ࡱ> rtq !bjbj I.5. . qqqqq8$.8t(QQQ7777777$9D<^7q^QQ^^7qq47N N N ^qq7N ^7N N  0k2 0d1:670.81l<hv<Hw2w2<q2hQ)N |?QQQ77pQQQ.8^^^^<QQQQQQQQQ. 7:   WASHINGTON ASSOCIATION OF HEALTH UNDERWRITERS LEGISLATIVE UPDATE March 2, 2009 Senate Committees Kill Hundreds of Bills at February 25 DeadlineFiscal Committees have Until March 2 to Approve Measures Hundreds of bills introduced in the Senate were killed on Wednesday, February 25 when they were not approved in committee before the deadline. Although the House and Senate approved a resolution setting February 25 as the last day for passing bills out of committee in the house of origin, the House of Representatives implemented an earlier cut-off date on Friday, February 20. The next cut-off for the consideration of bills arrives shortly. Fiscal committees in the House and Senate have until Monday, March 2 to approve bills that that pose a fiscal impact for the state. Following the cut-off for fiscal committees, all legislative activity will turn to the floors of the House and Senate. The cut-off resolution calls for bills in the house of origin to be approved by Thursday, March 12 at 5:00 p.m. With rare exception, bills failing to be approved by the cut-off dates will not be considered further this session. House Committee Schedules Vote to Force School Districts and ESDs to Purchase Health Benefits though the PEBB The House Ways and Means Committee has placed HB 1940 on a list of bills that could be brought to a vote on Monday, March 2. The measure would compel school districts and ESDs to purchase health benefits through the state. When the bill was considered at hearing, WAHU, together with representatives of the Washington Education Association, other union groups, and some school districts, testified in opposition to the bill, arguing that school districts and ESDs should continue to have the choice of participating in PEBB programs or finding other options to serve their needs. The Senate Health Care & Wellness Committee approved a related billSB 5491on Monday, February 23 and referred the measure to the Senate Ways and Means Committee. SB 5491 has not yet been scheduled for a hearing before the Senate Ways and Means Committee. Both SB 5491 and HB 1940 must be approved by the respective Ways and Means Committees by the end of the day on Monday, March 2 or they will be dead for this session. Senate Ways and Means Committee Considers Scaled-Back Reform Proposal On Friday, February 27 the Senate Ways and Means Committee held a hearing to consider SB 5945a bill that was introduced by Senator Karen Keiser to provide universal coverage to all Washington residents by 2012. The measure was amended in committee, however, to establish a Washington Health Partnership as a working group to focus on health care reform goals in phases. These phases include extending coverage to individuals below 200% of the federal poverty level in an Apple Health program for adults, consolidating the purchase of health coverage, and streamlining administration. The Partnership would also examine health care reform proposals. Bill on Organ Transplant Benefits Placed on Senate Floor Calendar On Tuesday, February 24, the Senate Rules Committee placed SB 5725 on the Senate floor calendar. Although the measure was introduced to prohibit health plans from imposing separate lifetime limits on benefits for organ transplants, an amendment adopted by the Senate Health and Long Term Care Committee allows separate lifetime limits, but provides that such limits can not be lower than $350,000. The fiscal note on the bill shows no cost to the state because the programs administered by the Health Care Authority do not currently have separate limits on organ transplant benefits. The measure could be brought to a vote at any time. Measure to Increase Coverage for Neurodevelopmental Therapies Scheduled for Hearing before the House Ways and Means Committee The House Ways and Means Committee has scheduled hearing on Monday, March 2 to consider HB 1412a measure that would amend the current mandated benefit for neurodevelopmental therapies by extending the age for those eligible for services to 18. The bill has been referred to the committee for consideration of a $1.9 million fiscal note relating to costs that the measure would pose for the state. The measure was previously approved by the House Health Care & Wellness Committee. If passed, the new requirements would become effective for plans on or after January 1, 2011. The bill would direct the Department of Health to determine the most appropriate means to regulate providers who use applied behavioral analysis for the treatment of autism, and identify therapies that should be considered to be in accordance with generally accepted standards of practice. The measure was introduced as an alternate proposal to the bills that would specifically mandate coverage for autism services. When the bill was heard by the House Health Care & Wellness Committee, health plan representatives expressed appreciation to the bills sponsor for working to find measured ways to improve coverage and benefits for neurodevelopmental services. The Senate Health & Long Term Care Committee killed a sweeping measure (SB 5203) that would have mandated costly and controversial services with respect to autism. The bill was killed when it was not brought to a vote in committee before the cut-off for passageperhaps because its fiscal note exceeds $16 million for the 2009-11 biennium. The House Health Care & Wellness Committee previously killed HB 1210the House counterpart to SB 5203when it was not considered at hearing and approved prior to the February 20 cut-off date for House committee action. Senate Committee Kills Bill Relating to Coverage for Young Adults The Senate Health & Long Term Care Committee has killed SB 5052a measure that would allow health carriers to design and offer a separate health plan targeted at young adults between the ages of 18-34. The measure was killed when it was not brought to a vote before the February 25 cut-off for approval. The bill was introduced by Senator Linda Evans Parlette (R, Wenatchee), to implement one of the recommendations resulting from the Governors Blue Ribbon Commission on Health Care Costs and Access. When the bill was heard at hearing, AHIP joined other carriers, agents and brokers, and business groups in testifying in support of the measure.     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