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State Department of Enterprise Services seeks input from stakeholders for rules for certain public and nonprofit hospital risk pools


A new state law permits certain public and nonprofit hospitals to jointly self-insure for property and liability risks.

The law also requires that the state risk manager adopt rules for these public benefit hospital joint self-insurance programs (also called risk pools). The rules must include standards for solvency, operations, management and other important areas. The state risk manager’s office is a program within the Washington State Department of Enterprise Services.

As Enterprise Services moves toward adopting rules, the agency will work with stakeholders to ensure rules are clear and reflect the specific business models as allowed by law.

We anticipate the new proposed rules will contain standards similar to current rules adopted for similar type risk pools overseen by the state risk manager. Those rules include WAC 200-120 (housing authority risk pools), WAC 200-100 (local government risk pools) and WAC 200-150 (nonprofit risk pools).

Before Enterprise Services files proposed rules under the state’s rulemaking process, we are seeking input from stakeholders on the draft rule.

Upcoming work session

Enterprise Services will hold a work session with interested stakeholders on Oct. 17.

During the work session, Enterprise Services and stakeholders will collaborate and jointly develop rules. As a starting point, Enterprise Services has developed an FAQ and preliminary draft rules document for discussion purposes, which we expect will be modified during our conversations.

The outcome of the work session will be proposed rules. Shortly after the work session, Enterprise Services will share a copy of the draft rules before filing the proposed rules with the Office of the Code Reviser. The proposed rules filed with the Code Reviser will then be published in the next Washington State Register.

There will be a formal public comment period on the proposed rules, once submitted.

Work session information

  • Date: Oct. 17
  • Time: 2 p.m.
  • Place: 1500 Jefferson, Olympia, WA, Room 2360

Rulemaking steps

CR 101: DES has filed a notice with the state Office of the Code Reviser that the agency intends to engage in this rulemaking effort. This first step, the CR -101: Preproposal Statement of Inquiry must be taken before stakeholders can be invited to participate in the agency’s rulemaking process.

CR-102: Proposed Rule Making marks the formal beginning of rulemaking. Once the CR-102 is filed, DES will hold a formal public comment period, including a public hearing, for the proposed rule.

More information

  • More information is available on the Enterprise Services rulemaking webpage.
  • If you have questions specific to existing self-insurance rules, please contact Shannon Stuber, (360) 407-8153.
  • If you have questions about the rulemaking process, please contact Jack Zeigler, (360) 407-9209.