reglab/housing_qa huggingface dataset:
WA Rev Code § 48.44.300 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.300 - Podiatric medicine and surgery—Benefits not to be denied.

RCW 48.44.300 Podiatric medicine and surgery—Benefits not to be denied.Benefits shall not be denied under a contract for any health care service performed by a holder of a license issued under chapter 18.22 RCW if (1) the service performed was within the lawful scope of the person's license, and (2) the contract would have provided benefits if the service had been performed by a holder of a license issued under chapter 18.71 RCW. There shall not be imposed upon one class of doctors providing health care services as defined by this chapter any requirement that is not imposed upon all other doctors providing the same or similar health care services within the scope of their license.The provisions of this section are intended to be procedural to the extent that they do not impair the obligation of any existing contract.[ 1986 c 223 § 7; 1983 c 154 § 2.]NOTES:Severability—1983 c 154: See note following RCW 48.44.299.
WA Rev Code § 48.44.305 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.305 - When injury caused by intoxication or use of narcotics.

RCW 48.44.305 When injury caused by intoxication or use of narcotics.A health care service contractor may not deny coverage for the treatment of an injury solely because the injury was sustained as a consequence of the enrolled participant's being intoxicated or under the influence of a narcotic.[ 2004 c 112 § 4.]NOTES:Finding—Application—2004 c 112: See notes following RCW 48.20.385.
WA Rev Code § 48.44.309 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.309 - Legislative finding.

RCW 48.44.309 Legislative finding.The legislature finds and declares that there is a paramount concern that the right of the people to obtain access to health care in all its facets is being impaired. The legislature further finds that there is a heavy reliance by the public upon prepaid health care service agreements and insurance, whether profit or nonprofit, as the only effective manner in which the large majority of the people can obtain access to quality health care. Further, the legislature finds that health care service agreements may be anticompetitive because of the exclusion of other licensed forms of health care and that because of the high costs of health care, there is a need for competition to reduce these costs. It is, therefore, declared to be in the public interest that these contracts as a form of insurance be regulated under the police power of the state to assure that all the people have the greatest access to health care services.[ 1983 c 286 § 1.]NOTES:Severability—1983 c 286: "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." [ 1983 c 286 § 5.]
WA Rev Code § 48.44.310 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.310 - Chiropractic care, coverage required, exceptions.

RCW 48.44.310 Chiropractic care, coverage required, exceptions.(1) Each group contract for comprehensive health care service which is entered into, or renewed, on or after September 8, 1983, between a health care service contractor and the person or persons to receive such care shall offer coverage for chiropractic care on the same basis as any other care.(2) A patient of a chiropractor shall not be denied benefits under a contract because the practitioner is not licensed under chapter 18.57 or 18.71 RCW.(3) This section shall not apply to a group contract for comprehensive health care services entered into in accordance with a collective bargaining agreement between management and labor representatives. Benefits for chiropractic care shall be offered by the employer in good faith on the same basis as any other care as a subject for collective bargaining for group contracts for health care services.[ 1986 c 223 § 8; 1983 c 286 § 2.]NOTES:Severability—1983 c 286: See note following RCW 48.44.309.
WA Rev Code § 48.44.323 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.323 - Prescribed, self-administered anticancer medication.

RCW 48.44.323 Prescribed, self-administered anticancer medication.(1) Each health plan issued or renewed on or after January 1, 2012, that provides coverage for cancer chemotherapy treatment must provide coverage for prescribed, self-administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis at least comparable to cancer chemotherapy medications administered by a health care provider or facility as defined in RCW 48.43.005 (25) and (26).(2) Nothing in this section may be interpreted to prohibit a health plan from administering a formulary or preferred drug list, requiring prior authorization, or imposing other appropriate utilization controls in approving coverage for any chemotherapy.[ 2020 c 18 § 21; 2011 c 159 § 5.]NOTES:Explanatory statement—2020 c 18: See note following RCW 43.79A.040.Findings—2011 c 159: See note following RCW 41.05.175.
WA Rev Code § 48.44.325 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.325 - Mammograms—Insurance coverage.

RCW 48.44.325 Mammograms—Insurance coverage.Each health care service contract issued or renewed after January 1, 1990, that provides benefits for hospital or medical care shall provide benefits for screening or diagnostic mammography services, provided that such services are delivered upon the recommendation of the patient's physician or advanced registered nurse practitioner as authorized by the nursing care quality assurance commission pursuant to chapter 18.79 RCW or physician assistant pursuant to chapter 18.71A RCW.This section shall not be construed to prevent the application of standard contract provisions applicable to other benefits such as deductible or copayment provisions. This section does not limit the authority of a contractor to negotiate rates and contract with specific providers for the delivery of mammography services. This section shall not apply to medicare supplement policies or supplemental contracts covering a specified disease or other limited benefits.[ 1994 sp.s. c 9 § 734; 1989 c 338 § 3.]NOTES:Severability—Headings and captions not law—Effective date—1994 sp.s. c 9: See RCW 18.79.900 through 18.79.902.
WA Rev Code § 48.44.327 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.327 - Prostate cancer screening.

RCW 48.44.327 Prostate cancer screening.(1) Each health care service contract issued or renewed after December 31, 2006, that provides coverage for hospital or medical expenses 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 a contractor to negotiate rates and contract with specific providers for the delivery of prostate cancer screening services. This section shall not apply to medicare supplemental policies or supplemental contracts covering a specified disease or other limited benefits.[ 2006 c 367 § 4.]
WA Rev Code § 48.44.330 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.330 - Reconstructive breast surgery.

RCW 48.44.330 Reconstructive breast surgery.(1) Each contract for health care entered into or renewed after July 24, 1983, between a health care services contractor and the person or persons to receive the care shall provide coverage for reconstructive breast surgery resulting from a mastectomy which resulted from disease, illness, or injury.(2) Each contract for health care entered into or renewed after January 1, 1986, between a health care services contractor and the person or persons to receive the care shall provide coverage for all stages of one reconstructive breast reduction on the nondiseased breast to make it equal in size with the diseased breast after definitive reconstructive surgery on the diseased breast has been performed.[ 1985 c 54 § 7; 1983 c 113 § 3.]NOTES:Effective date—1985 c 54: See note following RCW 48.20.397.
WA Rev Code § 48.44.335 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.335 - Mastectomy, lumpectomy.

RCW 48.44.335 Mastectomy, lumpectomy.No health care service contractor under this chapter may refuse to issue any contract or cancel or decline to renew the contract solely because of a mastectomy or lumpectomy performed on the insured or prospective insured more than five years previously. The amount of benefits payable, or any term, rate, condition, or type of coverage shall not be restricted, modified, excluded, increased, or reduced solely on the basis of a mastectomy or lumpectomy performed on the insured or prospective insured more than five years previously.[ 1985 c 54 § 3.]NOTES:Effective date—1985 c 54: See note following RCW 48.20.397.
WA Rev Code § 48.44.342 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.342 - Mental health treatment—Waiver of preauthorization for persons involuntarily committed.

RCW 48.44.342 Mental health treatment—Waiver of preauthorization for persons involuntarily committed.A health care service contractor providing hospital or medical services or benefits in this state shall waive a preauthorization from the contractor before an insured or an insured's covered dependents receive mental health treatment rendered by a state hospital as defined in RCW 72.23.010 if the insured or the insured's covered dependents are involuntarily committed to a state hospital as defined in RCW 72.23.010.[ 1993 c 272 § 4.]NOTES:Savings—Severability—1993 c 272: See notes following RCW 43.20B.347.
WA Rev Code § 48.44.344 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.344 - Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.

RCW 48.44.344 Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.On or after January 1, 1990, every group health care services contract entered into or renewed that covers hospital, medical, or surgical expenses on a group basis, and which provides benefits for pregnancy, childbirth, or related medical conditions to enrollees of such groups, shall offer benefits for prenatal diagnosis of congenital disorders of the fetus by means of screening and diagnostic procedures during pregnancy to such enrollees when those services are determined to be medically necessary by the health care service contractor in accord with standards set in rule by the board of health. Every group health care services contractor shall communicate the availability of such coverage to all group health care service contract holders and to all groups with whom they are negotiating.[ 1988 c 276 § 7.]NOTES:Prenatal testing—Limitation on changes to coverage: RCW 48.42.090.
WA Rev Code § 48.44.350 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.350 - Financial interests of health care service contractors, restricted—Exceptions, regulations.

RCW 48.44.350 Financial interests of health care service contractors, restricted—Exceptions, regulations.(1) No person having any authority in the investment or disposition of the funds of a health care service contractor and no officer or director of a health care service contractor shall accept, except for the health care service contractor, or be the beneficiary of any fee, brokerage, gift, commission, or other emolument because of any sale of health care service agreements or any investment, loan, deposit, purchase, sale, payment, or exchange made by or for the health care service contractor, or be pecuniarily interested therein in any capacity; except, that such a person may procure a loan from the health care service contractor directly upon approval by two-thirds of its directors and upon the pledge of securities eligible for the investment of the health care service contractor's funds under this title.(2) The commissioner may, by regulations, from time to time, define and permit additional exceptions to the prohibition contained in subsection (1) of this section solely to enable payment of reasonable compensation to a director who is not otherwise an officer or employee of the health care service contractor, or to a corporation or firm in which the director is interested, for necessary services performed or sales or purchases made to or for the health care service contractor in the ordinary course of the health care service contractor's business and in the usual private professional or business capacity of the director or the corporation or firm.[ 1986 c 223 § 9; 1983 c 202 § 6.]
WA Rev Code § 48.44.360 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.360 - Continuation option to be offered.

RCW 48.44.360 Continuation option to be offered.Every health care service contractor that issues group contracts providing group coverage for hospital or medical expense shall offer the contract holder an option to include a contract provision granting a person who becomes ineligible for coverage under the group contract, the right to continue the group benefits for a period of time and at a rate agreed upon. The contract provision shall provide that when such coverage terminates, the covered person may convert to a contract as provided in RCW 48.44.370.[ 1984 c 190 § 5.]NOTES:Legislative intent—Severability—1984 c 190: See notes following RCW 48.21.250.Application—1984 c 190 §§ 2, 5, and 8: See note following RCW 48.21.250.
WA Rev Code § 48.44.370 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.370 - Conversion contract to be offered—Exceptions, conditions.

RCW 48.44.370 Conversion contract to be offered—Exceptions, conditions.(1) Except as otherwise provided by this section, any group health care service contract that provides benefits for hospital or medical expenses must contain a provision granting a person covered by the group contract the right to obtain a conversion contract from the contractor upon termination of the person's eligibility for coverage under the group contract.(2) A contractor need not offer a conversion contract to:(a) A person whose coverage under the group contract ended when the person's employment or membership was terminated for misconduct: PROVIDED, That when a person's employment or membership is terminated for misconduct, a conversion policy shall be offered to the spouse and/or dependents of the terminated employee or member. The policy shall include in the conversion provisions the same conversion rights and conditions which are available to employees or members and their spouses and/or dependents who are terminated for reasons other than misconduct;(b) A person who is eligible for federal medicare coverage; or(c) A person who is covered under another group plan, policy, contract, or agreement providing benefits for hospital or medical care.(3) To obtain the conversion contract, a person must submit a written application and the first premium payment for the conversion contract not later than thirty-one days after the date the person's eligibility for group coverage terminates or thirty-one days after the date the person received notice of termination of coverage, whichever is later. The conversion contract shall become effective, without lapse of coverage, immediately following termination of coverage under the group contract.(4) If a health care service contractor or group contract holder does not renew, cancels, or otherwise terminates the group contract, the health care service contractor must offer a conversion contract to any person who was covered under the terminated contract unless the person is eligible to obtain group hospital or medical expense coverage within thirty-one days after such nonrenewal, cancellation, or termination of the group contract or thirty-one days after the date the person received notice of termination of coverage, whichever is later.(5) The health care service contractor shall determine the premium for the conversion contract in accordance with the contractor's table of premium rates applicable to the age and class of risk of each person to be covered under the contract and the type and amount of benefits provided.[ 2010 c 110 § 2; 1984 c 190 § 6.]NOTES:Application—2010 c 110: See note following RCW 48.21.260.Legislative intent—Severability—1984 c 190: See notes following RCW 48.21.250.
WA Rev Code § 48.44.380 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.380 - Conversion contract—Restrictions and requirements—Rules.

RCW 48.44.380 Conversion contract—Restrictions and requirements—Rules.(1) A health care service contractor shall not require proof of insurability as a condition for issuance of the conversion contract.(2) A conversion contract may not contain an exclusion for preexisting conditions for any applicant.(3) A health care service contractor must offer at least three contract benefit plans that comply with the following:(a) A major medical plan with a five thousand dollar deductible per person;(b) A comprehensive medical plan with a five hundred dollar deductible per person; and(c) A basic medical plan with a one thousand dollar deductible per person.(4) The insurance commissioner may revise the deductible amounts in subsection (3) of this section from time to time to reflect changing health care costs.(5) The insurance commissioner shall adopt rules to establish minimum benefit standards for conversion contracts.(6) The commissioner shall adopt rules to establish specific standards for conversion contract provisions. These rules may include but are not limited to:(a) Terms of renewability;(b) Nonduplication of coverage;(c) Benefit limitations, exceptions, and reductions; and(d) Definitions of terms.[ 2019 c 33 § 5; 2011 c 314 § 7; 1984 c 190 § 7.]NOTES:Effective date—2019 c 33: See note following RCW 48.43.005.Legislative intent—Severability—1984 c 190: See notes following RCW 48.21.250.
WA Rev Code § 48.44.390 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.390 - Modification of basis of agreement, endorsement required.

RCW 48.44.390 Modification of basis of agreement, endorsement required.If an individual health care service agreement is issued on any basis other than as applied for, an endorsement setting forth such modification must accompany and be attached to the agreement. No agreement shall be effective unless the endorsement is signed by the applicant, and a signed copy thereof returned to the health care service contractor.[ 1986 c 223 § 10.]
WA Rev Code § 48.44.400 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.400 - Continuance provisions for former family members.

RCW 48.44.400 Continuance provisions for former family members.After July 1, 1986, or on the next renewal date of the agreement, whichever is later, every health care service agreement issued, amended, or renewed for an individual and his or her dependents shall contain provisions to assure that the covered spouse and/or dependents, in the event that any cease to be a qualified family member by reason of termination of marriage or death of the principal enrollee, shall have the right to continue the health care service agreement without a physical examination, statement of health, or other proof of insurability.[ 1986 c 223 § 11.]
WA Rev Code § 48.44.420 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.420 - Coverage for adopted children.

RCW 48.44.420 Coverage for adopted children.(1) Any health care service contract under this chapter delivered or issued for delivery in this state, which provides coverage for dependent children, as defined in the contract of the subscriber, shall cover adoptive children placed with the subscriber on the same basis as other dependents, as provided in RCW 48.01.180.(2) If payment of an additional premium is required to provide coverage for a child, the contract may require that notification of placement of a child for adoption and payment of the required premium must be furnished to the health care services contractor. The notification period shall be no less than sixty days from the date of placement.[ 1986 c 140 § 4.]NOTES:Effective date, application—Severability—1986 c 140: See notes following RCW 48.01.180.
WA Rev Code § 48.44.430 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.430 - Cancellation of rider.

RCW 48.44.430 Cancellation of rider.Upon application by a subscriber, a rider shall be canceled if at least five years after its issuance, no health care services have been received by the subscriber during that time for the condition specified in the rider, and a physician, selected by the carrier for that purpose, agrees in writing to the full medical recovery of the subscriber from that condition, such agreement not to be unreasonably withheld. The option of the subscriber to apply for cancellation shall be disclosed on the face of the rider in clear and conspicuous language.For purposes of this section, a rider is a legal document that modifies a contract to exclude, limit, or reduce coverage or benefits for specifically named or described preexisting diseases or physical conditions.[ 1987 c 37 § 3.]
WA Rev Code § 48.44.440 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.440 - Phenylketonuria.

RCW 48.44.440 Phenylketonuria.(1) The legislature finds that:(a) Phenylketonuria is a rare inherited genetic disorder.(b) Children with phenylketonuria are unable to metabolize an essential amino acid, phenylalanine, which is found in the proteins of most food.(c) To remain healthy, children with phenylketonuria must maintain a strict diet and ingest a mineral and vitamin-enriched formula.(d) Children who do not maintain their diets with the formula acquire severe mental and physical difficulties.(e) Originally, the formulas were listed as prescription drugs but were reclassified as medical foods to increase their availability.(2) Subject to requirements and exceptions which may be established by rules adopted by the commissioner, any contract for health care services delivered or issued for delivery or renewed in this state on or after September 1, 1988, shall provide coverage for the formulas necessary for the treatment of phenylketonuria.[ 1988 c 173 § 3.]