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Opioid overdose reversal medication bulk purchasing and distribution program.

(1) For health plans issued or renewed on or after January 1, 2023, health carriers must participate in the opioid overdose reversal medication bulk purchasing and distribution program established in RCW 70.14.170 once the program is operational. A health plan may not impose enrollee cost sharing related to opioid overdose reversal medication provided through the bulk purchasing and distribution program established in RCW 70.14.170.
(2) For health plans issued or renewed on or after January 1, 2025, a health carrier must reimburse a hospital or psychiatric hospital that bills for the following outpatient services:
(a) For opioid overdose reversal medication dispensed or distributed to a patient under RCW 70.41.485 as a separate reimbursable expense; and
(b) For the administration of long-acting injectable buprenorphine as a separate reimbursable expense.
(3) Reimbursements provided under subsection (2) of this section must be separate from any bundled payment for outpatient hospital or emergency department services.

NOTES:

FindingsIntent2024 c 366: See note following RCW 71.24.847.
Rules2021 c 273 ss 7-12: See note following RCW 70.14.170.
FindingsIntent2021 c 273: See note following RCW 70.41.480.
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