Title 70 — Title 70 PUBLIC HEALTH AND SAFETY
98 chapters · 1,450 sections in this title.
RCW 70.14.020 State agencies to identify alternative health care providers.
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Each of the agencies listed in *RCW 70.14.010, with the exception of the department of labor and industries, which expends more than five hundred thousand dollars annually of state funds for purchase of health care shall identify the availability and costs of nonfee for service p…
RCW 70.14.030 Health care utilization review procedures.
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Plans for establishing or improving utilization review procedures for purchased health care services shall be developed by each agency listed in *RCW 70.14.010. The plans shall specifically address such utilization review procedures as prior authorization of services, hospital in…
RCW 70.14.040 Review of prospective rate setting methods.
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The state agencies listed in *RCW 70.14.010 shall review the feasibility of establishing prospective payment approaches within their health care programs. Work plans or timetables shall be prepared for the development of prospective rates. The agencies shall identify legislative …
RCW 70.14.050 Drug purchasing cost controls—Establishment of evidence-based prescription drug program.
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(1) Each agency administering a state purchased health care program as defined in RCW 41.05.011 shall, in cooperation with other agencies, take any necessary actions to control costs without reducing the quality of care when reimbursing for or purchasing drugs. To accomplish this…
RCW 70.14.060 Prescription drug purchasing consortium—Participation—Exceptions—Rules.
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(1)(a) The director of the state health care authority shall, directly or by contract, adopt policies necessary for establishment of a prescription drug purchasing consortium. The consortium's purchasing activities shall be based upon the evidence-based prescription drug program …
RCW 70.14.065 Generic prescription drug partnership agreements.
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(1)(a) The authority may enter into partnership agreements with another state, a group of states, a state agency, a nonprofit organization, or any other entity to produce, distribute, or purchase generic prescription drugs and distribute and purchase insulin. Partnership agreemen…
RCW 70.14.070 Prescription drug consortium account.
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The prescription drug consortium account is created in the custody of the state treasurer. All receipts from activities related to administration of the state drug purchasing consortium on behalf of participating individuals and organizations, other than state purchased health ca…
RCW 70.14.080 Definitions.
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The definitions in this section apply throughout RCW 70.14.090 through 70.14.130 unless the context clearly requires otherwise.(1) "Administrator" means the administrator of the Washington state health care authority under chapter 41.05 RCW.(2) "Advisory group" means a group esta…
RCW 70.14.090 Health technology clinical committee.
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(1) A health technology clinical committee is established, to include the following eleven members appointed by the administrator in consultation with participating state agencies:(a) Six practicing physicians licensed under chapter 18.57 or 18.71 RCW; and(b) Five other practicin…
RCW 70.14.100 Health technology selection and assessment.
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*** CHANGE IN 2026 *** (SEE 5915.SL) ***(1) The administrator, in consultation with participating agencies and the committee, shall select the health technologies to be reviewed by the committee under RCW 70.14.110. Up to six may be selected for review in the first year after Jun…
RCW 70.14.110 Health technology clinical committee determinations.
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*** CHANGE IN 2026 *** (SEE 5915.SL) ***(1) The committee shall determine, for each health technology selected for review under RCW 70.14.100: (a) The conditions, if any, under which the health technology will be included as a covered benefit in health care programs of participat…
RCW 70.14.120 Agency compliance with committee determination—Coverage and reimbursement determinations for nonreviewed health technologies—Appeals.
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(1) A participating agency shall comply with a determination of the committee under RCW 70.14.110 unless:(a) The determination conflicts with an applicable federal statute or regulation, or applicable state statute; or(b) Reimbursement is provided under an agency policy regarding…
RCW 70.14.130 Health technology clinical committee—Public notice.
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(1) The administrator shall develop a centralized, internet-based communication tool that provides, at a minimum:(a) Notification when a health technology is selected for review under RCW 70.14.100, indicating when the review will be initiated and how an interested party may subm…
RCW 70.14.140 Applicability to health care services purchased from health carriers.
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RCW 70.14.080 through 70.14.130 and 41.05.013 do not apply to state purchased health care services that are purchased from or through health carriers as defined in RCW 48.43.005.[ 2006 c 307 s 9.]Notes:Captions not law—Conflict with federal requirements—2006 c 307: See notes foll…
RCW 70.14.150 Data-sharing agreements—Report.
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(1) The department of social and health services and the health care authority shall enter into data-sharing agreements with the appropriate agencies in the states of Oregon and Idaho to assure the valid Washington state residence of applicants for health care services in Washing…
RCW 70.14.155 Streamlined health care administration—Agency participation.
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The following state agencies are directed to cooperate with the insurance commissioner and, within funds appropriated specifically for this purpose, adopt the processes, guidelines, and standards to streamline health care administration pursuant to chapter 48.165 RCW: The departm…
RCW 70.14.165 Total cost of insulin work group—Authority implementation.
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(1) In order to implement strategies recommended by the total cost of insulin work group established in *RCW 70.14.160, the health care authority may:(a) Become or designate a state agency that shall become a drug wholesaler licensed under RCW 18.64.046;(b) Become or designate a …
RCW 70.14.170 Opioid overdose reversal medications—Bulk purchasing and distribution—Rules—Report—Recommendation to legislature.
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(1) As soon as reasonably practicable, the health care authority shall establish a bulk purchasing and distribution program for opioid overdose reversal medication. The health care authority is authorized to:(a) Purchase or enter into contracts as necessary to purchase and distri…
RCW 70.14.175 Opioid overdose reversal medication account.
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The opioid overdose reversal medication account is created in the custody of the state treasurer. All receipts from collections under RCW 70.14.170 must be deposited into the account. Expenditures from the account may be used only for the operation and administration of the opioi…