§ 48.49.003 Findings — Intent — 2019 c 427
§ 48.49.005 Short title
§ 48.49.010 Definitions
§ 48.49.020 Balance billing — When prohibited — Carrier’s duty to hold an enrollee harmless from balance billing under certain circumstances
§ 48.49.030 Enrollee’s obligation to pay for services
§ 48.49.040 Dispute resolution process — Determination of commercially reasonable payment amount
§ 48.49.060 Notice of consumer rights — Development of standard template language by commissioner
§ 48.49.070 Hospital, ambulatory surgical facility, or behavioral health emergency services provider — Requirement to provide certain information on website or upon consumer request — Requirement to provide carriers with nonemploy
§ 48.49.080 Health care provider — Requirement to provide certain information on website or upon consumer request — Requirement to submit network status information to carriers
§ 48.49.090 Carrier — Requirement to update website and provider directory — Requirement to provide enrollee with certain information
§ 48.49.100 Pattern of unresolved violations — Enforcement action by department of health or appropriate disciplining authority
§ 48.49.110 Rule-making authority
§ 48.49.120 No application of chapter to health plans under chapter 74.09 RCW
§ 48.49.130 Application of chapter to self-funded group health plans that elect to participate in balance billing protection provisions — Annual notice to commissioner
§ 48.49.135 Determining the adequacy of provider networks — Required considerations
§ 48.49.140 Liberal construction of chapter to promote public interest
§ 48.49.160 Allowed amounts paid to nonparticipating providers
§ 48.49.170 Application of state and federal requirements — Applicability information access — Waivers prohibited
§ 48.49.180 Commissioner authority — Enforcement — Penalties
§ 48.49.190 Reports to legislature
§ 48.49.900 Effective date — 2019 c 427

Terms Used In Washington Code > Chapter 48.49 - Balance billing protection act

  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • 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.
  • person: may be construed to include the United States, this state, or any state or territory, or any public or private corporation or limited liability company, as well as an individual. See Washington Code 1.16.080
  • Trustee: A person or institution holding and administering property in trust.
  • Veto: The procedure established under the Constitution by which the President/Governor refuses to approve a bill or joint resolution and thus prevents its enactment into law. A regular veto occurs when the President/Governor returns the legislation to the house in which it originated. The President/Governor usually returns a vetoed bill with a message indicating his reasons for rejecting the measure. In Congress, the veto can be overridden only by a two-thirds vote in both the Senate and the House.