ࡱ> vxwy &bjbjEE I2''|5 -----AAA8yA3t(Y3[3[3[3[3[3[3*57T[3-[3--4p3xxx--2xY3xx ,W. LAFX-82303-j 8p 8Dc.c. 8-w.(hmJx<[3[3j3 8 :   WASHINGTON ASSOCIATION OF HEALTH UNDERWRITERS LEGISLATIVE UPDATE March 17, 2008 2008 Legislative Session Adjourns The 2008 legislative session adjourned early in the evening on Thursday, March 13less than four hours before the end of the last day of the 60-day limit for the session as provided by the state constitution. With more than 1700 bills introduced since early January, approximately 290 have been approved by the legislature and have been sent to the Governor. April 5 is the last day for Governor Gregoire to take action on bills. Because there is no pocket veto in Washington State, if the Governor fails to take action on a measure, it becomes effective without the Governors signature. Unless otherwise specified, measures passed by the Legislature become effective 90 days after the close of the session. Legislators have returned to their homes, and will begin to unwind from their legislative activities. They will also be preparing for a busy election season later this year, with all 98 seats in the House of Representatives up for election, along with half of the 49 seats in the Senate. All statewide elected offices will also be up for election this year including Governor, Attorney General, and Insurance Commissioner. A full legislative wrap-up report will be provided after the Governor takes action on bills of interest. House Concurs in Senate Amendments to HIP MeasureBill Goes to Governor Gregoire The House has concurred in the Senate-passed version of 2SHB 2537a measure that was introduced to clarify the authority and activities of the Health Insurance Partnership. The bill will now go to Governor Gregoire. As noted above, the Governor has until April 5 to take action on the measure. The bill was previously amended in the Senate Ways and Means Committee by Sen. Karen Keiser, Chair of the Senate Health and Long Term Care Committee. Under Sen. Keisers amendment, the HIP would only be available to employers who attest that they are not providing coverage to their employees, and that at least 50% of their employees are low wage workers. The amendment sharply reduces the reach of the HIP when compared with the bill as it was introduced by Rep. Cody at the beginning of the legislative session. Although the bill came to the Senate floor with the Keiser amendment from the Ways and Means Committee, employer groups continued to express opposition to the measurearguing that the HIP does not appear to be referenced in the budget to provide subsidies to low income employees of small employers, and that the bill appears to allow the HIP to be preferentially positioned in the market to compete directly with current market options. Employer groups strongly supported an amendment offered by Sen. Linda Parlette, which would have required the HIP to provide direct subsidies to low income employees of small employers. The Parlette amendment failed on a sharply divided vote of 24-24. The Keiser amendment was then approved by the Senate, and the bill was passed on a final vote of 27-22. The amended bill went back to the House for consideration of the Senate amendment. The House concurred in the Senate amendment on Saturday, March 10. Interestingly, although the Senate-passed supplemental budget stripped virtually all funding from the HIP, the final supplemental budget restored the funding. Legislature Agrees on Revised Bill Relating to Reimbursements Paid to Chiropractors The legislature has given approval to revised version of 2SSB 5596a measure that is intended to prohibit health plans from setting payment formulas for chiropractors which are different from those set for other providers when they are performing health care services. Although the House passed an amended version of the bill on March 6, the Senate refused to concur in the House amendments after the Governors office expressed concern about the measure. After receiving some language from the Governors staff, the House receded from its prior amendments on Wednesday, March 12 and approved the revised language on a final vote of 81-16. The Senate then concurred in the House amendments on a final vote of 46-3, and the bill was sent to Governor Gregoire. During hearings in both the House and Senate, AHIP and other carrier representatives testified against the measure, pointing out that the fiscal note on the bill suggests that the costs for chiropractic services will increase if the measure is enacted. Business groups also indicated their opposition to the measure. The final version of the bill would require health carriers to reimburse chiropractors the same as other providers who use the same billing codes for certain rehabilitative, evaluative, and management services. Carrier would be allowed to pay differential amounts if they can show that the differential is due to quality improvement programs, network adequacy standards, and geographic differences in the cost of maintaining a practice. These requirements are also applicable to the Uniform Medical Plan operated by the state for the benefit of public employees. The measure also calls for the OIC to perform a study of the impact of the bill, supported with a data call on health plans with respect to a wide range of reportable data relating to chiropractic and other provider groups billing under certain codes. The OIC study is to be concluded by January 1, 2012. The requirements of the bill would sunset on June 30, 2013. Controversial Wrongful Death Measure Stopped on Senate Floor The Senate has killed E3SHB 1873the controversial wrongful death bill that has been a top priority for the Washington State Trial Lawyers Association since last year. The measure was stopped on the Senate floor when it was not brought to a vote to reconsider Senate-passed amendments that were rejected by the House last weekend. The amendments were sought by local governments, the Washington Defense Trial Lawyers, physician groups, employers, and others who have opposed the bill. The first amendment excluded state and local governments from joint liability under the act. The second amendment provided that an action under the bill would be limited to the death of a child under the age of 26. Senate approval of each of the amendments represented a significant victory for those who have been opposed to the measure. Each amendment was adopted with 25 votes on the Senate floor. There are 49 members in the Senate. The Senate approved the amendments and passed the amended bill on Thursday, March 6. On Saturday, March 8, the House took the measure up and refused to concur in the Senate amendments, sending the measure back to the Senate. Local government representatives, together with the Washington Defense Trial Lawyers and other allies who helped to achieve the adoption of the amendments in the Senate, worked to defend the Senate-passed bill. Although plaintiff lawyers worked hard to cut into the base of support among Senators who provided the majority to approve the amendments, in the end, they were unsuccessful in moving a single vote. The bill failed to come to a vote despite a last-minute effort by Senator Phil Rockefeller (D, 23rd Legislative District) to develop an amendment to address joint and several liability in new ways. Ultimately, Senator Rockefellers proposed amendment proved to be objectionable to both supporters and opponents of the bill. Despite the fact that his amendment failed to attract support, Senator Rockefeller remained with the bipartisan majority of Senators who would not recede from the two amendments previously adopted on the Senate floor. The bill died with the adjournment of the legislature because agreement could not be reached on the measure between the House and Senate.     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