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is not enacted by June 30, 2023, the amount provided in this 1 subsection shall lapse. 2 (18) $132,000 of the insurance commissioner's regulatory account— 3 state appropriation is provided solely for implementation of 4 Engrossed Second Substitute House Bill No. 1357 (prior 5 authorization). If the bill is not enacted by June 30, 2023, the 6 amount provided in this subsection shall lapse. 7 (19)(a) $250,000 of the insurance commissioner's regulatory 8 account—state appropriation is provided solely for an analysis of how 9 health plans define, cover, and reimburse for maternity care 10 services, including prenatal, delivery, and postpartum care. The 11 commissioner shall: 12 (i) Obtain necessary information regarding health plans offered 13 by carriers with more than one percent accident and health market 14 share based upon the commissioner's most recent annual market 15 information report and health plans offered to public employees under 16 chapter 41.05 RCW to evaluate: 17 (A) How health plan benefit designs define maternity care 18 services; 19 (B) Whether and to what extent maternity care services are 20 subject to deductibles and other cost-sharing requirements; 21 (C) Which maternity care services are considered preventive 22 services under section 2713 of the federal public health service act 23 and are therefore exempt from cost sharing; 24 (D) The five most used maternity care reimbursement methodologies 25 used by each carrier; and 26 (E) With respect to reimbursement methodologies that bundle 27 payment for maternity care services, which specific services are 28 included in the bundled payment; 29 (ii) Estimate the total and per member per month impact on health 30 plan rates of eliminating cost sharing for maternity care services in 31 full, or for prenatal care only, for the following markets: 32 (A) Individual health plans other than Cascade select plans; 33 (B) Cascade select health plans; 34 (C) Small group health plans; 35 (D) Large group health plans; 36 (E) Health plans offered to public employees under chapter 41.05 37 RCW; and 38 (F) All health plans in the aggregate; and 39 p. 128 ESSB 5187.SL