Revised Code of Washington
Chapter 48.49 - Balance Billing Protection Act.
48.49.180 - Commissioner authority—Enforcement—Penalties.

RCW 48.49.180
Commissioner authority—Enforcement—Penalties.

The commissioner is authorized to enforce provisions of P.L. 116-260 (enacted December 27, 2020, as the consolidated appropriations act of 2021) that are applicable to or regulate the conduct of carriers issuing health plans or grandfathered health plans to residents of Washington state on or after January 1, 2022. In addition to the enforcement actions authorized under RCW 48.02.080, the commissioner may impose a civil monetary penalty in an amount not to exceed $100 for each day for each individual with respect to which a failure to comply with these provisions occurs.

[ 2022 c 263 § 19.]
NOTES:

Effective date—2022 c 263: See note following RCW 43.371.100.

Structure Revised Code of Washington

Revised Code of Washington

Title 48 - Insurance

Chapter 48.49 - Balance Billing Protection Act.

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.

48.49.050 - Commissioner's annual report on dispute resolution information regarding arbitration over commercially reasonable payment amounts.

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 nonemployed provider lists.

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.