on March 29, 1990, may continue in full operation only so long as they comply with all of the following:(1) Within ten days following March 29, 1990, all rural health care service arrangements shall inform the insurance commissioner of their intent to apply for approval to operate as an entity authorized under chapter 48.44 RCW or intend to merge with an entity authorized under Title 48 RCW or merge with an entity defined in this section;(2) The arrangement submits an application for approval as an entity authorized under chapter 48.44 RCW by May 1, 1990;(3) The arrangement has one hundred thousand dollars on deposit with the insurance commissioner by July 1, 1990;(4) The arrangement has one hundred fifty thousand dollars on deposit with the insurance commissioner by September 1, 1990; and(5) The arrangement complies with all reasonable requirements of the insurance commissioner excluding the deposit requirement, except as outlined in this section.If such rural health care service arrangements fail to comply with any of the above requirements, or if during the application process an entity engages in any activities which the insurance commissioner reasonably determines may cause imminent harm to consumers, the entity may be subject to appropriate legal action by the insurance commissioner pursuant to the authority provided in Title 48 RCW.A rural health care service arrangement which comes into compliance with Title 48 RCW through the method outlined in this chapter shall be subject to all applicable requirements of Title 48 RCW except that the deposit requirements shall not be increased until May 1, 1991.[ 1990 c 271 § 23.]
WA Rev Code § 48.45.030 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.45 - Rural Health Care.|48.45.030 - Rule making.

RCW 48.45.030 Rule making.The insurance commissioner, pursuant to chapter 34.05 RCW, may promulgate rules to implement RCW 48.45.010 and 48.45.020.[ 1990 c 271 § 24.]
WA Rev Code § 48.46.010 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.010 - Legislative declaration—Purpose.

RCW 48.46.010 Legislative declaration—Purpose.In affirmation of the declared principle that health care is a right of every citizen of the state, the legislature expresses its concern that the present high costs of health care in Washington may be preventing or inhibiting a large segment of the people from obtaining access to quality health care services.The legislature declares that the establishment of qualified prepaid group and individual practice health care delivery systems should be encouraged in order to provide all citizens of the state with the freedom of choice between competitive, alternative health care delivery systems necessary to realize their right to health. It is the purpose and policy of this chapter to provide for the development and registration of prepaid group and individual practice health care plans as health maintenance organizations, which the legislature declares to be in the interest of the health, safety and welfare of the people.[ 1975 1st ex.s. c 290 § 2.]