Washington Code 70.170.020 – Definitions
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As used in this chapter:
Terms Used In Washington Code 70.170.020
- Charity: An agency, institution, or organization in existence and operating for the benefit of an indefinite number of persons and conducted for educational, religious, scientific, medical, or other beneficent purposes.
- Charity care: means medically necessary hospital health care rendered to indigent persons when third-party coverage, if any, has been exhausted, to the extent that the persons are unable to pay for the care or to pay deductibles or coinsurance amounts required by a third-party payer, as determined by the department. See Washington Code 70.170.020
- Department: means department of health. See Washington Code 70.170.020
- Hospital: means any health care institution which is required to qualify for a license under RCW 70. See Washington Code 70.170.020
- Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
- Secretary: means secretary of health. See Washington Code 70.170.020
- Third-party coverage: means an obligation on the part of an insurance company, health care service contractor, health maintenance organization, group health plan, government program, tribal health benefits, or health care sharing ministry as defined in 26 U. See Washington Code 70.170.020
(1) “Department” means department of health.
(2) “Hospital” means any health care institution which is required to qualify for a license under RCW 70.41.020(8); or as a psychiatric hospital under chapter 71.12 RCW.
(3) “Secretary” means secretary of health.
(4) “Charity care” means medically necessary hospital health care rendered to indigent persons when third-party coverage, if any, has been exhausted, to the extent that the persons are unable to pay for the care or to pay deductibles or coinsurance amounts required by a third-party payer, as determined by the department.
(5) “Indigent persons” are those patients or their guarantors who qualify for charity care pursuant to RCW 70.170.060(5) based on the federal poverty level, adjusted for family size, and who have exhausted any third-party coverage.
(6) “Third-party coverage” means an obligation on the part of an insurance company, health care service contractor, health maintenance organization, group health plan, government program, tribal health benefits, or health care sharing ministry as defined in 26 U.S.C. § 5000A to pay for the care of covered patients and services, and may include settlements, judgments, or awards actually received related to the negligent acts of others which have resulted in the medical condition for which the patient has received hospital health care service. The pendency of such settlements, judgments, or awards must not stay hospital obligations to consider an eligible patient for charity care.
(7) “Special studies” means studies which have not been funded through the department’s biennial or other legislative appropriations.
NOTES:
Application—2022 c 197: “This act applies prospectively only to care provided on or after July 1, 2022. This act does not affect the ability of a patient who received care prior to July 1, 2022, to receive charity care under RCW 70.170.020 and 70.170.060 as the sections existed before that date.” [ 2022 c 197 § 4.]
Effective date—2018 c 263: “This act takes effect October 1, 2018.” [ 2018 c 263 § 3.]
Effective date—Part headings not law—Severability—1995 c 269: See notes following RCW 18.16.050.