RESOLUTIONS: FINAL ACTIONS 2017 (2018) WSMA HOD
KCMS Sponsored Resolutions:
C-2 – Homelessness (ADOPTED AS AMENDED)
C-3 – Covered Services and No Prior Authorization Needed (REFERRED)
C-4 – Insurance Companies Take Backs (ADOPTED AS AMENDED)
C-5 – Prescription Prior Authorization (REFERRED)
C-15 – Useful Medical Student Documentation (ADOPTED)
B-4 – Safe-injection Facilities as Harm Reduction to Address Opiod Crisis (ADOPTED AS AMENDED)
2017 – 2018 Legislative Updates
This is what we are watching now! We will continue to keep you posted as the session progresses.
- HB 1002 Concerning public funds being used for elective abortions: Restricts public funding of abortion unless the abortion is determined to be medically necessary.
- HB 1054 /SB 5025 Tobacco Products Age: Raises the legal age to twenty-one years in order for the sale or distribution of tobacco and vapor products to be made.
- HB 1117 Addressing health care services balance billing: Establishes the balance billing protection act to provide for the protection of consumers against balance billing for emergency and other health care services when: (1) Emergency health care services are provided to a covered person; or(2) Health care services are provided to a covered person at an in-network facility, but are provided by an out-of-network provider when no in-network provider is available to provide the health care services.
- HB 1211/SB 5160 Addressing prescription drug insurance continuity of care: Prohibits an issuer from denying continued coverage or increasing the copayment or coinsurance amount for a prescription drug to a medically stable enrollee under certain circumstances.
- HB 1244 Preventing purveyors of public water systems from intentional fluoridation in excess of concentrations that are currently recommended by the department of health: Prohibits a purveyor from intentionally fluoridating water supplied by a public water system to a level that exceeds 0.7 milligrams of fluoride per liter of water.
- HB 1276 Creating a pilot project to test a three-part aim solution that improves health and health care in a manner that lowers overall health care costs in a normally distributed population: Requires the state health care authority to: (1) Conduct a pilot project for enrollees in the uniform medical plan to test a three-part aim solution that improves health and health care in a manner that lowers overall health care costs in a normally distributed population; (2) Conduct a matched cohort study to determine the cost containment capabilities of the three-part aim solution; and (3) Contract, directly or through an insuring or plan administration entity, with a vendor that offers a three-part aim solution.
- HB 1277/SB 5185 Providing immunity from liability for professional or trade associations providing emergency response volunteers: Prohibits an act or omission, by a covered volunteer emergency worker while engaged in a covered activity, from imposing any liability for civil damages resulting from the act or omission upon a professional or trade association.
- HB 1312 Requiring the department of social and health services to collect and publicly report information on the safe surrender of newborn children: Requires the department of social and health services to collect and compile information concerning: (1) The number and medical condition of newborns transferred by the parent to a qualified person; (2) The number and medical condition of newborns abandoned within the state who were not transferred; and (3) Report its findings annually, to the public, which may be on its website.
- HB 1426 / SB 5248 Prescription Monitoring Program: Allows local health officers as well as certain facilities, entities and provider groups to gain PMP information.
- HB 1432 / SB 5353 Foundational Public Health Services: Addresses the protection of the public’s health in the state, core public health services and essential capabilities that comprise foundational public health services, and development of a governmental public health improvement plan. Creates the core public health services account.
- HB 1810 Obligations of mental health professionals: Requires a mental health professional or an individual health care provider providing mental health services to a patient to warn or to take reasonable precautions to provide protection from a patient’s violent behavior only if the patient has communicated to the mental health professional or individual health care provider an actual threat of physical violence against a reasonably identifiable victim or victims.
- HB 1811 Concerning notice of material changes to the operations or governance structure of a health care provider or provider organization:Requires each party to a transaction that results in a material change to the operations or governance structure of a provider or provider organization to submit written notice to the attorney general of the material change.Requires a provider or provider organization that conducts business in this state, and files a premerger notification with the federal trade commission or the United States department of justice, to provide written notification to the attorney general of the filing and, upon request of the attorney general, provide a copy of the merger, acquisition, or other information.
- HB 1926 Capital Gains Tax; Enacting an excise tax on capital gains to improve the fairness of Washington’s tax system and provide funding for the education legacy trust account: Imposes a tax on individuals for the privilege of: (1) Selling or exchanging long-term capital assets; or(2) Receiving Washington capital gains. Allows a business and occupation tax deduction against a person’s gross income of the business to the extent necessary to avoid taxing the same amounts under chapter 82.04 RCW and this act. Provides funding for the education legacy trust account.
- HB 1967 Noncompetition agreements: Requires an employer, in order for a noncompetition agreement to be enforceable, to: (1) Disclose the terms of the agreement in writing to the prospective employee no later than the time of the offer of employment; or (2) If the agreement is entered into after the commencement of employment, provide independent consideration for the agreement.
- HB 2447 Concerning practitioner education of opiate risks and pain management alternatives:Establishes Jeremy’s law. Requires a practitioner who is authorized to prescribe opiates, who writes a prescription for an opiate for the first time during the course of treatment to a patient, to have an in-person discussion with the patient.Requires the department of health to: (1) Create a brief statement warning individuals about the risks of opiate use and abuse; and
(2) Provide the warning on its web site.
- HB 2257 Prohibiting maintenance of certification from being required for certain health professions: Prohibits the medical quality assurance commission from requiring a physician to participate in a maintenance of certification requirement as a condition of licensure or license renewal.Prohibits the board of osteopathic medicine and surgery from requiring an osteopathic physician and surgeon to participate in a maintenance of certification requirement as a condition of licensure or license renewal.
- HB2258 Concerning health care provider and health care facility whistleblower protections: Addresses whistleblower protection provisions with regard to health care providers and health care facilities.
- HB2262 Concerning actions for wrongful injury or death: Expands awards for wrongful death to include noneconomic damages, changes terms to who may recover damages on behalf of a decedent, and applies the law remedially and retroactively to all claims that are not time barred and those that are pending.
- HB 2272 / SB 6050 Concerning restrictions on prescriptions for opiates: Revises the uniform controlled substances act to provide restrictions on prescriptions for opiates on first-time opiate prescriptions in the outpatient setting, generally limiting prescriptions to a seven-day supply for patients 21 and older, and a three day supply for patients under 21. Exceptions are provided for the treatment of pain, but the bill also creates new requirements on physicians prescribing more than a three-day supply to a patient for the first time.
- HB 2273 Concerning the Medicaid fraud control unit: Requires the attorney general to establish and maintain, within his or her office, the Medicaid fraud control unit. Gives the Medicaid fraud control unit the authority and criminal jurisdiction to investigate and prosecute Medicaid provider fraud, abuse and neglect matters where authority is granted by the federal government, and other federal health care program fraud.
- HB 2310 Concerning prescription drug insurance continuity of care: Implements a cost-effective requirement that ensures patients can rely on the prescription formulary they enter into with their insurance carrier through the entirety of the plan year.
- HB 2325 / SB6028 Concerning the prescription drug monitoring program: Requires a practitioner, before issuing a prescription for an opiate or benzodiazepine, to review the patient’s controlled substance history in the prescription monitoring program.
- HB 2355 / SB 6062 Addressing the establishment of an individual health insurance market claims-based reinsurance program: Creates the Washington reinsurance program to stabilize the rates and premiums for individual health plans and provide greater financial certainty to consumers of health insurance.Requires the program to be operated by the Washington state health insurance pool and the board of directors of the pool.
- HB 2390 Regulating opioid medications at educational institutions: Increases access to opioid overdose medication at kindergarten through twelfth grade schools and institutions of higher education.Strengthens public health surveillance by requiring collection and reporting of certain opioid overdose-related data.
Requires the office of the superintendent of public instruction to: (1) In consultation with the department of health, develop opioid-related overdose policy guidelines and training requirements for public schools and school districts;
(2) Develop and administer a grant program to provide funding to public schools with any of grades kindergarten through twelve and public institutions of higher education to train personnel on the administration of the medication to respond to symptoms of an overdose; and
(3) Coordinate with the department of health to prepare and publish the summaries of the overdose information.
- HB 2408 Preserving access to individual market health care coverage throughout Washington state. Requires a health carrier, that offers a school employees’ benefits board-approved health plan to school employees, to: (1) Offer at least one silver qualified health plan on the state health benefit exchange in a county that would not otherwise have individual market health plans, other than catastrophic health plans, offered to county residents on the state health benefit exchange; and(2) Submit to the insurance commissioner the filings necessary to offer a qualified health plan in every county of the state.
Requires the rate for a person eligible for pool coverage who is eligible for an advance premium tax credit to be reduced by the average amount of the advance premium tax credit a person with the same modified adjusted gross income would receive in counties within the same geographic rating area.
Requires the state health insurance pool administrator to include rate reductions received by individuals when determining the total net cost of pool operation.
- HB 2730 Addressing the establishment of an individual health insurance market claims-based reinsurance program: Creates the Washington reinsurance program to stabilize the rates and premiums for individual health plans and provide greater financial certainty to consumers of health insurance
- SB 5124 Nonpublic Personal Health Information: Prohibits the insurance commissioner from disclosing nonpublic personal health information except in the furtherance of regulatory or legal action brought as a part of the insurance commissioner’s official duties.
- SB 5197 Requiring Additional Security for the All Payer Claims database: Changes certain reporting requirements of the office of the chief information officer with regard to the statewide all-payer health care claims database.
- SB 5223 Concerning safe injection sites in Washington state: Declares that the state fully occupies and preempts the entire field of safe injection site regulation within the boundaries of the state, including the registration, licensing, possession, purchase, sale, acquisition, transfer, use, authorization, or any other element relating to safe injection sites. Provides for submission of this act to a vote of the people.
- SB 5248 Concerning persons to whom the department of health may provide prescription monitoring program data: Expands the list of persons to whom the department of health may provide prescription monitoring program data.
- SB 5463 Protecting public safety through responsible storage of firearms: Addresses community endangerment due to unsafe storage of a firearm in the first and second degree. Requires a firearms dealer, when selling a firearm, to offer to sell or give the purchaser a locked box, a lock, or a device that prevents the firearm from discharging.
- SB 5478 / HB 1640 Advance Directives: Requires a directive to withhold or withdraw from life-sustaining treatment in a terminal condition or permanent unconscious condition to be: (1) Signed by the declarer, who has provided proof of identity; and (2) Acknowledged before a notary public or other individual authorized by law to take acknowledgments.
- SB 5586 Addressing prescription drug cost transparency: Requires the office of financial management to use a competitive procurement process to select a data organization to collect, verify, and summarize the prescription drug pricing data provided by issuers and manufacturers.Requires an issuer to submit certain prescription drug cost and utilization data to the data organization for the previous calendar year.Requires a covered manufacturer to report certain data for each covered drug to the data organization.
- SB 5701 Creating the Washington Apple Care Trust (single payer system): Creates the Washington apple care trust as an agency of state government to provide coverage for a set of health services for all residents.Creates the reserve account, the displaced worker training account, and the benefits account.
- SB 5756 Addressing noncompetition agreements: States that a noncompetition agreement between an employer and an employee is void and unenforceable if the employee’s compensation, excluding benefits, is less than: (1) Fifty-five thousand dollars per year in 2017; and(2) Beginning January 1, 2018, and each January 1st thereafter, the amount provided in (1) above adjusted for inflation. (Same as 1976 but adds different provisions).
- SB 5990 Enacting Uniform Emergency Volunteer health Practitioner Act: Establishes the uniform emergency volunteer health practitioners act which applies to volunteer health practitioners registered with a certain registration system and who provide health or veterinary services in this state for a host entity while an emergency declaration is in effect.
- SB 5995 Protecting consumers and purchasers from excessive increases in generic prescription drug prices: States that the legislature declares that unjustified and excessive price increases of generic drugs are considered violations of the consumer protection act.
- SB 6015 Concerning actions for wrongful injury or death (companion to HB 2262): Concerning actions for wrongful injury or death.
- SB 5998/HB 2258SB Concerning health care provider and health care facility whistleblower protections: Addresses whistleblower protection provisions with regard to health care providers and health care facilities who report on issues including but not limited to fraud, improper peer review, and patient safety in health care setting.
- SB 6049 Concerning high capacity magazines: Prohibits a person from manufacturing, possessing, distributing, importing, transferring, selling, or purchasing, a large capacity magazine. Defines “large capacity magazine” as an ammunition feeding device with the capacity to accept more than ten rounds of ammunition.
- SB 6051: Concerning the medicaid fraud control unit:
Requires the attorney general to establish and maintain, within his or her office, the medicaid fraud control unit.
Gives the medicaid fraud control unit the authority and criminal jurisdiction to investigate and prosecute medicaid provider fraud, abuse and neglect matters where authority is granted by the federal government, and other federal health care program fraud.
- SB 6084 Requiring maintenance of minimum essential health care coverage: Requires an applicable individual, for each month, to ensure that the individual, and any dependent of the individual who is an applicable individual, is covered under minimum essential coverage for the month.
- SB 6147 Concerning prescription drug insurance continuity of care (companion to HB 2310): Implements a cost-effective requirement that ensures patients can rely on the prescription formulary they enter into with their insurance carrier through the entirety of the plan year.
- SB 6150 Concerning the prescription drug monitoring program: Declares that opioid use disorder is a public health crisis. Requires state agencies to: (1) Increase access to evidence-based opioid use disorder treatment services;(2) Promote coordination of services within the substance use disorder treatment and recovery support system;(3) Strengthen partnerships between opioid use disorder treatment providers and their allied community partners;
(4) Expand the use of the state prescription drug monitoring program; and
(5) Support comprehensive school and community-based substance use prevention services.
Requires that agencies administer state purchased health care programs to: (1) Coordinate activities to implement this act and the state interagency opioid working plan;
(2) Explore opportunities to address the opioid epidemic; and
(3) Provide status updates as directed by the joint legislative executive committee on health care oversight to promote legislative and executive coordination.
Changes the name of the community mental health services act to the community behavioral health services act.
- SB 6233 Addressing step therapy protocols for prescription drugs: Requires clinical review criteria used to establish a step therapy protocol to be based on certain clinical practice guidelines, however, in the absence of clinical guidelines, peer-reviewed publications may be substituted.