(1) The
commissioner shall designate one or more lead organizations to
coordinate development of processes, guidelines, and standards to
streamline health care administration and to be adopted by payors
and providers of health care services operating in the state.
The lead organization designated by the commissioner for chapter
298, Laws of 2009 shall:
(a) Be representative of providers and payors across the
state;
(b) Have expertise and knowledge in the major disciplines
related to health care administration; and
(c) Be able to support the costs of its work without
recourse to public funding.
(2) The lead organization shall:
(a) In collaboration with the commissioner, identify and
convene work groups, as needed, to define the processes,
guidelines, and standards required in RCW 48.165.035, 18.122.165,
and 48.165.040 through 48.165.050;
(b) In collaboration with the commissioner, promote the
participation of representatives of health care providers, payors
of health care services, and others whose expertise would
contribute to streamlining health care administration;
(c) Conduct outreach and communication efforts to maximize
adoption of the guidelines, standards, and processes developed by
the lead organization;
(d) Submit regular updates to the commissioner on the
progress implementing the requirements of chapter 298, Laws of
2009; and
(e) With the commissioner, report to the legislature
annually through December 1, 2012, on progress made, the time
necessary for completing tasks, and identification of future
tasks that should be prioritized for the next improvement cycle.
(3) The commissioner shall:
(a) Participate in and review the work and progress of the
lead organization, including the establishment and operation of
work groups for chapter 298, Laws of 2009;
(b) Adopt into rule, or submit as proposed legislation, the
guidelines, standards, and processes set forth in chapter 298,
Laws of 2009 if:
(i) The lead organization fails to timely develop or
implement the guidelines, standards, and processes set forth in
RCW 48.165.035, 18.122.165, and 48.165.040 through 48.165.050; or
(ii) It is unlikely that there will be widespread adoption
of the guidelines, standards, and processes developed under
chapter 298, Laws of 2009;
(c) Consult with the office of the attorney general to
determine whether an antitrust safe harbor is necessary to enable
licensed carriers and providers to develop common rules and
standards; and, if necessary, take steps, such as implementing
rules or requesting legislation, to establish such safe harbor;
and
(d) Convene an executive level work group with broad payor
and provider representation to advise the commissioner regarding
the goals and progress of implementation of the requirements of
chapter 298, Laws of 2009.
[2009 c 298 § 5.]