Improving performance on maternal health and preventative cancer screening metrics for medicaid clients.

SB 5642 requires Washington’s Health Care Authority to develop education materials by December 2025 to improve breast cancer screening, cervical cancer screening, prenatal care timing, and postpartum care for Medicaid clients. It mandates an implementation plan to incentivize Medicaid insurance plans and standard care settings to meet these health metrics, including adopting a new billing code (0500F) for early pregnancy identification. The bill also requires annual reports starting in 2028 tracking specific outcomes like screening rates, care timeliness, and cost savings. This directly affects Medicaid clients in Washington, particularly women needing preventive cancer screenings and maternal health services.