Rulemaking
Learn about rules adopted within the last three years, proposed rules and withdrawn rules. Use the status and audience filters to narrow your search.
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Showing 22 results
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Insurers and regulated entities
Providers
This finalized rule updates prior authorization time frames for health care services and prescription drugs and clarifies health plan applicability standards.
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Insurers and regulated entities
Rulemaking is necessary to revise existing rules for health care benefit managers and to ensure all affected entities understand their rights and obligations under E2SSB 5213.
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Insurers and regulated entities
Multiple provisions of health care and insurance regulations needed to be updated to be consistent with legislation passed and recent federal law changes.
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Insurers and regulated entities
Rulemaking revised Chapter 284-43B WAC to include ground ambulance services and to update Balance Billing Protection Act rules on arbitration fees and arbitration process revisions.
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Insurers and regulated entities
SB 6027 (2023-24) was passed to align Washington’s Insurer Holding Company Act (Ch. 48.31B RCW) with the updated National Association of Insurance Commissioners (NAIC) model authorities including the Holding Company System Regulatory Act and Insurance Holding Company System Model Regulation with Reporting Forms.
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Insurers and regulated entities
The Commissioner is considering consolidated rulemaking due to the passage of recent health care and insurance-related legislation.
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Insurers and regulated entities
The proposed rule aims to align laws and rules in Washington state due to a conflict between WAC 284-23 and RCW 48.83.
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Insurers and regulated entities
The existing Health Care Benefit Manager (HCBM) registration process requires a significant amount of documentation that has been determined to be excessive and does not assist with the registration process. The proposed rule will streamline the registration process. It will also be updated to require HCBMs to disclose federal violations.
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Insurers and regulated entities
HB 1120, concerning the best interest standard for annuities, passed during the 68th Legislative Session. The new law will update Washington's suitability standard for annuity transactions to a best interest threshold and aligns with updates NAIC made to Model Regulation #275 on annuity transactions.
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Insurers and regulated entities
Recent passage of SSB 5720 amends existing laws to no longer exclude commercial property insurers from providing goods and services intended to reduce the probability of loss as part of an insurance policy.
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Insurers and regulated entities
This rule relates to transparency in underwriting by clarifying the scope of insurer responsibility for adverse actions, premiums, rate changes and consumer notices.
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Insurers and regulated entities
This expedited rule aligns current law with the Thurston County Superior Court’s August 29, 2022 ruling, which invalidated a previous rule banning insurers’ use of consumer credit to determine personal insurance rates, premiums or eligibility (R2021-07).
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Insurers and regulated entities
Chap. 263, Laws of 2022 amends state law related to health carrier coverage of emergency services, the Balance Billing Protection Act (BBPA) and network access provisions for services subject to the balance billing prohibition under the BBPA.
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Insurers and regulated entities
The process/review procedures for small pharmacies filing appeals under subchapter E of WAC chapter 284-180 have been updated to emphasize electronic processing and remove the requirement for sensitive information to be filed with an appeal. The rulemaking is adopting conforming changes.
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Insurers and regulated entities
This proposed rule makes amendments for SSB 5610 chapter 228, Laws of 2022 which permits third party cost-sharing for prescription drugs within specific parameters.