§ 41.05.004 Intent — Use of word “board.”
§ 41.05.006 Purpose
§ 41.05.008 Duties of employing agencies
§ 41.05.009 Determination of public employee eligibility for benefits
§ 41.05.0091 Eligibility exists prior to January 1, 2010
§ 41.05.011 Definitions
§ 41.05.013 State purchased health care programs — Uniform policies
§ 41.05.014 Applications, enrollment forms, and eligibility certification documents — Signatures
§ 41.05.015 Medical director — Appointment of personnel
§ 41.05.017 Provisions applicable to health plans offered under this chapter
§ 41.05.018 Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services
§ 41.05.021 State health care authority — Director — Cost control and delivery strategies — Health information technology — Managed competition — Rules
§ 41.05.022 State agent for purchasing health services — Single community-rated risk pool
§ 41.05.023 Chronic care management program — Uniform medical plan — Definitions
§ 41.05.026 Contracts — Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data — Exemption from public inspection — Executive sessions
§ 41.05.031 Health information technology office — Agencies to establish health care information systems
§ 41.05.035 Exchange of health information — Advisory board, discretionary — Director’s authority
§ 41.05.036 Health information — Definitions
§ 41.05.037 Nurse hotline, when funded
§ 41.05.039 Health information — Secure access — Lead organization — Director’s duties
§ 41.05.042 Health information — Processes, guidelines, and standards
§ 41.05.046 Health information — Conflict with federal requirements
§ 41.05.050 Contributions for employees and dependents
§ 41.05.055 Public employees’ benefits board — Members
§ 41.05.065 Public employees’ benefits board — Duties — Eligibility — Definitions — Penalties
§ 41.05.066 Domestic partner benefits
§ 41.05.068 Federal employer incentive program — Authority to participate
§ 41.05.074 Public employees — Prior authorization standards and criteria — Health plan requirements — Definitions
§ 41.05.075 Employee benefit plans — Contracts with insuring entities — Performance measures — Financial incentives — Health information technology
§ 41.05.080 Participation in insurance plans and contracts — Retired, disabled, or separated employees — Certain surviving spouses, state registered domestic partners, and dependent children
§ 41.05.083 Employer groups — Participation in insurance plans and contracts — Termination of agreement — Payment for retired or disabled employees
§ 41.05.085 Retired state employee and retired or disabled school employee health insurance subsidy
§ 41.05.095 Coverage for dependents under the age of twenty-six
§ 41.05.100 Chapter not applicable to certain employees of Cooperative Extension Service
§ 41.05.120 Public employees’ and retirees’ insurance account — School employees’ insurance account
§ 41.05.123 Flexible spending administrative account — Salary reduction account — School employees’ benefits board flexible spending and dependent care administrative account — School employees’ benefits board salary reducti
§ 41.05.130 State health care authority administrative account — School employees’ insurance administrative account
§ 41.05.140 Payment of claims — Self-insurance — Insurance reserve fund created
§ 41.05.143 Uniform medical plan benefits administration account — Uniform dental plan benefits administration account — School employees’ benefits board medical benefits administrative account — School employees’ benefits b
§ 41.05.160 Rules
§ 41.05.165 Rules — Insurance benefit reimbursement
§ 41.05.170 Neurodevelopmental therapies — Employer-sponsored group contracts
§ 41.05.175 Prescribed, self-administered anticancer medication
§ 41.05.177 Prostate cancer screening — Required coverage
§ 41.05.180 Mammograms — Insurance coverage
§ 41.05.183 General anesthesia services for dental procedures — Public employee benefit plans
§ 41.05.185 Diabetes benefits — State purchased health care
§ 41.05.188 Eosinophilic gastrointestinal associated disorder — Elemental formula
§ 41.05.195 Medicare supplemental insurance policies
§ 41.05.197 Medicare supplemental insurance policies
§ 41.05.220 Community and migrant health centers — Maternity health care centers — People of color — Underserved populations
§ 41.05.225 Blind licensees in the business enterprises program — Plan of health insurance
§ 41.05.295 Dependent care assistance program — Health care authority — Powers, duties, and functions
§ 41.05.300 Salary reduction agreements — Authorized
§ 41.05.310 Salary reduction plan — Policies and procedures — Plan document
§ 41.05.320 Salary reduction plan — Eligibility — Participation, withdrawal
§ 41.05.330 Salary reduction plan — Accounts and records
§ 41.05.340 Salary reduction plan — Termination — Amendment
§ 41.05.350 Salary reduction plan — Rules
§ 41.05.360 Salary reduction plan — Construction
§ 41.05.400 Plan of health care coverage — Available funds — Components — Eligibility — Director’s duties
§ 41.05.405 Public option plans — Availability — Hospital contracts — Recommendations
§ 41.05.410 Qualified health plans — Contract for — Requirements — Cost and quality data
§ 41.05.413 Qualified health plans — Reimbursement limit — Waiver
§ 41.05.430 Plan of health care coverage — Immediate postpartum contraception devices
§ 41.05.520 Pharmacy connection program — Notice
§ 41.05.525 Treatment of opioid use disorder — Prior authorization
§ 41.05.526 Withdrawal management services — Substance use disorder treatment services — Prior authorization — Utilization review — Medical necessity review
§ 41.05.527 Opioid overdose reversal medication bulk purchasing and distribution program
§ 41.05.528 Standard set of criteria — Medical necessity for substance use disorder treatment — Substance use disorder levels of care — Rules
§ 41.05.530 Prescription drug assistance, education — Rules
§ 41.05.533 Medication synchronization policy required for health benefit plans covering prescription drugs — Requirements — Definitions
§ 41.05.540 State employee health program — Requirements
§ 41.05.550 Prescription drug assistance foundation — Nonprofit and tax-exempt corporation — Definitions — Liability
§ 41.05.600 Mental health services — Definition — Coverage required, when
§ 41.05.601 Mental health services — Rules
§ 41.05.630 Annual report of customer service complaints and appeals
§ 41.05.650 Community health care collaborative grant program — Grants — Administrative support — Eligibility
§ 41.05.651 Rules — 2009 c 299
§ 41.05.660 Community health care collaborative grant program — Award and disbursement of grants
§ 41.05.670 Chronic care management incentives — Provider reimbursement methods
§ 41.05.690 Performance measures committee — Membership — Selection of performance measures — Benchmarks for purchasing decisions — Public process for evaluation of measures
§ 41.05.700 Reimbursement of health care services provided through telemedicine or store and forward technology — Audio-only telemedicine
§ 41.05.730 Ground emergency medical transportation services — Medicaid reimbursement — Calculation — Federal approval — Department’s duties
§ 41.05.735 Ground emergency medical transportation services — Medicaid reimbursement — Intergovernmental transfer program — Federal approval — Authority’s duties
§ 41.05.740 School employees’ benefits board
§ 41.05.742 Single enrollment requirement
§ 41.05.743 School board members — Eligibility for health benefits
§ 41.05.744 School employee eligibility during COVID-19 state of emergency
§ 41.05.745 School employees’ benefits board — Employee-paid, voluntary benefits — Optional benefits
§ 41.05.750 Problem gambling and gambling disorder treatment program
§ 41.05.751 Problem gambling account
§ 41.05.760 Recovery residences — Registry
§ 41.05.761 Recovery residences — Technical assistance for residences seeking certification
§ 41.05.762 Recovery residences — Revolving fund
§ 41.05.810 Prenatal substance exposure treatment — Contracting
§ 41.05.820 Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans
§ 41.05.830 Coverage for hearing instruments — Definitions
§ 41.05.831 Coverage for hearing instruments
§ 41.05.840 Universal health care commission
§ 41.05.845 Prior authorization
§ 41.05.850 Abortion coverage — Cost sharing
§ 41.05.890 Certain health care and financial related data provided to authority — Exempt from disclosure
§ 41.05.900 Short title
§ 41.05.901 Implementation — Effective dates — 1988 c 107
§ 41.05.950 Retired or disabled public employees — Special health coverage enrollment opportunity
§ 41.05.951 Retired or disabled employees of employer groups — Return following termination of employer’s agreement — 2023 c 312
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Terms Used In Washington Code > Chapter 41.05 - State health care authority

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appellate: About appeals; an appellate court has the power to review the judgement of another lower court or tribunal.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Committee membership: Legislators are assigned to specific committees by their party. Seniority, regional balance, and political philosophy are the most prominent factors in the committee assignment process.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Executive session: A portion of the Senate's daily session in which it considers executive business.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Legislative session: That part of a chamber's daily session in which it considers legislative business (bills, resolutions, and actions related thereto).
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Oath: A promise to tell the truth.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: may be construed to include the United States, this state, or any state or territory, or any public or private corporation or limited liability company, as well as an individual. See Washington Code 1.16.080
  • Quorum: The number of legislators that must be present to do business.
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Statute: A law passed by a legislature.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Veto: The procedure established under the Constitution by which the President/Governor refuses to approve a bill or joint resolution and thus prevents its enactment into law. A regular veto occurs when the President/Governor returns the legislation to the house in which it originated. The President/Governor usually returns a vetoed bill with a message indicating his reasons for rejecting the measure. In Congress, the veto can be overridden only by a two-thirds vote in both the Senate and the House.