HB 1079 — Concerning rapid whole genome sequencing.

H-1012.1H-0290.1 SUBSTITUTE HOUSE BILL 1079 State of Washington 68th Legislature 2023 Regular Session By House Health Care & Wellness (originally sponsored by Representatives Thai, Slatter, and Ryu)Ryu READPrefiled FIRST12/23/22. TIME 02/03/23.

Read first time 01/09/23.

Referred to Committee on Health Care & Wellness.

amending RCW 74.09.520;74.09.520 and 28B.20.830;

and (o) like services when furnished to a child by a school district in a manner p.

1 SHBHB 1079 services when furnished to a child by a school district in a manner consistent with the requirements of this chapter.

(5) For Title XIX personal care services administered by the department, the department shall contract with area agencies on aging orp. may contract with a federally recognized Indian tribe under RCW 74.39A.090(3):

p.2 HB 1079 or may contract with a federally recognized Indian tribe under RCW 74.39A.090(3):

2 SHB 1079 (a) To provide case management services to individuals receiving Title XIX personal care services in their own home;

(10) Subject to the availability of amounts appropriated for this specific purpose, effective January 1, 2018, the authority shall require provider payment for maternal depression screening for p.

3 SHBHB 1079 (10) Subject to the availability of amounts appropriated for this specific purpose, effective January 1, 2018, the authority shall require provider payment for maternal depression screening for mothers of children ages birth to six months.

(12)(a) Effective January 1, 2024, the authority shall require provider payment for rapid whole genome sequencing for enrollees upage to21 ageand oneyounger in accordance with medical necessity criteria adopted, and revised as necessary to account for clinical developments, by the authority following consideration of standards developed by the American college of medical genetics and genomics as well as hospitals in Washington that predominantly serve children.

(2)p. This section expires January 1, 2024.

4 HB 1079 (2) This section expires January 1, 2024.

Sec.

3.

RCW 28B.20.830 and 2021 c 157 s 9 are each amended to read as follows:

(1) The collaborative for the advancement of telemedicine is created to enhance the understanding and use of health services provided through telemedicine and other similar models in Washington state.

The collaborative shall be hosted by the University of Washington telehealth services and shall be comprised of one member from each of the two largest caucuses of the senate and the house of representatives, and representatives from the academic community, hospitals, clinics, and health care providers in primary care and specialty practices, carriers, and other interested parties.

(2) By July 1, 2016, the collaborative shall be convened.

The collaborative shall develop recommendations on improving reimbursement and access to services, including originating site restrictions, provider to provider consultative models, and technologies and models of care not currently reimbursed;

identify the existence of telemedicine best practices, guidelines, billing requirements, and fraud prevention developed by recognized medical and telemedicine organizations;

and explore other priorities identified by members of the collaborative.

After review of existing resources, the collaborative shall explore and make recommendations on whether to create a technical assistance center to support providers in implementing or expanding services delivered through telemedicine technologies.

(3) The collaborative must submit an initial progress report by December 1, 2016, with follow-up policy reports including recommendations by December 1, 2017, December 1, 2018, and December 1, 2021.

The reports shall be shared with the relevant professional associations, governing boards or commissions, and the health care committees of the legislature.

(4) The collaborative shall study store and forward technology, with a focus on:

(a) Utilization;

(b) Whether store and forward technology should be paid for at parity with in-person services;

(c) The potential for store and forward technology to improve rural health outcomes in Washington state;

and (d) Ocular services.

p.

5 HB 1079 (5) The meetings of the board shall be open public meetings, with meeting summaries available on a web page.

(6) The collaborative must study the need for an established patient/provider relationship before providing audio-only telemedicine, including considering what types of services may be provided without an established relationship.

By December 1, 2021, the collaborative must submit a report to the legislature on its recommendations regarding the need for an established relationship for audio-only telemedicine.

(7) The collaborative shall consider strategies to promote and expand the use of telemedicine to provide genetic counseling services, especially in rural parts of Washington.

The collaborative shall provide a report to the governor and the relevant committees of the legislature by December 1, 2023, with a description of the obstacles to providing genetic counseling services through telemedicine and recommendations for promoting and expanding the use of telemedicine to provide genetic counseling services, especially in rural areas.

(8) The future of the collaborative shall be reviewed by the legislature with consideration of ongoing technical assistance needs and opportunities.

The collaborative terminates December 31, 2023.

46 SHBHB 1079