WA SB5642

Health Care Authority must develop education and outreach materials by December 31, 2025, in collaboration with Department of Health, Robert Bree Collaborative, and Medicaid managed care organizations to improve breast cancer screening, cervical cancer screening, prenatal care timeliness, and postpartum care for Medicaid clients

Authority must create an implementation plan by December 31, 2025, to incentivize managed care organizations to improve performance on these four health metrics, covering both managed care and fee-for-service settings

Annual reports to the governor and legislature required starting November 30, 2028, detailing savings from performance improvements, enrollment numbers, screening rates, and three-year performance comparisons

Authority must develop billing guide instructions and amend managed care contracts by December 31, 2025, to encourage use of CPT code 0500F for earlier identification of pregnant women

Adds new section to chapter 74.09 RCW establishing oversight and accountability framework for state-purchased health care through Medicaid