Healthcare

This bill changes how Washington state funds rural emergency hospitals. It requires that payments for services provided by rural emergency hospitals (designated by federal Medicare/Medicaid) must be approved each year through the state budget, rather than being automatically funded. This affects hospitals meeting federal rural emergency hospital criteria, including those that previously received automatic payments. The change applies to all medical assistance program services provided by these hospitals, regardless of patient enrollment in managed care. The bill does not alter existing payment rates but shifts the funding mechanism to annual appropriations.

Senate Bill 5807 modifies the wellness programs offered through public and school employee health benefit plans. The bill discontinues the "smart health program," including its wellness incentive and online portal, for these employees, effective January 1, 2028. While employees who meet eligibility requirements for an incentive by December 31, 2027, will still receive it in the 2028 plan year, no new wellness incentives can be earned after that date. The legislation shifts the focus to broader wellness initiatives that emphasize preventative health strategies.

HB 1213 expands protections for workers in Washington's state paid family and medical leave program. The bill requires the department to enhance outreach to employees, explaining their eligibility, application process, and reinstatement and nondiscrimination rights. It also mandates increased outreach to employers about their responsibilities and authorizes the department to audit employer records for compliance. Additionally, the bill clarifies premium collection and calculation methods, and ensures the confidentiality of employee information within the program.