Revised Code of Washington
Chapter 70.47 - Basic Health Plan—Health Care Access Act.
70.47.080 - Enrollment of applicants—Participation limitations.

RCW 70.47.080
Enrollment of applicants—Participation limitations.

On and after July 1, 1988, the *administrator shall accept for enrollment applicants eligible to receive covered basic health care services from the respective managed health care systems which are then participating in the plan.
Thereafter, total subsidized enrollment shall not result in expenditures that exceed the total amount that has been made available by the legislature in any act appropriating funds to the plan. To the extent that new funding is appropriated for expansion, the *administrator shall endeavor to secure participation contracts from managed health care systems in geographic areas of the state that are unserved by the plan at the time at which the new funding is appropriated. In the selection of any such areas the *administrator shall take into account the levels and rates of unemployment in different areas of the state, the need to provide basic health care coverage to a population reasonably representative of the portion of the state's population that lacks such coverage, and the need for geographic, demographic, and economic diversity.
The *administrator shall at all times closely monitor growth patterns of enrollment so as not to exceed that consistent with the orderly development of the plan as a whole, in any area of the state or in any participating managed health care system. The annual or biennial enrollment limitations derived from operation of the plan under this section do not apply to nonsubsidized enrollees as defined in **RCW 70.47.020(5).

[ 1993 c 492 § 213; 1987 1st ex.s. c 5 § 10.]
NOTES:

Reviser's note: *(1) The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.
**(2) RCW 70.47.020 was amended by 2011 1st sp.s. c 9 § 3, changing subsection (5) to subsection (6).


Findings—Intent—1993 c 492: See notes following RCW 43.20.050.


Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.

Structure Revised Code of Washington

Revised Code of Washington

Title 70 - Public Health and Safety

Chapter 70.47 - Basic Health Plan—Health Care Access Act.

70.47.002 - Intent—2002 c 2 (Initiative Measure No. 773).

70.47.005 - Transfer power, duties, and functions to Washington state health care authority.

70.47.010 - Legislative findings—Purpose—Director to coordinate eligibility.

70.47.015 - Enrollment—Findings—Intent—Enrollee premium share—Expedited application and enrollment process—Commission for insurance producers.

70.47.020 - Definitions (as amended by 2011 c 284).

70.47.030 - Basic health plan trust account—Basic health plan subscription account.

70.47.040 - Basic health plan—Health care authority head to be administrator—Joint operations.

70.47.050 - Rules.

70.47.060 - Powers and duties of administrator—Schedule of services—Premiums, copayments, subsidies—Enrollment.

70.47.0601 - Income determination—Unemployment compensation.

70.47.070 - Benefits from other coverages not reduced.

70.47.080 - Enrollment of applicants—Participation limitations.

70.47.090 - Removal of enrollees.

70.47.100 - Participation by a managed health care system—Expiration of subsections.

70.47.110 - Enrollment of medical assistance recipients.

70.47.115 - Enrollment of persons in timber impact areas.

70.47.120 - Administrator—Contracts for services.

70.47.130 - Exemption from insurance code.

70.47.140 - Reservation of legislative power.

70.47.150 - Confidentiality.

70.47.160 - Right of individuals to receive services—Right of providers, carriers, and facilities to refuse to participate in or pay for services for reason of conscience or religion—Requirements.

70.47.170 - Annual reporting requirement.

70.47.200 - Mental health services—Definition—Coverage required, when.

70.47.201 - Mental health services—Rules.

70.47.210 - Prostate cancer screening.

70.47.220 - Increase in reimbursement rates not applicable.

70.47.240 - Discontinuation of health coverage—Preexisting condition.

70.47.250 - Federal basic health option—Report to legislature—Certification—Director's findings—Program's guiding principles.

70.47.900 - Short title.

70.47.902 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.