reglab/housing_qa huggingface dataset:
WA Rev Code § 43.71.010 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.010 - Definitions.

RCW 43.71.010 Definitions.The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. Terms and phrases used in this chapter that are not defined in this section must be defined as consistent with implementation of a state health benefit exchange pursuant to applicable federal law.(1) "Authority" means the Washington state health care authority, established under chapter 41.05 RCW.(2) "Board" means the governing board established in RCW 43.71.020.(3) "Commissioner" means the insurance commissioner, established in Title 48 RCW.(4) "Exchange" means the Washington health benefit exchange established in RCW 43.71.020.(5) "Self-sustaining" means capable of operating with revenue attributable to the operations of the exchange. Self-sustaining sources include, but are not limited to, federal grants, federal premium tax subsidies and credits, charges to health carriers, premiums paid by enrollees, and premium taxes under RCW 48.14.0201(5)(b) and 48.14.020(2).[ 2018 c 44 § 1; 2013 2nd sp.s. c 6 § 1; 2012 c 87 § 2; 2011 c 317 § 2.]
WA Rev Code § 43.71.060 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.060 - Health benefit exchange account.

RCW 43.71.060 Health benefit exchange account.(1) The health benefit exchange account is created in the state treasury. Moneys in the account may be spent only after appropriation. Expenditures from the account may only be used to fund the operation of the exchange and identification, collection, and distribution of premium taxes collected under RCW 48.14.0201(5)(b) and 48.14.020(2).(2) The following funds must be deposited in the account:(a) Premium taxes collected under RCW 48.14.0201(5)(b) and 48.14.020(2);(b) Assessments authorized under RCW 43.71.080; and(c) Amounts transferred by the pool administrator as specified in the state omnibus appropriations act pursuant to RCW 48.41.090.(3) All receipts from federal grants received may be deposited into the account. Expenditures from the account may be used only for purposes consistent with the grants.[ 2018 c 44 § 4; 2013 2nd sp.s. c 6 § 2; 2012 c 87 § 5; 2011 c 317 § 7.]
WA Rev Code § 43.71.065 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.065 - Qualified health plans—Certification—Criteria stand-alone dental plans—Direct primary care medical home plans—Appeals.

RCW 43.71.065 Qualified health plans—Certification—Criteria stand-alone dental plans—Direct primary care medical home plans—Appeals.(1) The board shall certify a plan as a qualified health plan to be offered through the exchange if the plan is determined by the:(a) Insurance commissioner to meet the requirements of Title 48 RCW and rules adopted by the commissioner pursuant to chapter 34.05 RCW to implement the requirements of Title 48 RCW;(b) Board to meet the requirements of applicable federal law for certification as a qualified health plan; and(c) Board to include tribal clinics and urban Indian clinics as essential community providers in the plan's provider network consistent with federal law. If consistent with federal law, integrated delivery systems shall be exempt from the requirement to include essential community providers in the provider network.(2) Consistent with applicable federal law, the board shall allow stand-alone dental plans to offer coverage in the exchange beginning January 1, 2014. Dental benefits offered in the exchange must be offered and priced separately to assure transparency for consumers.(3) The board may permit direct primary care medical home plans, consistent with applicable federal law, to be offered in the exchange.(4) Upon request by the board, a state agency shall provide information to the board for its use in determining if the requirements under subsection (1)(b) or (c) of this section have been met. Unless the agency and the board agree to a later date, the agency shall provide the information within sixty days of the request. The exchange shall reimburse the agency for the cost of compiling and providing the requested information within one hundred eighty days of its receipt.(5) A decision by the board denying a request to certify or recertify a plan as a qualified health plan may be appealed according to procedures adopted by the board.[ 2018 c 44 § 5; 2012 c 87 § 8.]
WA Rev Code § 43.71.067 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.067 - Qualified health plans—Prohibited marketing practices or benefit designs—Rules.

RCW 43.71.067 Qualified health plans—Prohibited marketing practices or benefit designs—Rules.(1) For qualified health plans, an issue [issuer] offering a qualified health plan may not employ marketing practices or benefit designs that have the effect of discouraging enrollment in the plan by individuals with significant health needs.(2) Unless preempted by federal law, the commissioner shall adopt any rules necessary to implement this section, consistent with federal rules and guidance in effect on January 1, 2017, implementing the patient protection and affordable care act.[ 2019 c 33 § 16.]NOTES:Effective date—2019 c 33: See note following RCW 48.43.005.
WA Rev Code § 43.71.070 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.070 - Rating system—Rating factors.

RCW 43.71.070 Rating system—Rating factors.The board shall establish a rating system consistent with applicable federal law, for qualified health plans to assist consumers in evaluating plan choices in the exchange. Rating factors established by the board may include, but are not limited to:(1) Affordability with respect to premiums, deductibles, and point-of-service cost-sharing;(2) Enrollee satisfaction;(3) Provider reimbursement methods that incentivize health homes or chronic care management or care coordination for enrollees with complex, high-cost, or multiple chronic conditions;(4) Promotion of appropriate primary care and preventive services utilization;(5) High standards for provider network adequacy, including consumer choice of providers and service locations and robust provider participation intended to improve access to underserved populations through participation of essential community providers, family planning providers and pediatric providers;(6) High standards for covered services, including languages spoken or transportation assistance; and(7) Coverage of benefits for spiritual care services that are deductible under section 213(d) of the internal revenue code.[ 2018 c 44 § 6; 2012 c 87 § 9.]
WA Rev Code § 43.71.075 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.075 - Navigator not soliciting or negotiating insurance—Health care information—Protection—Disclosure—Notification.

RCW 43.71.075 Navigator not soliciting or negotiating insurance—Health care information—Protection—Disclosure—Notification.(1) A person or entity functioning as a navigator shall not be considered soliciting or negotiating insurance as stated under chapter 48.17 RCW.(2)(a) A person or entity functioning as a navigator may only request health care information that is relevant to the specific assessment and recommendation of health plan options. Any health care information received by a navigator may not be disclosed to any third party that is not part of the enrollment process and must be destroyed after enrollment has been completed.(b) If a person's health care information is received and disclosed to a third party in violation of (a) of this subsection, the navigator must notify the person of the breach. The exchange must develop a policy to establish a reasonable notification period and what information must be included in the notice. This policy and information on the exchange's confidentiality policies must be made available on the exchange's website.(3) For the purposes of this section:(a) "Health care information" has the meaning provided in RCW 70.02.010.(b) "Navigator" means a person or entity certified by the exchange to provide culturally and linguistically appropriate education and assistance and facilitate enrollment in qualified health plans and federal and state health care programs, in a manner consistent with applicable federal law.[ 2018 c 44 § 7; 2014 c 220 § 3; 2012 c 87 § 25.]NOTES:Effective date—2014 c 220: See note following RCW 70.02.290.
WA Rev Code § 43.71.100 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.100 - Access to information about exclusion of mandated benefits from qualified health plans—Exchange's duties.

RCW 43.71.100 Access to information about exclusion of mandated benefits from qualified health plans—Exchange's duties.(1) Beginning November 1, 2021, the exchange shall provide individuals seeking to enroll in coverage on its website with access to the information a health carrier must provide under RCW 48.43.725 for any qualified health plan the health carrier offers that excludes, under state or federal law, any benefit required or mandated by Title 48 RCW or rules adopted by the commissioner.(2) The exchange may provide the access required under this section directly on its website, through a link to an external website, or in any other manner that allows consumers to easily access the information.[ 2020 c 283 § 2.]
WA Rev Code § 43.71.120 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.120 - Applications to federal government for waivers and other flexibilities.

RCW 43.71.120 Applications to federal government for waivers and other flexibilities.(1) The exchange, in close consultation with the authority and the office of the insurance commissioner, must explore all opportunities to apply to the secretary of health and human services under 42 U.S.C. Sec. 18052 for a waiver or other available federal flexibilities to:(a) Receive federal funds for the implementation of the premium assistance or cost-sharing reduction programs established under RCW 43.71.110;(b) Increase access to qualified health plans; and(c) Implement or expand other exchange programs that increase affordability of or access to health insurance coverage in Washington state.(2) If, through the process described in subsection (1) of this section[,] an opportunity to submit a waiver is identified, the exchange, in collaboration with the office of the insurance commissioner and the health care authority, may develop an application under this section to be submitted by the health care authority. If an application is submitted, the health care authority must notify the chairs and ranking minority members of the appropriate policy and fiscal committees of the legislature.(3) Any application submitted under this section must meet all federal public notice and comment requirements under 42 U.S.C. Sec. 18052(a)(4)(B), including public hearings to ensure a meaningful level of public input.[ 2021 c 246 § 2.]
WA Rev Code § 43.71.130 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.130 - State health care affordability account.

RCW 43.71.130 State health care affordability account.(1) The state health care affordability account is created in the state treasury. Expenditures from the account may only be used for premium and cost-sharing assistance programs established in RCW 43.71.110.(2) The following funds must be deposited in the account:(a) Any grants, donations, or contributions of money collected for purposes of the premium assistance or cost-sharing reduction programs established in RCW 48.43.795;(b) Any federal funds received by the health benefit exchange pursuant to RCW 43.71.120; and(c) Any additional funding specifically appropriated to the account.[ 2021 c 246 § 3.]
WA Rev Code § 43.71.900 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.900 - Conflict with federal requirements—2011 c 317.

RCW 43.71.900 Conflict with federal requirements—2011 c 317.If any part of this act is found to be in conflict with federal requirements that are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of this act in its application to the agencies concerned. Rules adopted under this act must meet federal requirements that are a necessary condition to the receipt of federal funds by the state.[ 2011 c 317 § 9.]
WA Rev Code § 43.71.901 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71 - Washington Health Benefit Exchange.|43.71.901 - Spiritual care services—2012 c 87.

RCW 43.71.901 Spiritual care services—2012 c 87.Nothing in chapter 87, Laws of 2012 prohibits the offering of benefits for spiritual care services deductible under section 213(d) of the internal revenue code in health plans inside and outside of the exchange.[ 2012 c 87 § 14.]
WA Rev Code § 43.71A.005 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71A - Pacific Island Citizens—Health Care Premium Assistance.|43.71A.005 - Findings—Intent.

RCW 43.71A.005 Findings—Intent.(1) The legislature finds that:(a) The compact of free association (COFA) islands, which consists of the Republic of Palau, the Republic of the Marshall Islands, and the Federated States of Micronesia, has had a long-standing relationship with the United States;(b) The relationship between the COFA islands and the United States includes economic development and a military presence in the islands;(c) The region served as a testing ground for atmospheric nuclear weapons between 1946 and 1957, which resulted in past and current inhabitants being exposed to nuclear fallout;(d) Residents of the COFA islands are allowed to enter the United States without work permits or visas where they live, study, work, serve in the military, and pay state and federal taxes, but are ineligible for federal health programs like medicaid and medicare; and(e) This ineligibility for federal health programs has exacerbated barriers to health care access for this population, which has led to poorer health outcomes and increased, long-term costs on the health care system as a whole.(2) The legislature therefore intends to increase access to health care services for COFA islanders residing in Washington by providing premium and cost-sharing assistance for health coverage purchased through the health benefit exchange.[ 2018 c 161 § 1.]
WA Rev Code § 43.71A.010 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71A - Pacific Island Citizens—Health Care Premium Assistance.|43.71A.010 - Definitions.

RCW 43.71A.010 Definitions.The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Advance premium tax credit" means the premium assistance amount determined in accordance with the affordable care act.(2) "Affordable care act" means the federal patient protection and affordable care act, P.L. 111-148, as amended by the federal health care and education reconciliation act of 2010, P.L. 111-152, or federal regulations or guidance issued under the affordable care act.(3) "Authority" means the Washington state health care authority.(4) "COFA citizen" means a person who is a citizen of:(a) The Republic of the Marshall Islands;(b) The Federated States of Micronesia; or(c) The Republic of Palau.(5) "Health benefit exchange" or "exchange" means the Washington health benefit exchange established in chapter 43.71 RCW.(6) "Income" means the modified adjusted gross income attributed to an individual for purposes of determining his or her eligibility for advance premium tax credits.(7) "In-network provider" means a health care provider or group of providers that directly contracts with an insurer to provide health benefits covered by a health benefit plan offered by an insurer.(8) "Open enrollment period" means the period during which a person may enroll in a qualified health plan.(9) "Out-of-pocket costs" means copayments, coinsurance, deductibles, and other cost-sharing requirements imposed under a qualified health plan for services, pharmaceuticals, devices, and other health benefits that are covered by the plan and rendered by in-network providers.(10) "Premium cost" means an individual's premium for a qualified health plan less the amount of the individual's advance premium tax credit.(11) "Qualified health plan" means a health benefit plan sold through the health benefit exchange.(12) "Resident" means a person who is domiciled in this state.(13) "Special enrollment period" means a period during which a person who has not done so during the open enrollment period may enroll in a qualified health plan through the exchange if the person meets specified requirements.[ 2018 c 161 § 2.]
WA Rev Code § 43.71A.020 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71A - Pacific Island Citizens—Health Care Premium Assistance.|43.71A.020 - Eligibility—Costs to be paid—Disqualification—Establishment of procedures.

RCW 43.71A.020 Eligibility—Costs to be paid—Disqualification—Establishment of procedures.(1) An individual is eligible for the COFA premium assistance program if the individual:(a) Is a resident;(b) Is a COFA citizen;(c) Enrolls in a silver qualified health plan;(d) Has income that is less than one hundred thirty-three percent of the federal poverty level; and(e) Is ineligible for a federal or state medical assistance program administered by the authority under chapter 74.09 RCW.(2) Subject to the availability of amounts appropriated for this specific purpose, the authority shall pay the premium cost for a qualified health plan and the out-of-pocket costs for the coverage provided by the plan for an individual who is eligible for the premium assistance program under subsection (1) of this section.(3) The authority may disqualify a participant from the program if the participant:(a) No longer meets the eligibility criteria in subsection (1) of this section;(b) Fails, without good cause, to comply with procedural or documentation requirements established by the authority in accordance with subsection (4) of this section;(c) Fails, without good cause, to notify the authority of a change of address in a timely manner;(d) Withdraws the participant's application or requests termination of coverage; or(e) Performs an act, practice, or omission that constitutes fraud, and, as a result, an insurer rescinds the participant's policy for the qualified health plan.(4) The authority shall establish:(a) Application, enrollment, and renewal processes for the COFA premium assistance program;(b) The qualified health plans that are eligible for reimbursement under the program;(c) Procedural requirements for continued participation in the program, including participant documentation requirements that are necessary for the authority to administer the program; and(d) Open enrollment periods and special enrollment periods consistent with the enrollment periods for the health benefit exchange.(5) The first open enrollment period for the COFA premium assistance program must begin no later than November 1, 2018.[ 2019 c 311 § 2; 2018 c 161 § 3.]NOTES:Findings—Intent—2019 c 311: See note following RCW 74.09.719.
WA Rev Code § 43.71A.030 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71A - Pacific Island Citizens—Health Care Premium Assistance.|43.71A.030 - Education and outreach program.

RCW 43.71A.030 Education and outreach program.The authority, in consultation with the Washington state commission on Asian Pacific American affairs, shall establish an annual comprehensive community education and outreach program to COFA citizens, including contracting with a Washington organization that has multilingual language capacity, and working with stakeholder and community organizations, to facilitate applications for, and enrollment in, the COFA premium assistance and dental care programs. Subject to the availability of amounts appropriated for this specific purpose, the education and outreach program shall provide culturally and linguistically accessible information to facilitate participation in the programs, including but not limited to enrollment procedures, benefit utilization, and patient responsibilities.[ 2019 c 311 § 3.]NOTES:Findings—Intent—2019 c 311: See note following RCW 74.09.719.
WA Rev Code § 43.71A.800 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71A - Pacific Island Citizens—Health Care Premium Assistance.|43.71A.800 - Advisory committee.

RCW 43.71A.800 Advisory committee.The authority shall appoint an advisory committee that includes, but is not limited to, insurers and representatives of communities of COFA citizens. The committee shall advise the authority in the development, implementation, and operation of the COFA premium assistance program established in this chapter and the COFA islander dental care program established in RCW 74.09.719. The advisory committee must exist until at least December 31, 2021. Advisory committee members may be reimbursed for transportation and travel expenses related to serving on the committee, as needed.[ 2019 c 311 § 5; 2018 c 161 § 4.]NOTES:Findings—Intent—2019 c 311: See note following RCW 74.09.719.
WA Rev Code § 43.71A.900 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71A - Pacific Island Citizens—Health Care Premium Assistance.|43.71A.900 - Effective date—2018 c 161.

RCW 43.71A.900 Effective date—2018 c 161.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 takes effect immediately [March 22, 2018].[ 2018 c 161 § 6.]
WA Rev Code § 43.71B.040 (2021)
2021 Revised Code of Washington|Title 43 - State Government—Executive|Chapter 43.71B - Indian Health Improvement.|43.71B.040 - Indian health improvement reinvestment account.

RCW 43.71B.040 Indian health improvement reinvestment account.(1) The Indian health improvement reinvestment account is created in the custody of the state treasurer. All receipts from new state savings as defined in RCW 43.71B.010 and any other moneys appropriated to the account must be deposited into the account. Expenditures from the account may be used only for projects, programs, and activities authorized by RCW 43.71B.030. Only the director of the authority or the director's designee may authorize expenditures from the account. The account is subject to allotment procedures under chapter 43.88 RCW, but an appropriation is not required for expenditures.(2) Beginning November 1, 2019, the new state savings as defined in RCW 43.71B.010, less the state's administrative costs as agreed upon by the state and the reinvestment committee, shall be deposited into the reinvestment account. With advice from the advisory council, the authority shall develop a report and methodology to identify and track the new state savings. Each fall, to assure alignment with existing budget processes, the methodology selected shall involve the same forecasting procedures that inform the authority's medical assistance and behavioral health appropriations to prospectively identify new state savings each fiscal year, as defined in RCW 43.71B.010.(3) The authority shall pursue new state savings for medicaid managed care premiums on an actuarial basis and in consultation with tribes.[ 2019 c 282 § 5.]