Chapter 48.49 RCW

BALANCE BILLING PROTECTION ACT

Sections

HTMLPDF 48.49.003FindingsIntent2019 c 427.
HTMLPDF 48.49.005Short title.
HTMLPDF 48.49.010Definitions.
HTMLPDF 48.49.020Balance billingWhen prohibitedCarrier's duty to hold an enrollee harmless from balance billing under certain circumstances.
HTMLPDF 48.49.030Enrollee's obligation to pay for services.
HTMLPDF 48.49.040Dispute resolution processDetermination of commercially reasonable payment amount.
HTMLPDF 48.49.050Commissioner's annual report on dispute resolution information regarding arbitration over commercially reasonable payment amounts.
HTMLPDF 48.49.060Notice of consumer rightsDevelopment of standard template language by commissioner.
HTMLPDF 48.49.070Hospital, ambulatory surgical facility, or behavioral health emergency services providerRequirement to provide certain information on website or upon consumer requestRequirement to provide carriers with nonemployed provider lists.
HTMLPDF 48.49.080Health care providerRequirement to provide certain information on website or upon consumer requestRequirement to submit network status information to carriers.
HTMLPDF 48.49.090CarrierRequirement to update website and provider directoryRequirement to provide enrollee with certain information.
HTMLPDF 48.49.100Pattern of unresolved violationsEnforcement action by department of health or appropriate disciplining authority.
HTMLPDF 48.49.110Rule-making authority.
HTMLPDF 48.49.120No application of chapter to health plans under chapter 74.09 RCW.
HTMLPDF 48.49.130Application of chapter to self-funded group health plans that elect to participate in balance billing protection provisionsAnnual notice to commissioner.
HTMLPDF 48.49.135Determining the adequacy of provider networksRequired considerations.
HTMLPDF 48.49.140Liberal construction of chapter to promote public interest.
HTMLPDF 48.49.160Allowed amounts paid to nonparticipating providers.
HTMLPDF 48.49.170Application of state and federal requirementsApplicability information accessWaivers prohibited.
HTMLPDF 48.49.180Commissioner authorityEnforcementPenalties.
HTMLPDF 48.49.190Reports to legislature.
HTMLPDF 48.49.900Effective date2019 c 427.