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WA HB1392
Bill
Status
Passed
5/19/2025
Primary Sponsor
Nicole Macri
Click for details
AI Summary
- Creates a Medicaid Access Program funded by annual assessments on health carriers ($0.50 per member per month) and Medicaid managed care organizations ($16 per member per month), with a 36:1 ratio maintained between MCO and carrier contributions
- Requires the Health Care Authority to submit state plan amendments or waivers to CMS by September 1, 2025, with the program contingent on federal approval by January 1, 2027
- Increases Medicaid professional services reimbursement rates (anesthesia, diagnostics, emergency room, surgery, maternity, behavioral health, office visits, etc.) toward Medicare levels for services currently below Medicare rates as of December 31, 2024
- Establishes the Medicaid Access Program Account in the state treasury, allowing up to $35 million in the first fiscal year to replace state general fund payments and up to $2 million for school-based health services expansion
- Limits assessments to the first 2.3 million member months per organization and requires the authority to study and report on whether rate increases improve Medicaid access using utilization, provider enrollment, and patient survey metrics
Legislative Description
Creating the medicaid access program.
Last Action
Effective date 5/19/2025*.
5/19/2025
Committee Referrals
Rules4/8/2025
Ways & Means3/24/2025
Rules2/28/2025
Appropriations1/20/2025
Full Bill Text
No bill text available