(1) It shall be the
duty of the director to establish and administer a program of
benefits to innocent victims of criminal acts within the terms
and limitations of this chapter. The director may apply for and,
subject to appropriation, expend federal funds under Public Law
98-473 and any other federal program providing financial
assistance to state crime victim compensation programs. The
federal funds shall be deposited in the state general fund and
may be expended only for purposes authorized by applicable
federal law.
(2) The director shall:
(a) Establish and adopt rules governing the administration
of this chapter in accordance with chapter 34.05 RCW;
(b) Regulate the proof of accident and extent thereof, the
proof of death, and the proof of relationship and the extent of
dependency;
(c) Supervise the medical, surgical, and hospital treatment
to the intent that it may be in all cases efficient and up to the
recognized standard of modern surgery;
(d) Issue proper receipts for moneys received and
certificates for benefits accrued or accruing;
(e) Designate a medical director who is licensed under
chapter 18.57 or 18.71 RCW;
(f) Supervise the providing of prompt and efficient care and
treatment, including care provided by physician assistants
governed by the provisions of chapters 18.57A and 18.71A RCW,
acting under a supervising physician, including chiropractic
care, and including care provided by licensed advanced registered
nurse practitioners, to victims at the least cost consistent with
promptness and efficiency, without discrimination or favoritism,
and with as great uniformity as the various and diverse
surrounding circumstances and locations of industries will permit
and to that end shall, from time to time, establish and adopt and
supervise the administration of printed forms, electronic
communications, rules, regulations, and practices for the
furnishing of such care and treatment. The medical coverage
decisions of the department do not constitute a "rule" as used in
RCW 34.05.010(16), nor are such decisions subject to the
rule-making provisions of chapter 34.05 RCW except that criteria
for establishing medical coverage decisions shall be adopted by
rule. The department may recommend to a victim particular health
care services and providers where specialized treatment is
indicated or where cost-effective payment levels or rates are
obtained by the department, and the department may enter into
contracts for goods and services including, but not limited to,
durable medical equipment so long as statewide access to quality
service is maintained for injured victims;
(g) In consultation with interested persons, establish and,
in his or her discretion, periodically change as may be
necessary, and make available a fee schedule of the maximum
charges to be made by any physician, surgeon, chiropractor,
hospital, druggist, licensed advanced registered nurse
practitioner, and physician assistants as defined in chapters 18.57A and 18.71A RCW, acting under a supervising physician or
other agency or person rendering services to victims. The
department shall coordinate with other state purchasers of health
care services to establish as much consistency and uniformity in
billing and coding practices as possible, taking into account the
unique requirements and differences between programs. No service
covered under this title, including services provided to victims,
whether aliens or other victims, who are not residing in the
United States at the time of receiving the services, shall be
charged or paid at a rate or rates exceeding those specified in
such fee schedule, and no contract providing for greater fees
shall be valid as to the excess. The establishment of such a
schedule, exclusive of conversion factors, does not constitute
"agency action" as used in RCW 34.05.010(3), nor does such a fee
schedule constitute a "rule" as used in RCW 34.05.010(16);
(h) Make a record of the commencement of every disability
and the termination thereof and, when bills are rendered for the
care and treatment of injured victims, shall approve and pay
those which conform to the adopted rules, regulations,
established fee schedules, and practices of the director and may
reject any bill or item thereof incurred in violation of the
principles laid down in this section or the rules, regulations,
or the established fee schedules and rules and regulations
adopted under it.
(3) The director and his or her authorized assistants:
(a) Have power to issue subpoenas to enforce the attendance
and testimony of witnesses and the production and examination of
books, papers, photographs, tapes, and records before the
department in connection with any claim made to the department or
any billing submitted to the department. The superior court has
the power to enforce any such subpoena by proper proceedings;
(b)(i) May apply for and obtain a superior court order
approving and authorizing a subpoena in advance of its issuance.
The application may be made in the county where the subpoenaed
person resides or is found, or the county where the subpoenaed
records or documents are located, or in Thurston county. The
application must (A) state that an order is sought pursuant to
this subsection; (B) adequately specify the records, documents,
or testimony; and (C) declare under oath that an investigation is
being conducted for a lawfully authorized purpose related to an
investigation within the department's authority and that the
subpoenaed documents or testimony are reasonably related to an
investigation within the department's authority.
(ii) Where the application under this subsection (3)(b) is
made to the satisfaction of the court, the court must issue an
order approving the subpoena. An order under this subsection
constitutes authority of law for the agency to subpoena the
records or testimony.
(iii) The director and his or her authorized assistants may
seek approval and a court may issue an order under this
subsection without prior notice to any person, including the
person to whom the subpoena is directed and the person who is the
subject of an investigation.
(4) In all hearings, actions, or proceedings before the
department, any physician or licensed advanced registered nurse
practitioner having theretofore examined or treated the claimant
may be required to testify fully regarding such examination or
treatment, and shall not be exempt from so testifying by reason
of the relation of the physician or licensed advanced registered
nurse practitioner to the patient.
[2011 c 346 § 206; 2009 c 479 § 7; 1989 1st ex.s. c 5 § 2; 1985 c 443 § 12; 1973 1st ex.s. c 122 § 3.]
NOTES:
Intent -- Retroactive application -- Effective date -- 2011 c 346: See notes following RCW 7.68.020.
Effective date -- 2009 c 479: See note following RCW 2.56.030.
Severability -- Application -- Effective dates -- 1989 1st ex.s. c 5: See notes following RCW 7.68.015.
Severability -- Effective date -- 1985 c 443: See notes following RCW 7.69.010.