BILL · 2011–12 SESSION

HB 2057: State purchased health care

Limiting payments for health care services provided to low-income enrollees in state purchased health care programs.

Summary

  • Managed care systems serving Basic Health Plan (BHP) and Healthy Options (HO) enrollees are required to pay nonparticipating providers no more than the amount paid for the same services under Washington's Medicaid fee-for-service program.
  • Nonparticipating providers must accept those rates as payment in full in addition to any deductibles, coinsurance, or copayments due from the patients.
  • Enrollees in the BHP and HO are not liable to nonparticipating providers for covered services except for required deductibles, coinsurance, or copayments.
  • Attempts by nonparticipating providers to recover funds beyond the Medicaid fee-for-service rates constitute unprofessional conduct.

From the House Bill Analysis 2011 (HB 2057), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · died in committee
  1. IntroducedApr 9, 2011
  2. Out of committeestopped here
  3. Passed House
  4. Passed Senate
  5. Governor
  6. Law
Prime sponsor
Eileen Cody (D-34)
Introduced
April 9, 2011 in the House
Last action
April 11, 2012
Requested by
Other
Companion bill
SB 5927
Budget
Has a fiscal note

AN ACT Relating to limiting payments for health care services provided to low-income enrollees in state purchased health care programs;

Sponsors

Prime sponsor: Eileen Cody (D-34)

2 co-sponsors (1 Democrat, 1 Republican)

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. By resolution, reintroduced and retained in present status.
  4. By resolution, reintroduced and retained in present status.
  5. By resolution, reintroduced and retained in present status.
  6. First reading, referred to Ways & Means.

HB 2057 in other sessions

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

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