WA People
BILL · 2011–12 SESSION · LATEST VERSION ESSB 5927

SB 5927: State purchased health care

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

Summary

  • Requires managed care systems to maintain networks of appropriate providers sufficient to provide adequate access to all services covered under contracts with the state, including hospital-based services.
  • Requires the Department of Social and Health Services and the Health Care Authority to monitor and periodically report to the Legislature on the proportion of services provided by contracted providers and nonparticipating providers for each of their managed care systems.
  • Requires managed care systems serving Basic Health Plan (BHP) and Healthy Options (HO) enrollees to pay nonparticipating providers the lowest amount that the systems pay for the same services under the systems' contracts with similar providers in the state.
  • Requires nonparticipating providers to accept those rates as payment in full in addition to any deductibles, coinsurance, or copayments due from the patients.
  • Limits liability of BHP and HO enrollees to nonparticipating providers to required deductibles, coinsurances, and copayments.

From the Engrossed Substitute House Bill Report (ESSB 5927), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 9, Laws of 2011, 1st Special Session
  1. IntroducedApr 9, 2011
  2. Out of committeeApr 18, 2011
  3. Passed SenateMay 3, 2011
  4. Passed HouseMay 9, 2011
  5. GovernorMay 31, 2011
  6. LawMay 31, 2011
Prime sponsor
Karen Keiser (D-33)
Introduced
April 9, 2011 in the Senate
Last action
May 31, 2011
Session law
Chapter 9, Laws of 2011, 1st Special Session
Requested by
Other
Companion bill
HB 2057
Budget
Has a fiscal note
Versions
SB 5927, ESSB 5927

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

Sponsors

Prime sponsor: Karen Keiser (D-33)

1 co-sponsor (0 Democrats, 1 Republican)

Cheryl Pflug R-5

Votes

Senate · 3rd Reading & Final Passage

Passed May 3, 2011
Version voted on: ESSB 5927
34 Yea 9 Nay 0 Absent 6 Excused
PartyYeaNayAbsentExcused
Democrat25002
Republican9904
How each member voted
Permalink to this vote

House · Final Passage as Amended by the House

Passed May 9, 2011
Version voted on: ESSB 5927
94 Yea 2 Nay 0 Absent 2 Excused
PartyYeaNayAbsentExcused
Democrat55001
Republican39201
How each member voted

Yea (94)

Nay (2)

Excused (2)

Permalink to this vote

Senate · Final Passage as Amended by the House

Passed May 10, 2011
Version voted on: ESSB 5927
34 Yea 11 Nay 0 Absent 4 Excused
PartyYeaNayAbsentExcused
Democrat25002
Republican91102
How each member voted

Excused (4)

Permalink to this vote

History

  1. Effective date 8/24/2011. (ESSB 5927)
  2. Chapter 9, 2011 Laws 1st Special Session. (ESSB 5927)
  3. Governor signed. (ESSB 5927)
  4. Delivered to Governor. (ESSB 5927)
  5. Speaker signed. (ESSB 5927)
  6. President signed. (ESSB 5927)
  7. Passed final passage; yeas, 34; nays, 11; absent, 0; excused, 4. (ESSB 5927)
  8. Senate concurred in House amendments. (ESSB 5927)
  9. Third reading, passed; yeas, 94; nays, 2; absent, 0; excused, 2. (ESSB 5927)
  10. Rules suspended. Placed on Third Reading. (ESSB 5927)
  11. Committee amendment adopted with no other amendments. (ESSB 5927)
  12. Placed on second reading. (ESSB 5927)
  13. Minority; do not pass. (ESSB 5927)
  14. WAYS - Majority; do pass with amendment(s). (ESSB 5927)
  15. WAYS - Executive action taken by committee. (ESSB 5927)
  16. First reading, referred to Ways & Means. (ESSB 5927)
  17. Third reading, passed; yeas, 34; nays, 9; absent, 0; excused, 6. (ESSB 5927)
  18. Rules suspended. Placed on Third Reading. (ESSB 5927)
  19. Floor amendment(s) adopted. (ESSB 5927)
  20. 1st substitute bill substituted. (ESSB 5927)
  21. 1st substitute bill substituted.
  22. Placed on second reading by Rules Committee. (ESSB 5927)
  23. Placed on second reading by Rules Committee.
  24. By resolution, reintroduced and retained in present status. (ESSB 5927)
  25. By resolution, reintroduced and retained in present status.
  26. Referred to Rules. (ESSB 5927)
  27. Referred to Rules.
  28. Passed to Rules Committee for second reading. (ESSB 5927)
  29. Placed on second reading by Rules Committee. (ESSB 5927)
  30. WM - Majority; 1st substitute bill be substituted, do pass. (ESSB 5927)
  31. WM - Majority; 1st substitute bill be substituted, do pass.
  32. Placed on second reading by Rules Committee.
  33. Passed to Rules Committee for second reading.
  34. First reading, referred to Ways & Means.

SB 5927 in other sessions

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

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