WA People
BILL · 2009–10 SESSION

HB 2330: Insurance coverage primacy

Concerning primacy of insurance coverage.

Summary

  • The Department of Social and Health Services (DSHS) and the Health Care Authority (HCA) must send automated eligibility inquiry messages to third party insurers for purposes of determining eligibility for medical assistance and the Basic Health Plan and benefits provided by the Public Employees Benefits Board and the Health Insurance Partnership.
  • Third party insurers must respond within 24 hours to automated eligibility inquiries.
  • When an insurer fails or refuses to comply with these requirements, the Attorney General must subpoena the insurer's enrollment data and commence civil and criminal prosecution under state and federal law.
  • Courts may order injunctive relief, costs, and damages, including up to $1,000 for each eligibility inquiry message that an insurer fails or refuses to respond to.
  • The Insurance Commission may suspend, revoke, or refuse to renew an insurer's Certificate of Authority for failing or refusing to respond to automated eligibility inquiries.
  • The DSHS must examine all claims paid from January 1, 2004, to July 1, 2009 to determine which claims were eligible for payment by a third party and take action to recover the costs associated with those claims.

From the House Bill Analysis 2009 (HB 2330), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · died in committee
  1. IntroducedApr 1, 2009
  2. Out of committeestopped here
  3. Passed House
  4. Passed Senate
  5. Governor
  6. Law
Prime sponsor
Eileen Cody (D-34)
Introduced
April 1, 2009 in the House
Last action
March 15, 2010
Budget
Has a fiscal note

AN ACT Relating to enforcing primacy of insurance coverage when third-party liability exists regarding claims under state-purchased health care programs;

Sponsors

Prime sponsor: Eileen Cody (D-34)

1 co-sponsor (0 Democrats, 1 Republican)

Bill Hinkle R-13

Votes

No recorded floor votes. This measure never reached a floor vote.

History

  1. By resolution, reintroduced and retained in present status.
  2. By resolution, reintroduced and retained in present status.
  3. First reading, referred to Ways & Means.

HB 2330 in other sessions

Bill numbers restart every two years, so the same number is a different bill in each session.

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