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Chapter 48.49 RCW

BALANCE BILLING PROTECTION ACT

Sections

HTMLPDF 48.49.003Findings—Intent—2019 c 427.
HTMLPDF 48.49.005Short title.
HTMLPDF 48.49.010Definitions.
HTMLPDF 48.49.020Balance billing—When prohibited—Carrier's duty to hold an enrollee harmless from balance billing under certain circumstances.
HTMLPDF 48.49.030Enrollee's obligation to pay for services.
HTMLPDF 48.49.040Dispute resolution process—Determination of commercially reasonable payment amount.
HTMLPDF 48.49.060Notice of consumer rights—Development of standard template language by commissioner.
HTMLPDF 48.49.070Requirement to provide certain information on website or upon consumer request—Requirement to provide carriers with nonemployed provider lists.
HTMLPDF 48.49.080Health care provider—Requirement to provide certain information on website or upon consumer request—Requirement to submit network status information to carriers.
HTMLPDF 48.49.090Carrier—Requirement to update website and provider directory—Requirement to provide enrollee with certain information.
HTMLPDF 48.49.100Pattern of unresolved violations—Enforcement action by department of health or appropriate disciplining authority.
HTMLPDF 48.49.110Rule-making authority.
HTMLPDF 48.49.120No application of chapter to health plans under chapter 74.09 RCW.
HTMLPDF 48.49.130Application of chapter to self-funded group health plans that elect to participate in balance billing protection provisions—Annual notice to commissioner.
HTMLPDF 48.49.135Determining the adequacy of provider networks—Required considerations.
HTMLPDF 48.49.140Liberal construction of chapter to promote public interest.
HTMLPDF 48.49.160Allowed amounts paid to nonparticipating providers.
HTMLPDF 48.49.170Application of state and federal requirements—Applicability information access—Waivers prohibited.
HTMLPDF 48.49.180Commissioner authority—Enforcement—Penalties.
HTMLPDF 48.49.200Ground ambulance services organizations—Payments—Prohibition on waivers.
HTMLPDF 48.49.205Ground ambulance services organizations—Rates—Public database.
HTMLPDF 48.49.210Ground ambulance services organizations—Commissioner's review—Report.
HTMLPDF 48.49.900Effective date—2019 c 427.