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Bill > SB5986


WA SB5986

WA SB5986
Protecting consumers from out-of-network health care services charges.


summary

Introduced
01/08/2024
In Committee
02/26/2024
Crossed Over
02/08/2024
Passed
03/08/2024
Dead
Signed/Enacted/Adopted
03/19/2024

Introduced Session

2023-2024 Regular Session

Bill Summary

AN ACT Relating to protecting consumers from charges for out-of- 2 network health care services by prohibiting balance billing for 3 ground ambulance services and addressing coverage of transports to 4 treatment for emergency medical conditions; amending RCW 48.43.005, 5 48.49.003, 48.49.060, 48.49.070, 48.49.090, 48.49.100, and 48.49.130; 6 adding new sections to chapter 48.49 RCW; adding new sections to 7 chapter 18.73 RCW; adding a new section to chapter 48.43 RCW; 8 creating a new section; and repealing RCW 48.49.190. 9

AI Summary

This bill: Bans balance billing of consumers enrolled in fully insured, regulated health plans and plans offered to public and school employees for out-of-network ground ambulance services, removes consumers from balance billing disputes, and requires nonparticipating ground ambulance services organizations and carriers to negotiate payments in good faith. It also requires carriers to cover ground ambulance transports to behavioral health emergency services providers for emergency medical conditions. The bill requires the insurance commissioner to review the reasonableness of the payment rates and report to the legislature on trends in ground ambulance services and their impacts. It also requires studies on funding models for emergency medical services in Washington.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (10)

Last Action

Effective date 6/6/2024. (on 03/19/2024)

bill text


bill summary

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bill summary

Document Type Source Location
State Bill Page https://app.leg.wa.gov/billsummary?BillNumber=5986&Year=2023&Initiative=false
BillText https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Session%20Laws/Senate/5986-S.SL.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Senate%20Passed%20Legislature/5986-S.PL.pdf
Final Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986-S%20SBR%20FBR%2024.pdf
Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5986-S%20HBR%20APH%2024.pdf
Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986-S%20SBR%20HA%2024.pdf
Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5986-S%20HBR%20APP%2024.pdf
Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5986-S%20HBR%20HCW%2024.pdf
Health Care & Wellness 5986-S AMH HCW H3321.2 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5986-S%20AMH%20HCW%20H3321.2.pdf
Fiscal Note - 5986 SSB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=70851
Substitute House Bill Analysis 2024 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5986-S%20HBA%20HCW%2024.pdf
Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986-S%20SBR%20APS%2024.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Senate%20Bills/5986-S.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986%20SBR%20WM%20OC%2024.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986%20SBR%20WM%20TA%2024.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986%20SBA%20WM%2024.pdf
Fiscal Note - 5986 SB (Revised) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=69354
Fiscal Note - 5986 SB (Revised) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=69081
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986%20SBR%20HLTC%20OC%2024.pdf
Fiscal Note - 5986 SB (Revised) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=69056
Fiscal Note - 5986 SB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=69045
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986%20SBR%20HLTC%20TA%2024.pdf
Senate Bill Report (Orig.) https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5986%20SBA%20HLTC%2024.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Senate%20Bills/5986.pdf
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