It is the intent of the legislature to ensure that all enrollees in managed care settings have access to adequate information regarding health care services. At nearly 13,000 members strong, the WSMA is the largest physician professional association in Washington, representing all specialties and practice settings.This Clinical Policy Bulletin addresses breast and ovarian cancer susceptibility gene testing, prophylactic mastectomy, and prophylactic oophorectomy. The Portable Orders for Life-Sustaining Treatment (POLST) form represents a way of summarizing wishes of an individual regarding life-sustaining treatment. The Affordable Care Act (ACA) required private insurance plans to cover recommended preventive services without any patient costsharing. Breast reconstruction is surgery done after an individual has had all or part of a breast removed. All hospital surveys are unannounced. Do not provide hospitals with advance notice of the survey. View the meeting schedule. Meeting presentations can be found on the Alliance member site in the coming week.