Title 48 — Title 48 INSURANCE
101 chapters · 2,134 sections in this title.
RCW 48.150.005 Public policy.
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It is the public policy of Washington to promote access to medical care for all citizens and to encourage innovative arrangements between patients and providers that will help provide all citizens with a medical home.Washington needs a multipronged approach to provide adequate he…
RCW 48.150.010 Definitions.
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The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Direct agreement" means a written agreement entered into between a direct practice and an individual direct patient, or the parent or legal guardian of the direct pati…
RCW 48.150.020 Prohibition on discrimination.
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Except as provided in RCW 48.150.050, no direct practice shall decline to accept any person solely on account of race, religion, national origin, the presence of any sensory, mental, or physical disability, education, economic status, or sexual orientation.[ 2007 c 267 s 4.]
RCW 48.150.030 Direct fee—Monthly basis—Designated contact person.
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(1) A direct practice must charge a direct fee on a monthly basis. The fee must represent the total amount due for all primary care services specified in the direct agreement and may be paid by the direct patient or on his or her behalf by others.(2) A direct practice must:(a) Ma…
RCW 48.150.040 Prohibited and authorized practices.
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(1) Direct practices may not:(a) Enter into a participating provider contract as defined in RCW 48.44.010 or 48.46.020 with any carrier or with any carrier's contractor or subcontractor, or plans administered under chapter 41.05, 70.47, or * 70.47A RCW, to provide health care ser…
RCW 48.150.050 Acceptance or discontinuation of patients—Third-party payments.
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(1) Direct practices may not decline to accept new direct patients or discontinue care to existing patients solely because of the patient's health status. A direct practice may decline to accept a patient if the practice has reached its maximum capacity, or if the patient's medic…
RCW 48.150.060 Direct practices are not insurers.
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Direct practices, as defined in RCW 48.150.010, who comply with this chapter are not insurers under RCW 48.01.050, health carriers under chapter 48.43 RCW, health care service contractors under chapter 48.44 RCW, or health maintenance organizations under chapter 48.46 RCW.[ 2007 …
RCW 48.150.070 Conduct of business—Prohibitions.
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A person shall not make, publish, or disseminate any false, deceptive, or misleading representation or advertising in the conduct of the business of a direct practice, or relative to the business of a direct practice.[ 2007 c 267 s 9.]
RCW 48.150.080 Misrepresenting the terms of a direct agreement.
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A person shall not make, issue, or circulate, or cause to be made, issued, or circulated, a misrepresentation of the terms of any direct agreement, or the benefits or advantages promised thereby, or use the name or title of any direct agreement misrepresenting the nature thereof.…
RCW 48.150.090 Chapter violations.
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Violations of this chapter constitute unprofessional conduct enforceable under RCW 18.130.180.[ 2007 c 267 s 11.]
RCW 48.150.100 Annual statements—Commissioner's report.
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(1) Direct practices must submit annual statements, beginning on October 1, 2007, to the office of the insurance commissioner specifying the number of providers in each practice, total number of patients being served, the average direct fee being charged, providers' names, and th…
RCW 48.150.110 Direct agreement requirements—Disclaimer.
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(1) A direct agreement must include the following disclaimer: "This agreement does not provide comprehensive health insurance coverage. It provides only the health care services specifically described." The direct agreement may not be sold to a group and may not be entered with a…