Strengthening public hospitals.

This bill allows public hospital districts in Washington to form cooperative agreements without competing with each other, enabling shared services, combined equipment purchases, and joint contracts to support their public mission. It specifically amends laws to permit these arrangements for serving vulnerable populations, including low-income and uninsured patients. Additionally, the bill creates a new $0.75 annual assessment per insurance coverage month for insurers, with penalties for late payment, to fund public hospital infrastructure. The policy directly affects public hospital districts, publicly owned health care entities, and health insurers in Washington.