Concerning patient-centered equitable access to anesthesia services and reimbursement.

HB 1812 prohibits health insurers in Washington from imposing time limits or arbitrary caps on reimbursement for anesthesia services, regardless of procedure duration or patient health status. It requires insurers to cover all medically necessary anesthesia care without denying coverage based on factors like patient age (e.g., infants or seniors), emergency status, or severe illnesses. The bill mandates reimbursement be based solely on a provider’s assessment of medical necessity, not preset time limits, and prohibits insurers from discriminating against anesthesiologists or nurse anesthetists. Violations can trigger enforcement actions by the Insurance Commissioner, including fines, required reimbursement for denied claims, and license suspension. This directly affects patients receiving anesthesia (especially vulnerable groups), providers, and health insurers operating in Washington.