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.

SB 5993 caps interest charges on new and unpaid medical debt at 1% per year, directly affecting patients with outstanding medical bills. The bill amends Washington law to prohibit interest above this rate, including for debt accrued before or after a court judgment. It excludes from the cap certain medical debt that is invalid, waived under state law, or unenforceable. This policy change reduces financial burdens for individuals struggling with medical debt while maintaining existing legal enforcement mechanisms for valid claims.

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.