Ensuring access to primary care, behavioral health, and affordable hospital services.

Reimbursement caps now apply only to 'in-network' providers located in Washington, excluding out-of-network providers from these specific limits.

Payment floors for primary care and behavioral health services were changed to require the greater of 150% of Medicare rates or the contractor's contracted rate, ensuring providers are paid at least their negotiated rates.

New reporting requirements were added to analyze the bill's impact on enrollee costs in health insurance markets outside the public employee program.

Reimbursement caps for specialty children's hospitals were updated to apply only to 'in-network' providers located in Washington.

A new exemption was created for rural critical access hospitals, sole community hospitals, and specific island hospitals in Skagit County, exempting them from certain reimbursement caps.

A new definition clarifies that reimbursement limits for inpatient and outpatient services do not include charges for professional services.