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2025 Revised Code of Washington
Title 41 - Public Employment, Civil Service, and Pensions
Chapter 41.05 - State Health Care Authority.
- 41.05.004 - Intent—Use of word "board."
- 41.05.006 - Purpose.
- 41.05.008 - Duties of employing agencies.
- 41.05.009 - Determination of public employee eligibility for benefits.
- 41.05.0091 - Eligibility exists prior to January 1, 2010.
- 41.05.011 - Definitions.
- 41.05.013 - State purchased health care programs—Uniform policies.
- 41.05.014 - Applications, enrollment forms, and eligibility certification documents—Signatures.
- 41.05.015 - Medical director—Appointment of personnel.
- 41.05.017 - Provisions applicable to health plans offered under this chapter.
- 41.05.018 - Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services.
- 41.05.021 - State health care authority—Director—Cost control and delivery strategies—Health information technology—Managed competition—Rules.
- 41.05.022 - State agent for purchasing health services—Single community-rated risk pool.
- 41.05.023 - Chronic care management program—Uniform medical plan—Definitions.
- 41.05.026 - Contracts—Proprietary data, trade secrets, actuarial formulas, statistics, cost and utilization data—Exemption from public inspection—Executive sessions.
- 41.05.028 - Health plan reimbursement rates.
- 41.05.031 - Health information technology office—Agencies to establish health care information systems.
- 41.05.035 - Exchange of health information—Advisory board, discretionary—Director's authority.
- 41.05.036 - Health information—Definitions.
- 41.05.037 - Nurse hotline, when funded.
- 41.05.039 - Health information—Secure access—Lead organization—Director's duties.
- 41.05.042 - Health information—Processes, guidelines, and standards.
- 41.05.046 - Health information—Conflict with federal requirements.
- 41.05.050 - Contributions for employees and dependents.
- 41.05.055 - Public employees' benefits board—Members.
- 41.05.065 - Public employees' benefits board—Duties—Eligibility—Definitions—Penalties.
- 41.05.066 - Domestic partner benefits.
- 41.05.068 - Federal employer incentive program—Authority to participate.
- 41.05.074 - Public employees—Prior authorization standards and criteria—Health plan requirements—Definitions.
- 41.05.075 - Employee benefit plans—Contracts with insuring entities—Performance measures—Financial incentives—Health information technology.
- 41.05.080 - Participation in insurance plans and contracts—Retired, disabled, or separated employees—Certain surviving spouses, state registered domestic partners, and dependent children.
- 41.05.083 - Employer groups—Participation in insurance plans and contracts—Termination of agreement—Payment for retired or disabled employees.
- 41.05.085 - Retired state employee and retired or disabled school employee health insurance subsidy.
- 41.05.095 - Coverage for dependents under the age of twenty-six.
- 41.05.100 - Chapter not applicable to certain employees of Cooperative Extension Service.
- 41.05.120 - Public employees' and retirees' insurance account—School employees' insurance account.
- 41.05.123 - Flexible spending administrative account—Salary reduction account—School employees' benefits board flexible spending and dependent care administrative account—School employees' benefits board salary reduction account.
- 41.05.130 - State health care authority administrative account—School employees' insurance administrative account.
- 41.05.140 - Payment of claims—Self-insurance—Insurance reserve fund created.
- 41.05.143 - Uniform medical plan benefits administration account—Uniform dental plan benefits administration account—School employees' benefits board medical benefits administrative account—School employees' benefits board dental benefits administration account.
- 41.05.155 - Fern Lodge maintenance account.
- 41.05.160 - Rules.
- 41.05.165 - Rules—Insurance benefit reimbursement.
- 41.05.170 - Neurodevelopmental therapies—Employer-sponsored group contracts.
- 41.05.175 - Prescribed, self-administered anticancer medication.
- 41.05.177 - Prostate cancer screening—Required coverage.
- 41.05.180 - Mammograms—Insurance coverage.
- 41.05.183 - General anesthesia services for dental procedures—Public employee benefit plans.
- 41.05.185 - Diabetes benefits—State purchased health care.
- 41.05.188 - Eosinophilic gastrointestinal associated disorder—Elemental formula.
- 41.05.195 - Medicare supplemental insurance policies.
- 41.05.197 - Medicare supplemental insurance policies.
- 41.05.220 - Community and migrant health centers—Maternity health care centers—People of color—Underserved populations.
- 41.05.225 - Blind licensees in the business enterprises program—Plan of health insurance.
- 41.05.295 - Dependent care assistance program—Health care authority—Powers, duties, and functions.
- 41.05.300 - Salary reduction agreements—Authorized.
- 41.05.310 - Salary reduction plan—Policies and procedures—Plan document.
- 41.05.320 - Salary reduction plan—Eligibility—Participation, withdrawal.
- 41.05.330 - Salary reduction plan—Accounts and records.
- 41.05.340 - Salary reduction plan—Termination—Amendment.
- 41.05.350 - Salary reduction plan—Rules.
- 41.05.360 - Salary reduction plan—Construction.
- 41.05.400 - Plan of health care coverage—Available funds—Components—Eligibility—Director's duties.
- 41.05.405 - Public option plans—Availability—Hospital contracts—Recommendations.
- 41.05.410 - Qualified health plans—Contract for—Requirements—Cost and quality data.
- 41.05.413 - Qualified health plans—Reimbursement limit—Waiver.
- 41.05.430 - Plan of health care coverage—Immediate postpartum contraception devices.
- 41.05.520 - Pharmacy connection program—Notice.
- 41.05.525 - Treatment of opioid use disorder—Prior authorization.
- 41.05.526 - Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.
- 41.05.527 - Opioid overdose reversal medication bulk purchasing and distribution program.
- 41.05.528 - Standard set of criteria—Medical necessity for substance use disorder treatment—Substance use disorder levels of care—Rules.
- 41.05.530 - Prescription drug assistance, education—Rules.
- 41.05.531 - Standard set of criteria—Updated versions—Review and use.
- 41.05.533 - Medication synchronization policy required for health benefit plans covering prescription drugs—Requirements—Definitions.
- 41.05.540 - State employee health program—Requirements.
- 41.05.550 - Prescription drug assistance foundation—Nonprofit and tax-exempt corporation—Definitions—Liability.
- 41.05.600 - Mental health services—Definition—Coverage required, when.
- 41.05.601 - Mental health services—Rules.
- 41.05.620 - Peer support services—Access.
- 41.05.630 - Annual report of customer service complaints and appeals.
- 41.05.650 - Community health care collaborative grant program—Grants—Administrative support—Eligibility.
- 41.05.651 - Rules—2009 c 299.
- 41.05.660 - Community health care collaborative grant program—Award and disbursement of grants.
- 41.05.670 - Chronic care management incentives—Provider reimbursement methods.
- 41.05.690 - Performance measures committee—Membership—Selection of performance measures—Benchmarks for purchasing decisions—Public process for evaluation of measures.
- 41.05.700 - Reimbursement of health care services provided through telemedicine or store and forward technology—Audio-only telemedicine.
- 41.05.730 - Ground emergency medical transportation services—Medicaid reimbursement—Calculation—Federal approval—Department's duties.
- 41.05.735 - Ground emergency medical transportation services—Medicaid reimbursement—Intergovernmental transfer program—Federal approval—Authority's duties.
- 41.05.740 - School employees' benefits board.
- 41.05.742 - Single enrollment requirement.
- 41.05.743 - School board members—Eligibility for health benefits.
- 41.05.744 - School employee eligibility during COVID-19 state of emergency.
- 41.05.745 - School employees' benefits board—Employee-paid, voluntary benefits—Optional benefits.
- 41.05.750 - Problem gambling and gambling disorder treatment program.
- 41.05.751 - Problem gambling account.
- 41.05.760 - Recovery residences—Registry.
- 41.05.810 - Prenatal substance exposure treatment—Contracting.
- 41.05.812 - Prenatal substance exposure—Expanded treatment and services.
- 41.05.820 - Qualified requirement for health carrier in insurance holding company to offer silver and gold health plans.
- 41.05.831 - Coverage for hearing instruments.
- 41.05.840 - Universal health care commission.
- 41.05.845 - Prior authorization.
- 41.05.850 - Abortion coverage—Cost sharing.
- 41.05.890 - Certain health care and financial related data provided to authority—Exempt from disclosure.
- 41.05.900 - Short title.
- 41.05.901 - Implementation—Effective dates—1988 c 107.
- 41.05.950 - Retired or disabled public employees—Special health coverage enrollment opportunity.
- 41.05.951 - Retired or disabled employees of employer groups—Return following termination of employer's agreement—2023 c 312.
NOTES:
Hospitalization and health care for county, municipal and other political subdivision employees: RCW 41.04.180.
Monitoring enrollee level in basic health plan and medicaid caseload of children—Funding levels adjustment: RCW 43.41.260.
Prepaid chiropractic, pilot projects: RCW 18.25.200.
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