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48.43.0128 Nongrandfathered health plans—Prohibited discrimination—Rules.

WA Rev Code § 48.43.0128 (2019) (N/A)
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RCW 48.43.0128 Nongrandfathered health plans—Prohibited discrimination—Rules.

(1) A health carrier offering a nongrandfathered health plan in the individual or small group market may not:

(a) In its benefit design or implementation of its benefit design, discriminate against individuals because of their age, expected length of life, present or predicted disability, degree of medical dependency, quality of life, or other health conditions; and

(b) With respect to the health plan, discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation.

(2) Nothing in this section may be construed to prevent an issuer from appropriately utilizing reasonable medical management techniques.

(3) Unless preempted by federal law, the commissioner shall adopt any rules necessary to implement this section, consistent with federal rules and guidance in effect on January 1, 2017, implementing the patient protection and affordable care act.

[ 2019 c 33 § 15.]

NOTES:

Effective date—2019 c 33: See note following RCW 48.43.005.

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48.43.0127 Group health plans—Waiting period—Rules.
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48.43.016 Prior authorization standards and criteria—Health carrier requirements—Definitions.